重庆市二级以上医院突发公共卫生事件应对能力现状调查与分析
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Investigation and analysis on public health emergencies response capacity of the class Ⅱ and Ⅲ hospitals in Chongqing
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    目的:了解重庆市二级以上医院应急准备和能力现状,分析存在的问题,提高医院对突发公共卫生事件的认知水平和应对能力。方法:采用科技部“863”项目成果《医院突发公共卫生事件应对能力调查问卷》对重庆市140家二级以上医院进行普查。结果:(1)应急人员准备方面:70.3%的医院可以确保相应人员储备,75.4%的医院使用临时雇员或志愿者等解决人力资源的不足。(2)应急设备供给及运作能力方面:67.2%的医院可以从其它渠道获取相应的应急医疗设备,24.8%的医院有储存和处置用过的净化用品/有害废物的方法。(3)应急物资储备方面:72.8%的医院有备用的应急资源;36.8%的医院有药品优先分配方案。(4)应急方法与制度方面:全部医院均制定了重大传染病疫情应急预案,69.6%的医院有成批收治病人的能力。(5)院际间应急沟通协作方面:86.4%以上的医院与辖区内的疾病预防控制部门和其它医院建立协作关系。三级医院应急设备供给及运作能力优于二级医院(P<0.05),综合医院间沟通协作优于非综合医院(P<0.05),教学医院应急设备供给及运作能力、方法与制度方面优于于非教学医院(P<0.05)。结论:重庆市二级以上医院的应对能力及应急准备已经具备一定的规模,但在应急人员准备、设备供给及消毒净化能力、医疗救治能力建设及院际间沟通协作方面需要进一步加强和完善。

    Abstract:

    Objective:To understand the present situation of public health emergencies response capacity and preparation in the class Ⅱ and Ⅲ hospitals of Chongqing,to analyze the existing problems,to improve the recognition and response capacity for public health emergencies. Methods:Totally 140 class Ⅱ and Ⅲ hospitals in Chongqing were investigated by using the questionnaire of public health emergencies response capacity of hospitals which was the achievement of Ministry of Science and Technology 863 project. Results:(1)Emergency personnel preparation. 70.3% of the hospitals can ensure the appropriate personnel reserves and 75.4% hired temporary employees or volunteers. (2)Emergency equipment supply and operation ability. 67.2% can obtain emergency equipments from other channels and 24.8% ruled in storage and disposal of the hazardous waste. (3)Emergency supplies reserves. 72.8% had standby emergency resources and 36.8% had drug priority allocation schemes. (4)Emergency method and system. all the hospitals make contingency plans for major infectious diseases and 69.6% had the ability to admit a batch of patients. (5)Emergency communication and collaboration between inter-hospitals. More than 86.4% collaborated with local center of disease control and other hospitals. The emergency equipment supply and operation ability were stronger in class Ⅲ hospitals than in class Ⅱ hospitals(P<0.05). Emergency communication and collaboration between inter-hospitals was stronger in comprehensive hospitals than in non-comprehensive hospitals(P<0.05). The emergency equipment supply and operation ability,method and system were stronger in teaching hospitals than in non-teaching hospitals(P<0.05). Conclusions:The response capacity and emergency preparation already have certain scale in class Ⅱ and Ⅲ hospitals of Chongqing. However,the emergency personnel preparation,equipment supply,disinfection,medical treatment ability construction,communication and collaboration between inter-hospitals need to be further improved.

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樊丽平,赵庆华,肖明朝,任洪艳,刘丽萍,周发春,杨荣刚.重庆市二级以上医院突发公共卫生事件应对能力现状调查与分析[J].重庆医科大学学报,2012,37(6):553-556

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  • 在线发布日期: 2012-09-17
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