天津市卫生应急能力建设现状探析  

Analysis of the current health emergency response capacity in Tianjin

作　　者：郭宜鹏 马明慧[2] 解晓华[3] 邹琳[2] 陈喜芸 郝良宸 

机构地区：[1]天津市卫生和计划生育委员会,300070 [2]天津市医学科学技术信息研究所 [3]天津市疾病预防控制中心

出　　处：《中华医院管理杂志》2017年第8期614-616,共3页Chinese Journal of Hospital Administration

摘　　要：目的从医疗卫生机构层面，了解天津市卫生应急能力建设现状，提出发展方向和目标。方法向天津市89家二级及以上医疗机构和19家疾病预防控制机构发放《卫生心急能力凋杏表》108份，问卷内容涉及机构单位基本信息、人员结构、应急准备、检测预警、应急响应和总结评估等情况。对数据进行描述性与相关性分析。结果天津市卫生应急工作取得初步成效，各项应急机制逐步健全，紧急医学救援能力和处置能力提升，应急队伍素质提高。但卫生府急专业性和独立性尚待加强，应急指挥决策系统功能还需完善，区县实验室检测能力不足，卫生应急社会参与度不高。结论应着重顶层设计，加强卫生应急组织管理和预案体系建设，不断强化心急队伍及其能力建设，探索建立基层卫生应急长效机制。Objective To learn the current capacity building of emergency response teams in Tianjin for the purpose of goals setting. Methods ＂ Health Emergency Capac, ity Questionnaire＂ was issued to 89 secondary and above medical institutions and 19 CDCs in Tianjin. The form coveted such items as basic institutional information, workforce makeup, emergency preparations, detection and early warning, emergency response, and summary/assessment. Data collected in the questionnaire were subject to descriptive and correlation analysis. Results Tianjin has scored an initial success in emergeney medicine as evidenced in its emergency response mechanisms in place, elevated capacity in emergency medical rescue and disposal, and enhanced competence of emergency teams. Rooms of improvement however inclmle insufficient professionalism and independence of health emergency, inadequate emergency commanding and decision making system functions, insufficient laboratmy test capacity at district/county levels, and insufficient social involvement in health emergency. Conclusions Top-down design shouhl be emphasized, health emergency response should be enhanced in terms of management and response planning system, while capacity building of the teams and long-term primary care emergency mechanism deserve higher attention.

关 键 词：天津市 卫生应急能力 突发公共卫生事件 紧急医学救援 调查 

分 类 号：R197[医药卫生—卫生事业管理]