急救社区化管理模式对呼叫反应时间的影响研究

发布时间：2018-01-05 13:15

  本文关键词：急救社区化管理模式对呼叫反应时间的影响研究　出处：《中国全科医学》2017年16期 　论文类型：期刊论文

  更多相关文章： 急救医疗服务 社区化管理模式 呼叫反应时间 倍差法

【摘要】：目的评价急救社区化管理模式对呼叫反应时间的影响,探索优化院前急救管理的途径。方法本研究数据来源于北京市急救中心指挥调度平台。以采用急救社区化管理模式的北京市朝阳区为干预组,未采用急救社区化管理模式的北京市某区为对照组。干预组于2014年开始全面实施急救社区化管理模式,采集两组2013年1月和2014年1月的出车数据,采用倍差法(DID)计算急救社区化管理模式产生的呼叫反应时间净变化。结果急救社区化实施后(2014年1月)干预组平均呼叫反应时间为15.84 min,比实施前(2013年1月,17.09 min)缩短了1.25min;2014年1月对照组平均呼叫反应时间为19.18 min,比2013年1月(19.32 min)缩短了0.14 min,两区同期平均呼叫反应时间缩短量的净差值为1.11 min。急救社区化管理模式对缩短平均呼叫反应时间有正向的作用(P0.05)。结论急救社区化工作的开展缩短了呼叫反应时间,朝阳区急救社区化模式可为今后院前急救医疗服务体系的发展提供一套可借鉴的管理模式。
[Abstract]:Objective to evaluate the effect of community management mode on call response time. Methods the data of this study came from the command and dispatch platform of Beijing Emergency treatment Center. The intervention group was Chaoyang District of Beijing, which adopted the community management model of first aid. No emergency community management model was used in a certain district of Beijing as the control group. The intervention group began to implement the emergency community management model in 2014. Two groups of data were collected from January 2013 and January 2014. The net change of call response time caused by the community management model of first aid was calculated by using double difference method. Results after the implementation of community first aid (January 2014). The average response time of the intervention group was 15.84 min. It was 1.25 mins shorter than that before implementation (January 2013, 17.09 min); The average response time of the control group in January 2014 was 19.18 mins, 0.14 min shorter than that in January 2013 (19.32 mins). The net difference of the average call response time between the two districts was 1.11 min. There was a positive effect of emergency community management mode on shortening the average call response time (P0.05). Conclusion the community work of emergency treatment shortens the call response time. The community mode of first aid in Chaoyang district can provide a set of management model for the development of pre-hospital emergency medical service system in the future.
【作者单位】： 首都医科大学卫生管理与教育学院;北京市朝阳区卫生与计划生育委员会;北京市朝阳区紧急医疗救援中心;
【基金】：基金项目:朝阳区可视化远程移动医疗模式研究
【分类号】：R459.7
【正文快照】： Influence of Community-based Emergency Management Model on the Response Time LIU Yu-jia1,CHEN Kai-hong2,ZHU Qing-sheng3,HU Dong-ming3,WANG Ya-dong1*1.School of Health Management and Education,Capital Medical University,Beijing 100069,China2.Health and Fa

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