广东省社区医疗机构卫生应急相关科室及制度设置现状评价

发布时间：2018-01-06 23:40

本文关键词：广东省社区医疗机构卫生应急相关科室及制度设置现状评价　出处：《中国全科医学》2014年19期 　论文类型：期刊论文

【摘要】：目的探索广东省社区医疗机构卫生应急相关科室设置和制度建设现状,为今后开展基层卫生应急管理提供科学依据。方法于2013年3—9月,采用分层随机抽样的方法在广东省21个地市抽取220家社区医疗机构(珠三角地区抽取110家,粤东粤西抽取80家,粤北地区抽取30家社区医疗机构)开展调查,调查内容包括卫生应急人力资源、科室设置和卫生应急制度情况。结果被调查的社区医疗机构中,每万居民拥有临床医生、护士和公卫医师数分别为(5.1±4.4)、(5.1±4.8)、(1.4±1.8)人,有193家(87.7%)社区医疗机构设置了传染病报告专职人员;设置应急指挥部门、应急处理小组、发热门诊和预检分诊处的社区医疗机构分别为135家(61.4%)、162家(73.6%)、209家(95.0%)和128家(58.2%);有195家(88.6%)社区医疗机构建立了应急管理制度,194家(88.2%)与上级部门建立了协作沟通机制;有174家(79.1%)社区医疗机构建立了卫生应急综合预案,其中专项预案的建立率排在前四位的是传染病疫情预案(93.6%)、食源性疾病爆发预案(62.7%)、医院性感染爆发预案(51.8%)和新发传染病/群体性不明原因传染病预案(50.9%),其中珠三角社区医疗机构的卫生应急科室设置和制度建设优于其他地区(P0.05)。结论广东省社区医疗机构卫生应急相关科室设置及制度建设现状存在不足,应加强基层医疗机构卫生应急软硬件的建设,提高基层卫生应急水平。
[Abstract]:Objective to explore the present situation of establishment and system construction of emergency departments in community medical institutions in Guangdong province, and to provide scientific basis for carrying out emergency management of basic level health in the future. Methods from 2013 to September. The stratified random sampling method was used to select 220 community medical institutions (110 in Pearl River Delta and 80 in western Guangdong) in 21 cities of Guangdong Province. The investigation includes health emergency human resources, department setting and health emergency system. The results were found in the community medical institutions investigated. The number of clinicians, nurses and public health doctors per 10 000 residents were 5.1 卤4.4 and 1.4 卤1.8 respectively. There are 193 (87.7) community medical institutions with specialized personnel for reporting infectious diseases; The number of community medical institutions with emergency command departments, emergency response teams, fever clinics and pretest and divisional clinics were 135, 61.4 / 162 / 73.6 respectively). 209 (95.0) and 128 (58.2); There are 195 (88.6) community medical institutions have established the emergency management system 194 (88. 2) and the higher departments to establish a cooperative communication mechanism; A total of 174 community medical institutions have set up comprehensive health emergency plans, of which the establishment rate of special plans is ranked first in the first four places is the infectious disease epidemic preparedness plan (93.665). There were 62.7 cases of foodborne disease outbreak, 51.8% of nosocomial infection outbreak plan and 50.9% of new infectious disease / unexplained infectious disease). The establishment and system construction of emergency department in community medical institutions in Pearl River Delta is superior to that in other areas (P0.05). Conclusion the present situation of establishment and system construction of emergency departments in community medical institutions in Guangdong Province is insufficient. It is necessary to strengthen the construction of hardware and software for health emergency in primary medical institutions and improve the level of medical emergency at basic level.
【作者单位】：广州医科大学公共卫生学院;广州医科大学附属市一医院内科;国家卫生和计划生育委员会;
【基金】：广州市科技局项目(2011J1300010) 中华医学会医学教育研究项目(2012-QK-2) 广东省医学科研基金(B2013092)
【分类号】：R197.1
【正文快照】： 社区医疗服务机构是社区居民的健康守门人,也是社区突发公共卫生事件的第一反应单位,当社区发生突发公共卫生事件时,社区医护人员是第一处理者[1],它们可以为社区居民提供便捷的健康照顾。所以,发挥社区卫生服务机构的卫生应急作用,引导它们做好社区突发公共卫生事件的评估、

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