杭州第19届亚运会主场馆医疗保障方案构建与实践  

Design and practice of medical service for the main venue of the 19th Hangzhou Asian Games

作　　者：许永安[1] 朱苏南[2] 冯佳[3] 杨旻婓 吴培林[4] 李俊毅 管伟华 徐善祥[1] Xu Yong’an;Zhu Sunan;Feng Jia;Yang Minfei;Wu Peilin;Li Junyi;Guan Weihua;Xu Shanxiang(Department of Emergency,Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Orthopedics,Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Cardiovascular medicine,Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Medical administration,Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Medical and Health Department of the Organizing Committee of the 19th Asian Games in Hangzhou,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属第二医院急诊医学科,杭州310009 [2]浙江大学医学院附属第二医院骨科,杭州310009 [3]浙江大学医学院附属第二医院心血管内科,杭州310009 [4]浙江大学医学院附属第二医院医务部,杭州310009 [5]杭州第19届亚运会组委会医疗卫生部,杭州310016

出　　处：《中华急诊医学杂志》2024年第1期110-114,共5页Chinese Journal of Emergency Medicine

摘　　要：目的阐明第19届杭州亚运会主场馆医疗保障方案及其实践效果。方法对第19届杭州亚运会主场馆医疗保障实施方案(组织管理与运行机制、医疗保障运行体系、标准化培训与保障流程、亚运智能急救保障系统等)进行描述,并通过高仿真模拟演练验证主场馆医疗保障的运行效果(团队运行模式与演练反应时间);最终通过亚运会和亚残会期间医疗服务效果(数量、病种、转运等)验证该保障方案可行性与效能。结果杭州第19届亚运会主场馆医疗保障团队包含管理团队与运行团队,其中44名医护人员(22名医生、22名护士)组成运行团队主体;并布置到16个保障位点,保障位点位配备16名志愿者用于辅助医疗人员完成患者急症识别与转运。此外,在观众医疗区的网格化区域内总共设置300名医疗观察员,用于满足观众突发急症的快速识别、干预、与保障点位医疗团队协作诊疗。网格化立体覆盖的医疗保障人员可以实现在接到任何保障需求后均能2 min内到达患者所在区域、8 min转运到救护车待命点、10~20 min内将患者转运至医疗保障定点医院。亚运会和亚残会期间保障团队共接诊患者3742人次,场馆区内点位与医务室转诊9人次,完成场馆区—医疗定点医院间转诊83人次。结论亚运会主场馆医疗保障实施方案为亚运会、亚残会的顺利完成提供了良好医疗保障;为国际重大赛事医疗保障体系的建设提供理论基础与实践经验。Objective To clarify the medical security plan and its practical effects at the main venue of the 19th Hangzhou Asian Games.Methods The plan described the medical security implementation plan of the main venue of the 19th Asian Games in Hangzhou(organizational management and operation mechanism,medical security operation system,standardized training and support processes,application of Asian Games intelligent first aid security system,and so on).And through high-facticity simulation verify the operation effect of the main venue's medical support(team mode and response time).Finally,the feasibility and effectiveness of the medical security program verified through the effect of medical services(quantity,disease types,transfers,etc.)during the Asian Games and Asian Paralympic Games.Results The medical security team of the main venue of the 19th Hangzhou Asian Games included the management team and the operation team,of which consisted of 44 medical staffs(22 doctors and 22 nurses);and were deployed to 16 different security positions.It was also accompanied with 16 volunteers to assist medical staff to transport patients.In addition,a total of 300 medical observers were enrolled in audience area to assist rapid identification,intervention,and collaborative diagnosis and treatment with the medical team.Medical security teams were arranged to cover all the audience areas who can arrive at the patient's area within 2 minutes after receiving orders,transfer the patient to the ambulance’s site in 8 minutes,and transport the patient to a designated hospital within 10-20 minutes.During the Asian Games and Asian Paralympic Games,the medical-care team treated a total of 3742 patients,including 9 patients transported from medical service sites of the audience area to the stadium infirmary,as well as 83 patients referred to the designated hospital.Conclusions The medical security implementation plan for the main venues of the Asian Games provides good medical security for the Asian Games and Asian Paralympic Games.It also pr

关 键 词：亚运会 大规模聚集医疗 医疗保障 方案 急诊医疗服务 

分 类 号：R872[医药卫生—运动医学]