摘要
目的研究上海市崇明区基层医疗卫生机构突发公共卫生事件核心应急能力的现状,为提升崇明区卫生应急能力提供科学依据。方法采用问卷调查方法,对崇明区18家基层医疗卫生机构和1375名医护人员的应对突发公共卫生事件核心能力等方面进行调查。结果崇明区各基层医疗机构的突发公共卫生事件防控和救治体系相对完善,应急预案编制情况总体较好,应急保障能力尚可,均设立发热哨点和肠道门诊,可初步运用多源数据的综合监测预警平台开展传染病监测。存在的问题主要有公共卫生专业人才紧缺、无专门负责突发公共卫生事件公众宣传教育的部门、传染病诊断能力薄弱等。基层医护人员应对突发公共卫生事件的核心能力处于中等水平;性别、工作类型、从事卫生应急的工作时间以及满意度是该能力的主要影响因素。结论崇明区基层突发公共卫生事件核心应急能力有待提高。建议进一步加强队伍建设,提升能力和水平,加强信息化运用,提高监测敏感性,加大投入提高疾病诊断能力。
Objective To study the current situation of core emergency response capability of primary medical and health institutions in Chongming District,Shanghai,in order to provide a scientific basis for improving the health emergency response capability of Chongming District.Methods The core ability of 18 primary medical institutions and 1375 medical workers in Chongming District to deal with public health emergencies was investigated by questionnaire.Results The prevention and treatment system for public health emergencies in various primary medical institutions in Chongming District was relatively complete;the overall situation of emergency plan preparation was good;the emergency support capability was acceptable;all fever sentinel stations and intestinal clinics had been established;a comprehensive monitoring and early warning platform with multisource data can be preliminarily used for infectious disease monitoring.The main problems included the shortage of public health professionals,the lack of specialized departments responsible for public awareness and education in public health emergencies,and weak diagnostic capabilities for infectious diseases.The core ability of primary medical staff to respond to public health emergencies was at a moderate level;gender,job type,time spent on health emergency work,and satisfaction were the main influencing factors of this ability.Conclusion Chongming District primary public health emergency core response capacity needs to be improved.Suggestions include further strengthening team building to enhance capabilities and levels,enhancing the use of information technology,improving monitoring sensitivity,and increasing investment to improve disease diagnosis capabilities.
作者
韩小丽
徐烨
Han Xiaoli;Xu Ye(Chongming District Center for Disease Control and Prevention,Shanghai 202150,China)
出处
《健康教育与健康促进》
2024年第3期248-252,共5页
Health Education and Health Promotion
基金
上海市崇明区科学技术协会软课题项目(KX2023-02)。
关键词
基层医疗机构
突发公共卫生事件
核心应急能力
Primary medical institutions
Public health emergency
Core response capability
