广西市县疾病预防控制中心突发公共卫生事件应对能力评价模型的构建及应用

发布时间：2018-05-03 16:27

本文选题：CDC + 突发公共卫生事件　；参考：《广西医科大学》2017年硕士论文

【摘要】：研究目的:通过构建广西疾病预防控制中心(以下简称“CDC”)突发公共卫生事件应对能力的评价指标框架,为CDC应对能力考核提供参考的范围。开展对广西市县CDC进行应对能力现状调查,了解具备的能力和存在的不足,为应急能力建设提供实证依据。在现状调查的基础上,构建CDC的应对能力综合评价模型,运用模型进行定量分析,可针对性地开展工作,为今后广西CDC的应急管理进行应急资源优化配置,确定最优先和次优先发展提供科学依据。研究方法:(1)文献研究法:根据本研究的需求,有目的性地检索相关政府网页的相关政策文件、数据报表和相关方面的文献,初步构建评价指标框架。(2)德尔菲专家咨询法:基于文献研究的基础上,对邀请的专家进行两轮的咨询,对初步设定的评价指标框架进行打分并给予建议,最终确定指标体系。(3)层次分析法:构建层次模型,利用均数的差值分的高低确定Saaty标度构建判断矩阵,从而确定指标的权重。(4)问卷调查法:在评价指标体系构建的基础上,合理构建评价问卷,对广西14个市CDC和75个县CDC开展问卷调查。研究结果:1.通过两轮德尔菲专家咨询后构建了广西CDC突发公共卫生事件应急能力评价指标体系,评价指标体系包括组织体系、应急队伍、监测预警、实际应急处置能力、应急保障和信息沟通与部门协作6个一级指标、20个二级指标、53个三级指标。并对指标进行了信度、效度的检验,指标的信度和效度良好,可以用于开展现状的调查研究;2.构建了广西cdc突发公共卫生事件应对能力综合评价的模型,即z=1000*0.25*[0.20*(0.67c1+0.33c2)+0.48*(0.45c3+0.12c4+0.31c5+0.12c6)+0.32*(0.5c7+0.5c8)]+……+1000*0.10*[0.20*(0.67c46+0.33c47)+0.30*(0.67c48+0.34c49)+0.40*(0.67c50+0.34c51)+0.10*(0.34c52+0.67c53)](其中z代表应对能力的综合得分,c1、c2…..c53分别代表各三级指标的得分)3.对广西市县cdc突发公共卫生事件应对能力的现状开展调查,发现广西市县cdc突发公共卫生事件应对能力建设取得较大的成效,其中包括应急预案和制度的制定、监测预警系统的利用和完善等,但仍存在可以发掘更大潜力的方面,比如组织机构的建立和完善、提高应急人员的素质、实验室的检验技术、培训演练开展、评估工作等方面。4.运用综合评价模型开展对cdc的评价发现:对应对能力综合得分进行等级划分时,中等水平的cdc占绝大部分,市县cdc应急能力强弱不一,说明cdc应急能力水平总体上还需要调整,市cdc在应急能力各个方面得分均高于县cdc,说明市cdc应对能力高于县。通过对应对能力与人均gdp和公共财政投入(医疗投入)的秩相关分析,发现应急能力与人均gdp的发展无关,但应急队伍、实际应急处置能力两方面的应急能力与公共财政支出(医疗方面)存在正相关关系。结论:(1)构建具有良好信度和效度的广西cdc突发公共卫生事件应对能力指标体系;(2)调查研究的应急组织体系、应急队伍建设、监测预警、实际应急处置、应急保障、部门协作和社会支持6个方面的应急能力均得到不小的提升,但依旧存在一些问题,还需加强和不断完善;(3)广西市县CDC突发公共卫生事件应对能力总体较好,市CDC的应对能力高于县CDC,且6个方面的应急能力与整个地区的GDP水平相关性较低甚至不存在相关关系,应急队伍、实际应急处置能力两个指标与公共财政支出(医疗方面)存在正相关关系。
[Abstract]:Objective: through the construction of the evaluation index framework of Guangxi disease prevention and control center (hereinafter referred to as "CDC") emergency response ability of public health events, it provides a reference range for the assessment of the ability to respond to CDC, carries out a survey on the current situation of CDC in Guangxi city and County, and understands the ability and shortcomings of the existence, for the construction of emergency capacity. On the basis of the current situation investigation, the comprehensive evaluation model of CDC's response ability is constructed, and the quantitative analysis of the model can be used to carry out the work. It can provide the scientific basis for the optimization of emergency resources for the emergency management of Guangxi CDC in the future, and provide the scientific basis for determining the first and second priority development. (1) literature research method: According to the needs of this study, the relevant policy documents, data reports and related documents are retrieved, and the evaluation index framework is initially constructed. (2) the Delphy expert consultation method: Based on the literature research, the invited experts are consulted in two rounds, and the preliminary evaluation index framework is made. And finally determine the index system. (3) analytic hierarchy process (AHP): building a hierarchical model, using the level of the difference of the number to determine the Saaty scale construction judgment matrix, so as to determine the weight of the index. (4) questionnaire survey method: on the basis of the evaluation index system construction, reasonable construction of evaluation questionnaire, 14 cities in Guangxi CDC and 75 counties CDC The results were as follows: 1. the evaluation index system of emergency capacity of Guangxi CDC public health emergency was constructed by two rounds of consultation of Delphy experts. The evaluation index system includes the organization system, emergency team, monitoring and warning, actual emergency disposal capacity, emergency support and information communication and department cooperation 6 first level indicators, 20 two Level index, 53 three level indicators, and the reliability of the index, validity test, reliability and validity of the index, can be used to carry out the status of investigation and research; 2. to build the Guangxi CDC public health emergency response ability comprehensive evaluation model, that is, z=1000*0.25*[0.20* (0.67c1+0.33c2) +0.48* (0.45c3+0.12c4+0.31c5+0.12c6) +0.32* (0.45c3+0.12c4+0.31c5+0.12c6) +0.32* ( 0.5c7+0.5c8)]+.+1000*0.10*[0.20* (0.67c46+0.33c47) +0.30* (0.67c48+0.34c49) +0.40* (0.67c50+0.34c51) +0.10* (0.34c52+0.67c53)] (Z represents a comprehensive score for response capability, C1, C2... ..C53, respectively representing the score of each three level index), 3. on the current situation of the response ability of public health emergencies in the city and county of Guangxi city and county, and found that the capacity building of the public health emergencies in the city and county of Guangxi has achieved great achievements, including the emergency plan and system, the utilization and improvement of the monitoring and warning system, but still still exist. In the aspects of the greater potential, such as the establishment and improvement of the organization, the quality of the emergency personnel, the laboratory testing technology, the training training, the evaluation work and so on, the.4. comprehensive evaluation model is used to carry out the evaluation of the CDC. When the comprehensive score of the coping ability is graded, the medium level CDC is the most important. Part, city and county CDC emergency ability is different, indicating that the level of CDC emergency capacity needs to be adjusted in general, the city CDC in all aspects of emergency capacity is higher than the county CDC, indicating that the city's CDC coping ability is higher than the county. Through the analysis of the ranks of the response capability to the per capita GDP and public financial input (medical input), the emergency ability and the per capita GDP are found. Development has nothing to do, but the emergency team, the actual emergency disposal capacity of two aspects of the emergency capacity and public financial expenditure (medical aspects) has a positive correlation. (1) to build a good reliability and validity of the Guangxi CDC public health emergency response capability index system; (2) investigation and research of emergency organization system, emergency team construction, The emergency ability of 6 aspects of monitoring and warning, actual emergency disposal, emergency support, department cooperation and social support are all improved, but there are still some problems, and still need to be strengthened and continuously improved; (3) the response ability of CDC public health emergency in Guangxi city and county is better, and the response ability of the city CDC is higher than that of the county CDC, and 6 aspects should be taken. The relationship between the emergency ability and the GDP level in the whole area is low or not. The emergency team, the two indexes of the actual emergency disposal ability are positively related to the public finance expenditure (medical treatment).

【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.21

【相似文献】