苏州市公共卫生应急体系问题与补短板对策  

Study on the problems of the public health emergency system andcountermeasures to complement the shortcomings in Suzhou

作　　者：胡一河 谭伟良 王海涛 刘俊宾 刘芳[1] 傅卓华[1] HU Yihe;TAN Weiliang;WANG Haitao;LIU Junbin;LIU Fang;FU Zhuohua(Suzhou Center for Disease Control and Prevention,Suzhou,Jiangsu 215004,China;Suzhou Health Committee,Suzhou,Jiangsu 215002,China)

机构地区：[1]江苏省苏州市疾病预防控制中心,江苏苏州215004 [2]江苏省苏州市卫生健康委员会

出　　处：《公共卫生与预防医学》2021年第3期24-27,共4页Journal of Public Health and Preventive Medicine

基　　金：苏州市医学重点学科(流行病学)(Szxk201816)。

摘　　要：目的为了适应新时期公共卫生应急管理的需要和总结新冠肺炎疫情防控公共卫生应急体系中暴露的问题,为政府提供公共卫生应急体系建设补短板清单。方法采用文献调查、观察(座谈和问卷调查)、比较和描述性研究等方法,通过归纳和演绎相结合手段进行综合分析研究;调查评价性问题设定等级予以赋值,使用认可指数(平均数)表述;评价性问题认可标准使用黄金分割法,统计学检验使用U检验方法。结果确定预警、应急预案、应急管理部门、体系联动和疫情研判5个方面评价问题和措施建议问题,获得的评价性问题认可指数依次为0.916、0.905、0.571、1.000、1.190,均达到认可标准,认可指数之间差异无统计学意义(P=0.357);对应评价性问题获得建立预警触发机制、模块化应急预案、政府公共卫生应急机构、各行业协同应急演练制度和专家疫情研判机制等措施建议。结论经过文献查阅、管理人员座谈和专业人员问卷调查3个步骤确定苏州市公共卫生应急体系补短板措施建议具有适合本地的针对性和客观性;研究结果为卫生行政部门向政府提出公共卫生应急体系建设补短板项目提供了客观依据。Objective To meet the needs of public health emergency management in the new era,to improve the problems exposed in the public health emergency system after the outbreak of COVID-19,and to provide the government with a list of the gaps in the construction of the public health emergency system.Methods Several methods,including literature review,observation(discussion and questionnaire survey),and comparative and descriptive research,were used to conduct comprehensive analysis through the combination of induction and deduction.The evaluation questions were graded and were translated into some recognition indexes(averages).The golden section method was used for the recognition standard of evaluation problems,and U test method was used for statistical test.Results Five aspects of problem evaluation and suggestions were determined,including early warning,emergency plan,emergency management department,linkage between systems and epidemic situation judgment.The recognition indexes were 0.916,0.905,0.571,1.000 and 1.190,respectively,all of which met the recognition standard,and there was no significant difference between them(P=0.357).The corresponding measures and suggestions were as follows:early warning trigger mechanism,modular emergency plan,government public health emergency agencies,collaborative emergency drill system of various industries,and expert epidemic situation judgment mechanism.Conclusion It is determined that the proposed measures to complement the weaknesses of public health emergency system in Suzhou are suitable for the locality and objectivity after the three steps of literature review,management staff discussion and professional questionnaire survey.The present study provides an objective basis for the health administrative department to propose the public health emergency system construction project to the government.

关 键 词：公共卫生 公共卫生应急体系 评价 补短板 

分 类 号：R197[医药卫生—卫生事业管理]