PDCA循环视角下公立医院公共卫生应急管理能力提升策略研究

Research on improving public health emergency management ability in public hospitals from the perspective of PDCA cycle

公立医院在突发公共卫生事件的应急管理中扮演关键角色。公立医院的应急管理能力直接影响医疗服务、公共卫生服务职能的履行和自身的可持续发展。基于危机事件生命周期和应急管理阶段的划分,分析公立医院公共卫生应急管理准备和预警机制不到位,应急处置网络和机制供给缺位,总结评估与恢复滞后、各环节循环不畅的能力困境。借鉴全面质量管理思想,基于“情景-任务与能力-应对方法”的思路,搭建基于PDCA循环与公立医院公共卫生应急管理适用性的理论框架。据此提出提升公立医院公共卫生应急预防与准备能力、应急响应与处置能力、应急规制与恢复能力的策略。

Public hospitals play a key role in emergency management of public health emergencies.The emergency management capability of public hospitals directly affects the performance of medical services,public health service functions,and their sustainable development.Based on the division of crisis event lifecycle and emergency management stages,this paper analyzes the inadequate preparation and early warning mechanisms for public health emergency management in public hospitals,as well as the lack of emergency response network and mechanism supply,and summarizes the ability difficulties of delayed evaluation and recovery,and poor circulation in various links.This article draws inspiration from the concept of comprehensive quality management and builds a theoretical framework based on the PDCA cycle and the applicability of public health emergency management in public hospitals,based on the idea of“scenario-taskand capability-response methods”.Based on this,strategies are proposed to enhance the public health emergency prevention and preparedness capabilities,emergency response and disposal capabilities,and emergency regulation and recovery capabilities of public hospitals.