卫生应急服务覆盖程度及其效果:基于辽宁吉林两省的实证分析

The extent of emergency service coverage and its effects:an empirical analysis of work in Liaoning and Jilin

目的分析辽宁吉林两省卫生应急服务覆盖程度及其工作效果,为辽宁吉林两省进一步完善突发公共卫生事件应急处置体系提供理论依据。方法为了保持量化的原则,选取功能服务与公众需要的匹配程度这一具体指标来反映卫生应急服务覆盖程度,系统收集2000至2017年辽宁吉林两省卫生应急服务相关的文件和文献数据,摘录文件中所涉及的卫生应急服务三级预防功能服务的表述;摘录文献中涉及的卫生应急服务工作效果的表述,采用"五分度评分法"判定工作效果;采用Speraman相关、单因素回归方法分析辽宁吉林两省卫生应急服务覆盖范围与辽宁吉林两省工作效果的关系。结果2017年,辽宁省卫生应急服务覆盖程度达到56.5%,吉林省达到64.7%。辽宁吉林两省卫生应急服务覆盖程度与卫生应急工作效果都呈正相关关系(P均<0.05),并且吉林省的显著性更强。结论吉林省在卫生应急服务覆盖程度表现更佳。同时也验证了卫生应急服务覆盖程度量化方法和工作效果评价方法是可行的,可应用于公共卫生的其他领域。

Objective To analyze the coverage and working effect of emergency services in Liaoning and Jilin provinces,so as to provide theoretical basis for further improving the emergency response system of public health emergencies.Methods In order to maintain the principle of quantification,the specific indicators of the matching degree between functional services and public needs were selected to reflect the coverage of health emergency services,and the documents and literature data related to the health emergency services in the two provinces of Liaoning and Jilin were collected systematically in the excerpts.The expression of the three-level preventive function service of the health emergency service involved;the expression of the work effect of the health emergency service involved in the literature was extracted,and the work effect was judged by the"five-point scale method";Spearman correlation and single factor regression method were used to analyze the Liaoning and Jilin work.The relationship was analyzed between the coverage of health emergency services in the two provinces and the work efficiency of the two provinces.Results In 2017,the coverage of emergency service in Liaoning Province reached to 56.5%,and Jilin Province reached to 64.7%.The coverage of emergency services in the two provinces of Liaoning and Jilin was positively correlated with the emergency response(P<0.05),both of which were statistically significant,and Jilin Province was more significant.Conclusion Jilin Province has performed better in emergency response coverage.At the same time,it is verified that the quantitative method of emergency service coverage and the evaluation method of work effect are feasible and can be applied to other areas of public health.