摘要
目的分析广西边境地区乡镇卫生院突发公共卫生事件应急能力现状。方法采用分层随机抽样方法对广西边境地区乡镇卫生院进行问卷调查,分析66家乡镇卫生院卫生人力资源、应急预案、应急监测、应急储备能力等状况。结果广西边境地区乡镇卫生院的卫生技术人员数、执业(助理)医师数和注册护士数均低于广西同期乡镇卫生院平均水平,乡镇卫生院的执业(助理)医师学历以大专为主(占49.7%),职称以初级为主(占56.4%);注册护士学历以中专为主(占58.7%),职称以初级为主(占64.8%)。应急预案缺乏可操作性,突发公共卫生事件应急救治技术方案不全面。50.0%以上乡镇卫生院缺乏对甲类传染病、新发传染病、化学性中毒等致病源的识别能力。尚有30.0%左右乡镇卫生院无法开展突发公共卫生事件网络直报;30.0%左右的乡镇卫生院无法在2小时内向相关部门上报卫生应急信息。100.0%的乡镇卫生院卫生应急人力不足,50.0%无力临时增加应急床位。超过50.0%乡镇卫生院没有配备心肺复苏机、心脏除颤器、呼吸机、心电监护仪、彩色超声诊断仪等医疗急救设备。结论广西边境地区乡镇卫生院突发公共卫生事件应急能力仍需要在卫生人力资源、应急预案、应急监测、应急储备等方面进一步加强和完善。
Objective To understand the current situation of public health emergency response in township level hospitals in minority ethnicity border areas of Guangxi, and to analyze the existing problems. Methods Questionnaire survey was conducted among 66 township hospitals in minority ethnicity border areas of Guangxi, the data about emergency regulation and coordination, emergency plans, monitoring and warning system, information system,emergency personnel and other related procedures were collected and analyzed. Results The number of health professionals in township hospitals in Guangxi border areas practicing or assistant physicians and nurses were lower than the average level in the same period of township hospitals in Guangxi, township hospital practicing or assistant physicians mainly with junior college degree(49.7%) and the primary titles(56.4%); the registered nurses mainly with secondary school(58.7%), the primary titles(64.8%). The plan for emergency response was lack of operability,and the technical scheme for emergency medical treatment was not comprehensive. More than 50% township hospitals lacked of the ability to identify infectious diseases such as class A infectious diseases, new emerging infectious diseases and chemical poisoning. There were about 30% township hospitals unable to carry out public health emergencies network direct reports, about 30% of township hospitals cannot report health emergency information to the relevant departments within 2 hours. All hospitals were shortage of health emergency manpower, 50% of the hospital were not able to increase temporary emergency extra beds. More than 50% township hospitals were not equipped with CPR equipment, cardiac defibrillator, ventilator, ECG monitor, color ultrasonic diagnostic instrument and other medical emergency equipments. Conclusions The emergency response capacity of township level hospitals in minority ethnicity border areas of Guangxi needs to be strengthened and improved in health manpower,emergency plans,monitoring,equipment and materia
出处
《应用预防医学》
2018年第1期10-13,17,共5页
Applied Preventive Medicine
基金
国家自然科学基金项目(81160365)
关键词
突发公共卫生事件
应急能力
乡镇卫生院
广西边境地区
public health emergencies
emergency management capacity
township hospital
border areas
Guangxi
