军队数字化医院突发公共卫生事件应对能力现状评价研究

发布时间：2018-07-01 21:06

本文选题：数字化医院 + 军队医院　；参考：《第三军医大学》2011年博士论文

【摘要】：研究背景: 突发公共卫生事件是指突然发生的,对公众健康造成或者可能造成重大损失的传染病疫情、不明原因的群体性疾病、重大食物和职业中毒,以及其他危害公共健康的事件。近年来,我国面临突发公共卫生事件的威胁有不断上升的趋势,医院是应对突发公共卫生事件中的关键机构,医院突发公共卫生事件应对能力的提升在我国突发公共卫生事件应对体系建设中的作用十分重要。医院突发公共卫生事件应对能力评价是医院应对能力建设的基础,数字化医院是医院发展的必然趋势,但目前尚没有数字化医院突发公共卫生事件应对能力评价相关的研究报道。为了保证获取研究数据的可行性,结合本单位在军队数字化医院建设方面的多年经验,我们选择军队数字化医院做为本研究的研究对象。目的: 一、构建数字化医院突发公共卫生事件应对能力评价指标体系; 二、编制数字化医院突发公共卫生事件应对能力调查问卷; 三、建立数字化医院突发公共卫生事件应对能力综合评价模型; 四、利用数字化医院突发公共卫生事件应对能力调查问卷和综合评价模型,调查、分析和评价军队数字化医院的应对能力五、基于以上研究,找出军队数字化医院突发公共卫生事件应对能力现状的不足,为后续军队数字化医院应对能力的建设和提高提供初步的理论依据。方法: 通过文献调研和专家访谈,构建数字化医院突发公共卫生事件应对能力初步评价指标体系,并通过后续两轮专家咨询法和层次分析法,确定最终评价指标体系组成和权重。依据前期构建的评价指标体系,编制数字化医院突发公共卫生事件应对能力调查问卷,对抽取的军队数字化医院应对能力现状进行调查分析。通过建立数字化医院突发公共卫生事件应对能力综合评价加权线性模型,量化数字化医院突发公共卫生事件应对能力,结合军队数字化医院应对能力现状调查的结果,对军队数字化医院突发公共卫生事件应对能力现状进行分析和评价。结果: 1、成功构建了数字化医院突发公共卫生事件应对能力评价指标体系,该指标体系包括6个一级指标、20个二级指标和56个三级指标; 2、构建的数字化医院突发公共卫生事件应对能力评价指标体系经检测具有较好的信度和效度,可以用于后续军队数字化医院突发公共卫生事件应对能力现状调查研究; 3、构建了数字化医院突发公共卫生事件应对能力综合评价模型公式: Z=1000*0.16*[0.35*(0.40*C1+0.28*C2+0.32*C3)+...+0.30*(0.26*C7+0.32*C8+0.32*C9)]+...1000*0.15*[0.34*(0.29*C46+0.23*C47+0.21*C48+0.27*C49)+...+0.30*(0.30*C53+0.20*C54+0.22*C55+0.28*C56)]。其中Z为数字化医院应对能力综合得分,C1、C2、C56等表示所对应三级指标的实际调查得分。 4、军队数字化医院具备较完善的突发公共卫生事件应对能力现状调查发现:被调查的军队数字化医院在应急制度、监测预警、院内外医疗处置、应急储备、人员和设备安全、教育与改进6个方面均有不足。特别是在利用数字化手段优化数字化医院以上6个方面能力上,大部分被调查医院还有很大潜力可挖。 5、军队数字化医院突发公共卫生事件应对能力评价研究发现:中心医院以上级别医院强于中心医院,教学医院强于非教学医院,SARS重灾区医院强于非SARS重灾区医院、收治过SARS患者/疑似患者医院强于未收治过相应患者医院,东部医院强于西部医院,南部和北部医院应对能力无明显差别。结论: 1、本研究成功构建了合理可行的数字化医院突发公共卫生事件应对能力评价指标体系。 2、本研究调查的军队数字化医院在应急制度、监测预警、院内外医疗处置、应急储备、人员和设备安全、教育与改进6个方面都有不小的提升空间;特别是在结合数字化手段提升医院以上6个方面能力上,还有较大潜力。 3、中心医院以上级别医院突发公共卫生事件应对能力强于中心医院,教学医院强于非教学医院,SARS重灾区医院强于非SARS重灾区医院、收治过SARS患者/疑似患者医院强于未收治过相应患者医院,东部医院强于西部医院,南部和北部医院应对能力无明显差别。本研究创新性: 1、首次构建了数字化医院突发公共卫生事件应对能力评价指标体系。 2、首次编制了数字化医院突发公共卫生事件应对能力评价问卷,对抽取的军队数字化医院突发公共卫生事件应对能力现状进行了调查和分析。 3、首次建立了数字化医院突发公共卫生事件应对能力综合评价模型,结合对军队数字化医院相关调查结果,对军队数字化医院应对能力进行了分析和评价。以上研究首次对军队数字化医院应对突发公共卫生事件应对能力现状进行了调查、分析和评价,找出了军队数字化医院突发公共卫生事件应对能力现状的不足,并提出了相应的改进意见,为后续军队数字化医院应对能力的建设和提高提供初步的理论依据。
[Abstract]:Research background:
Public health emergencies are sudden, infectious diseases that cause or may cause significant losses to public health, unexplained mass diseases, major food and occupational poisoning, and other incidents endangering public health. In recent years, the threat of public health emergencies in China has been increasing, medical treatment has been increasing. The hospital is the key organization to deal with the emergency public health events. The improvement of the emergency response ability of the public health incidents in the hospital is very important in the construction of the public health emergency response system in China. The evaluation of the coping ability of the emergency public health events in the hospital is the basis of the construction of the hospital's coping ability, and the digital hospital is the development of the hospital. In order to ensure the feasibility of obtaining the research data, we have chosen the military digital hospital as the research object of this research in order to ensure the feasibility of obtaining the research data, and combine the years experience of the unit in the construction of the military digital hospital.
Objective:
First, we should set up an evaluation index system for responding to public health emergencies in digital hospitals.
Two, compiling a questionnaire on coping ability of public health emergencies in digital hospitals.
Three, establish a comprehensive evaluation model of public health emergency response capability in digital hospitals.
Four, to investigate, analyze and evaluate the coping ability of the military digital hospital by using the questionnaire and the comprehensive evaluation model of the coping capacity of emergency public health events in digital hospital.
Five, based on the above research, we find out the shortage of the current situation of coping capacity of public health emergency in military digital hospital, and provide a preliminary theoretical basis for the construction and improvement of the ability of the follow-up military digital hospital.
Method:
Through literature investigation and expert interview, the preliminary evaluation index system of coping capacity of public health emergency in digital hospital is constructed, and the composition and weight of the final evaluation index system are determined through two rounds of expert consultation and analytic hierarchy process. According to the evaluation index system built earlier, the public health emergency in digital hospital is compiled. In order to quantify the coping ability of emergency public health events in digital hospitals by establishing a weighted linear model of comprehensive evaluation of public health emergency response ability in digital hospitals, the present situation of coping ability of digital hospitals was quantified. Based on the results of the investigation, the present situation of coping ability of public health emergencies in military digital hospitals is analyzed and evaluated.
Result:
1, the evaluation index system of coping capacity of public health emergencies in digital hospital was constructed successfully. The index system includes 6 first grade indexes, 20 two level indexes and 56 three level indexes.
2, the evaluation index system of emergent public health emergency response ability of digital hospital has good reliability and validity, and it can be used in the investigation and Research on the response ability of emergency public health events in the follow-up military digital hospital.
3, a comprehensive evaluation model formula for the response ability of public health emergencies in digital hospital: Z=1000*0.16*[0.35* (0.40*C1+0.28*C2+0.32*C3) +... +0.30* (0.26*C7+0.32*C8+0.32*C9)] +... 1000*0.15*[0.34* (0.29*C46+0.23*C47+0.21*C48+0.27*C49) +... +0.30* (0.30*C53+0.20*C54+0.22*C55+0.28*C56)).
Among them, Z is the comprehensive score of the coping ability of digital hospitals, C1, C2, C56 and so on, which represent the actual survey scores corresponding to the three level indicators.
4, it is found that the military digital hospital has a better ability to respond to public health emergencies. It is found that the investigated military digital hospital has 6 shortcomings in the emergency system, monitoring and warning, medical disposal at home and abroad, emergency reserve, personnel and equipment safety, and education and improvement, especially in the use of digital means to optimize the numbers. In the above 6 aspects of hospital capacity, most of the surveyed hospitals still have great potential to tap.
5, the evaluation of coping ability of emergency public health events in the military digital hospital found that the hospital above the central hospital is stronger than the Central Hospital, the teaching hospital is stronger than the non teaching hospital, the SARS area hospital is stronger than the non SARS heavy disaster area hospital, and the SARS patients / suspected patients medical hospital is stronger than that of the corresponding hospital, and the Eastern Hospital is strong. There was no significant difference in coping capacity between Western and southern hospitals.
Conclusion:
1, this study successfully constructed a reasonable and feasible evaluation index system for the response ability of public health emergencies in digital hospitals.
2, the investigation of the military digital hospital in the emergency system, monitoring and early warning, medical disposal at home and abroad, emergency reserve, personnel and equipment safety, education and improvement of the 6 aspects of the promotion of space, especially in the combination of digital means to improve the capacity of the hospital above 6 aspects, there is a great potential.
3, the emergency response ability of the public health emergency in the hospital above the central hospital is stronger than the Central Hospital, the teaching hospital is stronger than the non teaching hospital, the SARS area hospital is stronger than the non SARS heavy disaster area hospital, the SARS patients / suspected patient hospital is stronger than the corresponding hospital, the Eastern Hospital is stronger than the Western Hospital, the South and the northern hospital should be There is no obvious difference in ability.
This research is innovative:
1, for the first time, the evaluation index system of public health emergency response capability in digital hospitals was constructed for the first time.
2, for the first time, a questionnaire on the response ability of the digital hospital emergency public health events was compiled, and the status of the emergency response ability of the emergency public health events in the military digital hospital was investigated and analyzed.
3, for the first time, a comprehensive evaluation model of coping capacity of public health emergency in digital hospital was established, and combined with the investigation results of military digital hospital, the response ability of military digital hospital was analyzed and evaluated.
The above research is the first time to investigate the status of coping ability of the military digital hospital in response to the emergency public health events. Analysis and evaluation, and find out the shortage of the current situation of the emergency response ability of the military digital hospital, and put forward some suggestions for improvement to build and improve the ability of the follow-up military digital hospital. Provide a preliminary theoretical basis.
【学位授予单位】：第三军医大学
【学位级别】：博士
【学位授予年份】：2011
【分类号】：R82

【参考文献】