急救社区化管理模式对呼叫反应时间的影响研究  

Influence of Community-based Emergency Management Model on the Response Time

作　　者：刘雨佳[1] 陈开红 朱庆生[3] 呼冬鸣[3] 王亚东[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京市100069 [2]北京市朝阳区卫生与计划生育委员会,100020 [3]北京市朝阳区紧急医疗救援中心,100020

出　　处：《中国全科医学》2017年第16期1937-1940,共4页Chinese General Practice

基　　金：基金项目:朝阳区可视化远程移动医疗模式研究

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(P<0.05)。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。Objective To evaluate the influence of community-based emergency management model on the response time and explore ways to optimize pre-hospital emergency care management.Methods The Chaoyang District of Beijing receiving community-based emergency management model since 2014 was selected as the intervention group,and a district of Beijing without receiving the model was set as the control group.The emergency dispatching data of both groups in January 2013 and January 2014 were collected from Beijing Emergency Center Platform for Dispatching ＆amp; Transferring the Cars.The difference-in-difference technique（DID） was used to calculate the effect of community-based emergency management model on the response time.Results Compared with that in January 2013,the average response time for the intervention group in January 2014 was shortened by 1.25 min （15.84 vs 17.09）,while that for the control group in January 2014 was only shortened by 0.14 min（19.18 vs 19.32）.The difference in the shortened average response time between the groups was 1.11 min,which suggested that the community-based emergency management model had positive effect on shortening the average response time（P〈0.05）.Conclusion The community-based emergency management model implemented in Chaoyang District,Beijing reduces the response time,which can be used as a reference for the development of pre-hospital emergency medical service system in China.

关 键 词：急救医疗服务 社区化管理模式 呼叫反应时间 倍差法 

分 类 号：R459.7[医药卫生—急诊医学] R197[医药卫生—治疗学]