化州市乡镇卫生院急救与生命支持类医疗设备管理现状

Analysis of the management status of emergency and life support medical equipment in township health centers in Huazhou city

目的了解化州市乡镇卫生院急救与生命支持类医疗设备管理现状,为基层医疗机构提升急救服务水平提供参考依据。方法采用便利抽样的方法,对化州市24所乡镇卫生院的医师、护士、医技人员、公卫人员、行政及后勤人员进行问卷调查,主要包括急救与生命支持类医疗设备的采购配置、更新升级、使用操作、维护保养、应急处理、管理制度、质量评估监测和培训七方面的内容。结果化州市乡镇卫生院对急救、生命支持类设备培训较为充足(65.2%),化州北部和化州中部乡镇卫生院在设备培训、设备故障停机应急处理流程、定期开展设备故障停机应急处理演练、满足临床救治工作需要、管理制度完善、定期设备维护和检查、定期质量评估和监测等方面均优于化州城区和化州南部乡镇卫生院;因子分析结果显示,化州城区乡镇卫生院设备老化与质量问题较为突出,化州北部乡镇卫生院急需生命维持与治疗设备的问题较为突出。结论化州市乡镇卫生院急救与生命支持类医疗设备管理水平存在区域差异,建议通过提升乡镇卫生院人员综合素质、优化工作人员“有效培训”、完善年度管理计划以提升管理品质等措施进一步提升基层急救服务能力。

Objective To understand the management status of emergency and life support medical equipment in township health centers in Huazhou City,providing a reference for improving emergency service levels in grassroots medical institutions.Methods A convenience sampling method was used to conduct a questionnaire survey of physicians,nurses,medical technicians,public health personnel,and administrative and logistical staff in 24 township health centers in Huazhou City.The survey focused on seven aspects:procurement and configuration,upgrades,operational use,maintenance,emergency handling,management systems,and quality assessment and monitoring.Results Training on emergency and life support equipment was generally adequate in Huazhou City(65.2%).Health centers in northern and central Huazhou performed better than those in the urban and southern areas regarding equipment training,emergency handling procedures for equipment failures,regular emergency drills,meeting clinical treatment needs,management system completeness,routine maintenance and inspections,and regular quality assessments.Factor analysis revealed significant issues with equipment aging and quality in urban township health centers,while northern township health centers urgently needed life-sustaining and therapeutic equipment.Conclusion There are regional disparities in the management levels of emergency and life support medical equipment in township health centers in Huazhou City.It is recommended to enhance the overall quality of personnel in township health centers,optimize“effective training”for staff,and improve annual management plans to further elevate grassroots emergency service capabilities.