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  

Assessment of the Current Situation of Related Emergency Clinics and System Setting of Community Medical Institution in Guangdong Province

作　　者：周志衡[1] 王彩霞[2] 余昌泽[1] 郑婵娇 王家骥[1] 梁万年 

机构地区：[1]广州医科大学公共卫生学院,广东省广州市510182 [2]广州医科大学附属市一医院内科 [3]国家卫生和计划生育委员会

出　　处：《中国全科医学》2014年第19期2189-2192,共4页Chinese General Practice

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)

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(P<0.05)。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。Objective To explore the status of related community health emergency institutional settings and system construction of community hospitals in Guangdong province and provide scientific basis for future health emergency management at basic level. Methods Between March and September 2013 ,220 community medical organizations were selected from 21 city-regions in Guangdong province（110 from Pearl River Delta Area,80 from east Guangdong and west Guangdong,30 from north Guangdong）by using stratified random sampling method and were investigated about health emergency human resources,department installment and health emergency system. Results In the community health institutions under investigated,the numbers of clinic doctors,nurses and public doctors per million community residents owned were （ 5. 1 ± 4. 4 ）, （ 5. 1 ± 4. 8 ）, （ 1. 4 ±1. 8）respectively. 193（87. 7%）were equipped special staff who reported cases of inflection diseases. 135（61. 4%）,162 （73. 6%）,209（95. 0%）and 128（58. 2%）community medical organizations were equipped emergency departments,emergency handling team,fever clinic and triage respectively. 195（88. 6%）established the health emergency management systems, 194（88. 2%）established cooperative communication mechanism and 174（79. 1%）established health emergency preparedness plans,among which the first four were epidemic situation of infectious diseases plan（93. 6%）,foodborne disease outbreaks plan（62. 7%）Hospital infection outbreaks plan（51. 8%）,new infectious diseases/unexplained infectious diseases with group＆amp;nbsp;character plan（50. 9%）. The community health emergency related institutional settings and system construction of community hospitals in the Pearl River Delta region were better than that in other regions in Guangdong （ P ﹤0. 05 ） . Conclusion The community health emergency related institutional settings and systems of community medical organizations in Guangdong province have some deficiencies. We need to strength th

关 键 词：社区医疗机构 卫生应急 医院科室 管理制度 

分 类 号：R197[医药卫生—卫生事业管理]