摘要
目的分析黑龙江省基层疾病预防控制机构(简称疾控机构)应急人员卫生应急预案编制现状及其影响因素,为有效提高其预案编制能力提供科学依据。方法对黑龙江省代表性的10个市的市级、区县级疾控机构1 033名应急工作人员进行调查,数据采用描述性分析、χ2检验和多因素logistic回归等统计方法进行分析。结果黑龙江省10个市的市、区县级疾控机构制定的188个典型预案中,主动制订的预案占43.1%,在预案编制前有47.9%成立了跨部门的预案编制小组,所有预案编制中只有36.2%进行了风险分析,58.0%进行了应急能力评估;多因素logistic回归分析表明,疾控机构应急人员预案编制能的主要影响因素为受教育程度(OR=1.555)、年龄(OR=1.053)、卫生应急关键技术掌握程度(OR=4.704)、培训效果(OR=1.542)、单位应急处置能力(OR=1.909)。结论黑龙江基层疾控机构应急人员预案编制能力总体偏低,加强疾控机构的应急处置能力、增加相关培训、提高应急人员卫生应急关键技术掌握度可有效增强其卫生应急预案编制能力。
Objective To investigate influence factors of capability for emergency plan compilation among grassroots emengency responders in centers for disease control and prevention （CDCs） in Heilongjiang province and to provide evidence for improving the responders＇ capability for emergency plan compilation. Methods A questionnaire survey was carried out among 1 033 health emergency responders from health administrative departments and CDCs at various levels in Heilonging province. Descriptive analysis, X^2 test, and logistic regression were adopted in data analyses. Results For 188 emergency plans compiled by emengency responders in 10 CDCs at municipal or district level,43.1% were compiled initiatively,47.9% were compiled by a group with members of different departments, 36. 2% were involved with risk analysis and 58% were involved with response ability assessment during complilation process. The capalility for emergen- cy plan complitation was influenced mainly by education level （odds ratio [ OR ] = 1.55 ）, age （ OR = 1. 053 ）, the status of mastering key techniques for emergency response（ OR = 4. 704）, training efficacy（ OR = 1. 542）, and emergency response capacity of the department of organization based on the results of multivariate logistic regression. Conclusion The capa- bility for emergency plan compilation is low among emergency responders from CDCs at grassroots level and the capability could be increased by enhancing response capacity of the CDCs, implementing more training programs, and improving the level of mastering key response techniques.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2013年第5期641-643,共3页
Chinese Journal of Public Health
基金
国家自然科学基金(71203051)
卫生部公益性行业科研专项基金(201002028)
