辽宁省城乡院前急救资源配置现状分析

Analysis of pre-hospital emergency resources allocation in Liaoning province

目的了解辽宁省城乡院前急救资源配置现状.方法 采用现场调查法和问卷调查法,调查辽宁省2014年19个院前急救中心的基本情况、院前急救车辆资源、人力资源和通讯调度系统等方面的情况.结果 辽宁省院前急救分站、车辆和人员数量不足,且农村平均院前急救服务半径和平均院前急救反应时间长,急救车辆不足,超期使用的救护车较多,车载设备和通讯调度系统不完善,高学历和技术职称医护人员较少.结论 辽宁省城乡院前急救资源配置差别很大,农村资源配置相当落后.建议加大政府财政投入、增加院前急救分站和资源配置、定期更新院前急救车辆、建立独立的职称晋升机制、完善通讯调度系统,以满足院前急救需求.

Objective To learn the present pre-hospital emergency resources allocation in Liaoning province.Methods Site survey and questionnaire survey were used to survey the basic information,number of pre-hospital emergency ambulances,human resources,and communication/control systems of 19 pre-hospital emergency centers in Liaoning province in 2014.Results The number of pre-hospital emergency sub-stations,ambulances and human resource fall short of demand.Furthermore,these resources are found with such problems as greater service radius of average pre-hospital emergency service and longer average pre-hospital response time in countryside than cities,insufficient and obsolete ambulances short of onboard equipment and communication systems,not to mention shortage of medical workers of higher degrees and academic titles.Conclusions A great gap is found between urban and rural pre-hospital emergency resource allocation in Liaoning province,with poor resources in the countryside.The government is recommended to step up financial support in increasing pre-hospital emergency substations and resources allocation,regularly update pre-hospital emergency vehicles,set up independent title promotion mechanism,perfect communication scheduling system,in order to satisfy the demands of pre-hospital first aid.