建设突发公共卫生事件医疗物资储备四级保障体系的探索  

Exploration on the construction of a four-level medical supplies reserve guarantee system for the disposal of public health emergencies

作　　者：彭莹 胡庆 周淼 李志丹 黄科 廖家连 PENG Ying;HU Qing;ZHOU Miao;LI Zhidan;HUANG Ke;LIAO Jialian(The First Affiliated Hospital of Chongqing Medical Vocational School,Chongqing 400060,China;不详)

机构地区：[1]重庆医药高等专科学校附属第一医院,重庆400060 [2]重庆市卫生健康委员会 [3]重庆医科大学附属儿童医院

出　　处：《中国工业医学杂志》2024年第1期32-36,共5页Chinese Journal of Industrial Medicine

基　　金：2023年重庆市卫生健康委医学科研项目——新冠肺炎疫情防控物资储备四级保障体系建设及应用(编号:2023WSJK059);重庆市首批公共卫生重点专科(学科)建设项目(渝卫办发[2022]72号)。

摘　　要：目的为科学有效应对突发公共卫生事件,妥善做好医疗物资保障工作,确保应急处置所需医疗物资高效、有序供应,科学调拨,合理运用,我们在实践中探索建立了医疗物资储备四级保障体系。方法通过突发公共卫生处置实践,探索性发展全市各层级的应急医疗物资互助支援体系;借助问卷调查、文献查询、专家咨询等方式,调查相关机构、区(县)的应急医疗物资储备、轮转现状及困难;依托各级部门职能职责,建立起“机构—区/县(自治县)级—市级—区域及市外互助”四级医疗物资储备体系,并在全市推广应用。结果医疗物资储备四级保障体系的建立解决了重庆市处置突发公共卫生事件中部分层级医疗防控物资面临的实质性困难,对临期及轮转困难物资的处置发挥了积极作用。结论从应急医疗防控物资全流程角度对突发公共卫生事件医疗物资储备四级保障体系进行细化、优化和推广,使其在突发公共卫生事件的处置中发挥“指挥棒”的作用。Objective To scientifically and effectively respond to public health emergencies,properly support medical supplies,and ensure the efficient and orderly supply,scientific allocation,and rational use of medical supplies needed for emergency response,we have explored and established a four-level medical supplies reserve guarantee system in practice.Methods Through the practice of handling public health emergencies,this paper explores the development of the city's mutual assistance and support system for emergency medical materials at all levels.By means of questionnaire survey,literature query,expert consultation,etc.,we investigated the emergency medical supplies reserves,rotation status and difficulties of relevant institutions,districts and counties;relying on the functions and responsibilities of departments at all levels,a four-level medical material reserve system of“institutions—district/county(autonomous county)—city—regional and inter-city mutual assistance”has been established,and promoted and applied in the city.Results The establishment of the four-level guarantee system has solved the substantive difficulties faced by Chongqing in handling some levels of medical prevention and control materials in public health emergencies,and has played a positive role in the disposal of urgent and difficult materials in rotation.Conclusion Based on the handling of public health emergencies,we have established a four-level medical material reserve guarantee system,and further refined,optimized and promoted the system from the perspective of the whole process of emergency medical prevention and control materials.Four-level medical material plays a“baton”role in the handling of public health emergencies.

关 键 词：突发公共卫生 应急医疗物资 四级储备保障 

分 类 号：R135.1[医药卫生—劳动卫生]