甘肃省乡村医生突发公共卫生事件应对能力状况调查

Investigation on the Response Ability of Rural Doctors to Public Health Emergency in Gansu Province

目的:了解甘肃省乡村医生突发公共卫生事件应对能力状况,分析其主要影响因素,为更好地开展乡村医生传染病培训工作提供参考。方法:采用多阶段整群抽样方法,对甘肃医学院2018年和2019年乡村医生培训班的500名乡村医生进行问卷调查,并对影响突发公共卫生事件应对能力的相关因素进行logistic回归分析。结果:共回收有效问卷485份,突发公共卫生事件应对能力总合格率为44.5%。突发公共卫生事件应对能力的主要影响因素为乡村医生学历[OR=1.860,95%CI:(0.986,2.208)]、执业资质[OR=1.443,95%CI:(1.295,1.747)]、参加传染病应急演练[OR=4.464,95%CI:(1.163,6.912)]、参加传染病理论培训[OR=2.482,95%CI:(1.071,3.018)]、参与应急事件处理[OR=2.659,95%CI:(1.375,3.257)]。结论:甘肃省乡村医生突发公共卫生事件应对能力不能满足实际需要,应加强应急演练和理论培训学习,以提升突发公共卫生事件应对能力。

Objective:To investigate the response ability of rural doctors to public health emergency in Gansu province and analyze the main influencing factors,so as to provide references for better carrying out infectious disease training of rural doctors.Methods:Multistage and cluster sampling methods were used to investigate 500 rural doctors who studied in Gansu Medical College in 2018 and 2019,logistic regression analysis was employed to examine potential influencing factors.Results:A total of 485 valid questionnaires were collected,the qualified rate of response ability to public health emergency was 44.5%.The main influencing factors of response ability to public health emergency included education background[OR=1.860,95%CI:(0.986,2.208)],professional qualifications[OR=1.443,95%CI:(1.295,1.747)],participation in emergency practice drills[OR=4.464,95%CI:(1.163,6.912)],participation in emergency theoretical training[OR=2.482,95%CI:(1.071,3.018)],participation in the emergency handling[OR=2.659,95%CI:(1.375,3.257)].Conclusion:The current response ability among rural doctors in Gansu province can not meet the actual needs to public health emergency.Therefore,practice drills and theoretical training should be strengthened to improve the response ability of rural doctors to public health emergency.