湖北省二级及以上医疗机构传染病应对能力及其地区差异性分析

Coping ability of infectious diseases and its regional differences in medical institutions Grade II and above in Hubei Province

目的探讨湖北省各级医疗机构传染病救治能力现状、变化及存在问题。方法对湖北省二级及以上所有医疗机构2014—2016年传染病应对能力进行问卷调查和一般性的统计分析。结果各医疗机构对发热、腹泻、流感样病例、不明原因肺炎病例开展监测和报告的比例较高,但对急诊入院人数、败血症/感染性休克、不明原因死亡等监测和及时报告的医疗机构比例则较低,且能与当地其他卫生部门共享异常病例信息的比例也较低。实验室检测能力、医疗设施设备配备、应急状态下能力拓展、应急资金财政投入等均存在地区差异。结论湖北省医疗机构突发公共卫生事件监测与预警能力有较大提升,但传染病医疗救治能力、应急资金投入、部门信息共享、实验室检测与培训、实施配套储备措施、整个医疗服务体系的应对能力等仍亟待提升。

Objective To investigate the current status,changes and existing problems of capability for treating infectious diseases in medical institutions at all levels in Hubei Province.Methods A questionnaire survey was conducted to investigate the coping ability of infectious diseases in medical institutions at all levels in Hubei Province,and then a general statistical analysis was performed.Results The proportions of monitoring and reporting on cases of fever,diarrhea,influenza-like illness(ILI)and unexplained pneumonia were high in medical institutions at all levels,but the proportions of monitoring and timely reporting on the number of emergency admissions,sepsis/infectious shock and unexplained death as well as the proportion of sharing information about abnormal cases with other health departments were all low.There were regional differences in laboratory testing capability,provision of medical facilities and equipments,capacity expansion under emergency conditions,and financial input of emergency funds.Conclusions The surveillance and early warning capabilities of public health emergencies in medical institutions in Hubei Province have been greatly improved,but it is still in urgent need of improvement on capability for treating infectious diseases,emergency fund investment,departmental information sharing,laboratory testing and training,implementation of measures for matching reserve and response capability of entire medical service system.