本文關(guān)鍵詞：廣東省社區(qū)醫(yī)療機(jī)構(gòu)衛(wèi)生應(yīng)急相關(guān)科室及制度設(shè)置現(xiàn)狀評(píng)價(jià)　出處：《中國全科醫(yī)學(xué)》2014年19期 　論文類型：期刊論文

  更多相關(guān)文章： 社區(qū)醫(yī)療機(jī)構(gòu) 衛(wèi)生應(yīng)急 醫(yī)院科室 管理制度

【摘要】：目的探索廣東省社區(qū)醫(yī)療機(jī)構(gòu)衛(wèi)生應(yīng)急相關(guān)科室設(shè)置和制度建設(shè)現(xiàn)狀,為今后開展基層衛(wèi)生應(yīng)急管理提供科學(xué)依據(jù)。方法于2013年3—9月,采用分層隨機(jī)抽樣的方法在廣東省21個(gè)地市抽取220家社區(qū)醫(yī)療機(jī)構(gòu)(珠三角地區(qū)抽取110家,粵東粵西抽取80家,粵北地區(qū)抽取30家社區(qū)醫(yī)療機(jī)構(gòu))開展調(diào)查,調(diào)查內(nèi)容包括衛(wèi)生應(yīng)急人力資源、科室設(shè)置和衛(wèi)生應(yīng)急制度情況。結(jié)果被調(diào)查的社區(qū)醫(yī)療機(jī)構(gòu)中,每萬居民擁有臨床醫(yī)生、護(hù)士和公衛(wèi)醫(yī)師數(shù)分別為(5.1±4.4)、(5.1±4.8)、(1.4±1.8)人,有193家(87.7%)社區(qū)醫(yī)療機(jī)構(gòu)設(shè)置了傳染病報(bào)告專職人員;設(shè)置應(yīng)急指揮部門、應(yīng)急處理小組、發(fā)熱門診和預(yù)檢分診處的社區(qū)醫(yī)療機(jī)構(gòu)分別為135家(61.4%)、162家(73.6%)、209家(95.0%)和128家(58.2%);有195家(88.6%)社區(qū)醫(yī)療機(jī)構(gòu)建立了應(yīng)急管理制度,194家(88.2%)與上級(jí)部門建立了協(xié)作溝通機(jī)制;有174家(79.1%)社區(qū)醫(yī)療機(jī)構(gòu)建立了衛(wèi)生應(yīng)急綜合預(yù)案,其中專項(xiàng)預(yù)案的建立率排在前四位的是傳染病疫情預(yù)案(93.6%)、食源性疾病爆發(fā)預(yù)案(62.7%)、醫(yī)院性感染爆發(fā)預(yù)案(51.8%)和新發(fā)傳染病/群體性不明原因傳染病預(yù)案(50.9%),其中珠三角社區(qū)醫(yī)療機(jī)構(gòu)的衛(wèi)生應(yīng)急科室設(shè)置和制度建設(shè)優(yōu)于其他地區(qū)(P0.05)。結(jié)論廣東省社區(qū)醫(yī)療機(jī)構(gòu)衛(wèi)生應(yīng)急相關(guān)科室設(shè)置及制度建設(shè)現(xiàn)狀存在不足,應(yīng)加強(qiáng)基層醫(yī)療機(jī)構(gòu)衛(wèi)生應(yīng)急軟硬件的建設(shè),提高基層衛(wèi)生應(yīng)急水平。
[Abstract]:Objective to explore the present situation of establishment and system construction of emergency departments in community medical institutions in Guangdong province, and to provide scientific basis for carrying out emergency management of basic level health in the future. Methods from 2013 to September. The stratified random sampling method was used to select 220 community medical institutions (110 in Pearl River Delta and 80 in western Guangdong) in 21 cities of Guangdong Province. The investigation includes health emergency human resources, department setting and health emergency system. The results were found in the community medical institutions investigated. The number of clinicians, nurses and public health doctors per 10 000 residents were 5.1 鹵4.4 and 1.4 鹵1.8 respectively. There are 193 (87.7) community medical institutions with specialized personnel for reporting infectious diseases; The number of community medical institutions with emergency command departments, emergency response teams, fever clinics and pretest and divisional clinics were 135, 61.4 / 162 / 73.6 respectively). 209 (95.0) and 128 (58.2); There are 195 (88.6) community medical institutions have established the emergency management system 194 (88. 2) and the higher departments to establish a cooperative communication mechanism; A total of 174 community medical institutions have set up comprehensive health emergency plans, of which the establishment rate of special plans is ranked first in the first four places is the infectious disease epidemic preparedness plan (93.665). There were 62.7 cases of foodborne disease outbreak, 51.8% of nosocomial infection outbreak plan and 50.9% of new infectious disease / unexplained infectious disease). The establishment and system construction of emergency department in community medical institutions in Pearl River Delta is superior to that in other areas (P0.05). Conclusion the present situation of establishment and system construction of emergency departments in community medical institutions in Guangdong Province is insufficient. It is necessary to strengthen the construction of hardware and software for health emergency in primary medical institutions and improve the level of medical emergency at basic level.
【作者單位】： 廣州醫(yī)科大學(xué)公共衛(wèi)生學(xué)院;廣州醫(yī)科大學(xué)附屬市一醫(yī)院內(nèi)科;國家衛(wèi)生和計(jì)劃生育委員會(huì);
【基金】：廣州市科技局項(xiàng)目(2011J1300010) 中華醫(yī)學(xué)會(huì)醫(yī)學(xué)教育研究項(xiàng)目(2012-QK-2) 廣東省醫(yī)學(xué)科研基金(B2013092)
【分類號(hào)】：R197.1
【正文快照】： 社區(qū)醫(yī)療服務(wù)機(jī)構(gòu)是社區(qū)居民的健康守門人,也是社區(qū)突發(fā)公共衛(wèi)生事件的第一反應(yīng)單位,當(dāng)社區(qū)發(fā)生突發(fā)公共衛(wèi)生事件時(shí),社區(qū)醫(yī)護(hù)人員是第一處理者[1],它們可以為社區(qū)居民提供便捷的健康照顧。所以,發(fā)揮社區(qū)衛(wèi)生服務(wù)機(jī)構(gòu)的衛(wèi)生應(yīng)急作用,引導(dǎo)它們做好社區(qū)突發(fā)公共衛(wèi)生事件的評(píng)估、

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