本文選題：CDC + 突發(fā)公共衛(wèi)生事件�。� 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：研究目的:通過(guò)構(gòu)建廣西疾病預(yù)防控制中心(以下簡(jiǎn)稱(chēng)“CDC”)突發(fā)公共衛(wèi)生事件應(yīng)對(duì)能力的評(píng)價(jià)指標(biāo)框架,為CDC應(yīng)對(duì)能力考核提供參考的范圍。開(kāi)展對(duì)廣西市縣CDC進(jìn)行應(yīng)對(duì)能力現(xiàn)狀調(diào)查,了解具備的能力和存在的不足,為應(yīng)急能力建設(shè)提供實(shí)證依據(jù)。在現(xiàn)狀調(diào)查的基礎(chǔ)上,構(gòu)建CDC的應(yīng)對(duì)能力綜合評(píng)價(jià)模型,運(yùn)用模型進(jìn)行定量分析,可針對(duì)性地開(kāi)展工作,為今后廣西CDC的應(yīng)急管理進(jìn)行應(yīng)急資源優(yōu)化配置,確定最優(yōu)先和次優(yōu)先發(fā)展提供科學(xué)依據(jù)。研究方法:(1)文獻(xiàn)研究法:根據(jù)本研究的需求,有目的性地檢索相關(guān)政府網(wǎng)頁(yè)的相關(guān)政策文件、數(shù)據(jù)報(bào)表和相關(guān)方面的文獻(xiàn),初步構(gòu)建評(píng)價(jià)指標(biāo)框架。(2)德?tīng)柗茖?zhuān)家咨詢(xún)法:基于文獻(xiàn)研究的基礎(chǔ)上,對(duì)邀請(qǐng)的專(zhuān)家進(jìn)行兩輪的咨詢(xún),對(duì)初步設(shè)定的評(píng)價(jià)指標(biāo)框架進(jìn)行打分并給予建議,最終確定指標(biāo)體系。(3)層次分析法:構(gòu)建層次模型,利用均數(shù)的差值分的高低確定Saaty標(biāo)度構(gòu)建判斷矩陣,從而確定指標(biāo)的權(quán)重。(4)問(wèn)卷調(diào)查法:在評(píng)價(jià)指標(biāo)體系構(gòu)建的基礎(chǔ)上,合理構(gòu)建評(píng)價(jià)問(wèn)卷,對(duì)廣西14個(gè)市CDC和75個(gè)縣CDC開(kāi)展問(wèn)卷調(diào)查。研究結(jié)果:1.通過(guò)兩輪德?tīng)柗茖?zhuān)家咨詢(xún)后構(gòu)建了廣西CDC突發(fā)公共衛(wèi)生事件應(yīng)急能力評(píng)價(jià)指標(biāo)體系,評(píng)價(jià)指標(biāo)體系包括組織體系、應(yīng)急隊(duì)伍、監(jiān)測(cè)預(yù)警、實(shí)際應(yīng)急處置能力、應(yīng)急保障和信息溝通與部門(mén)協(xié)作6個(gè)一級(jí)指標(biāo)、20個(gè)二級(jí)指標(biāo)、53個(gè)三級(jí)指標(biāo)。并對(duì)指標(biāo)進(jìn)行了信度、效度的檢驗(yàn),指標(biāo)的信度和效度良好,可以用于開(kāi)展現(xiàn)狀的調(diào)查研究;2.構(gòu)建了廣西cdc突發(fā)公共衛(wèi)生事件應(yīng)對(duì)能力綜合評(píng)價(jià)的模型,即z=1000*0.25*[0.20*(0.67c1+0.33c2)+0.48*(0.45c3+0.12c4+0.31c5+0.12c6)+0.32*(0.5c7+0.5c8)]+……+1000*0.10*[0.20*(0.67c46+0.33c47)+0.30*(0.67c48+0.34c49)+0.40*(0.67c50+0.34c51)+0.10*(0.34c52+0.67c53)](其中z代表應(yīng)對(duì)能力的綜合得分,c1、c2…..c53分別代表各三級(jí)指標(biāo)的得分)3.對(duì)廣西市縣cdc突發(fā)公共衛(wèi)生事件應(yīng)對(duì)能力的現(xiàn)狀開(kāi)展調(diào)查,發(fā)現(xiàn)廣西市縣cdc突發(fā)公共衛(wèi)生事件應(yīng)對(duì)能力建設(shè)取得較大的成效,其中包括應(yīng)急預(yù)案和制度的制定、監(jiān)測(cè)預(yù)警系統(tǒng)的利用和完善等,但仍存在可以發(fā)掘更大潛力的方面,比如組織機(jī)構(gòu)的建立和完善、提高應(yīng)急人員的素質(zhì)、實(shí)驗(yàn)室的檢驗(yàn)技術(shù)、培訓(xùn)演練開(kāi)展、評(píng)估工作等方面。4.運(yùn)用綜合評(píng)價(jià)模型開(kāi)展對(duì)cdc的評(píng)價(jià)發(fā)現(xiàn):對(duì)應(yīng)對(duì)能力綜合得分進(jìn)行等級(jí)劃分時(shí),中等水平的cdc占絕大部分,市縣cdc應(yīng)急能力強(qiáng)弱不一,說(shuō)明cdc應(yīng)急能力水平總體上還需要調(diào)整,市cdc在應(yīng)急能力各個(gè)方面得分均高于縣cdc,說(shuō)明市cdc應(yīng)對(duì)能力高于縣。通過(guò)對(duì)應(yīng)對(duì)能力與人均gdp和公共財(cái)政投入(醫(yī)療投入)的秩相關(guān)分析,發(fā)現(xiàn)應(yīng)急能力與人均gdp的發(fā)展無(wú)關(guān),但應(yīng)急隊(duì)伍、實(shí)際應(yīng)急處置能力兩方面的應(yīng)急能力與公共財(cái)政支出(醫(yī)療方面)存在正相關(guān)關(guān)系。結(jié)論:(1)構(gòu)建具有良好信度和效度的廣西cdc突發(fā)公共衛(wèi)生事件應(yīng)對(duì)能力指標(biāo)體系;(2)調(diào)查研究的應(yīng)急組織體系、應(yīng)急隊(duì)伍建設(shè)、監(jiān)測(cè)預(yù)警、實(shí)際應(yīng)急處置、應(yīng)急保障、部門(mén)協(xié)作和社會(huì)支持6個(gè)方面的應(yīng)急能力均得到不小的提升,但依舊存在一些問(wèn)題,還需加強(qiáng)和不斷完善;(3)廣西市縣CDC突發(fā)公共衛(wèi)生事件應(yīng)對(duì)能力總體較好,市CDC的應(yīng)對(duì)能力高于縣CDC,且6個(gè)方面的應(yīng)急能力與整個(gè)地區(qū)的GDP水平相關(guān)性較低甚至不存在相關(guān)關(guān)系,應(yīng)急隊(duì)伍、實(shí)際應(yīng)急處置能力兩個(gè)指標(biāo)與公共財(cái)政支出(醫(yī)療方面)存在正相關(guān)關(guān)系。
[Abstract]:Objective: through the construction of the evaluation index framework of Guangxi disease prevention and control center (hereinafter referred to as "CDC") emergency response ability of public health events, it provides a reference range for the assessment of the ability to respond to CDC, carries out a survey on the current situation of CDC in Guangxi city and County, and understands the ability and shortcomings of the existence, for the construction of emergency capacity. On the basis of the current situation investigation, the comprehensive evaluation model of CDC's response ability is constructed, and the quantitative analysis of the model can be used to carry out the work. It can provide the scientific basis for the optimization of emergency resources for the emergency management of Guangxi CDC in the future, and provide the scientific basis for determining the first and second priority development. (1) literature research method: According to the needs of this study, the relevant policy documents, data reports and related documents are retrieved, and the evaluation index framework is initially constructed. (2) the Delphy expert consultation method: Based on the literature research, the invited experts are consulted in two rounds, and the preliminary evaluation index framework is made. And finally determine the index system. (3) analytic hierarchy process (AHP): building a hierarchical model, using the level of the difference of the number to determine the Saaty scale construction judgment matrix, so as to determine the weight of the index. (4) questionnaire survey method: on the basis of the evaluation index system construction, reasonable construction of evaluation questionnaire, 14 cities in Guangxi CDC and 75 counties CDC The results were as follows: 1. the evaluation index system of emergency capacity of Guangxi CDC public health emergency was constructed by two rounds of consultation of Delphy experts. The evaluation index system includes the organization system, emergency team, monitoring and warning, actual emergency disposal capacity, emergency support and information communication and department cooperation 6 first level indicators, 20 two Level index, 53 three level indicators, and the reliability of the index, validity test, reliability and validity of the index, can be used to carry out the status of investigation and research; 2. to build the Guangxi CDC public health emergency response ability comprehensive evaluation model, that is, z=1000*0.25*[0.20* (0.67c1+0.33c2) +0.48* (0.45c3+0.12c4+0.31c5+0.12c6) +0.32* (0.45c3+0.12c4+0.31c5+0.12c6) +0.32* ( 0.5c7+0.5c8)]+.+1000*0.10*[0.20* (0.67c46+0.33c47) +0.30* (0.67c48+0.34c49) +0.40* (0.67c50+0.34c51) +0.10* (0.34c52+0.67c53)] (Z represents a comprehensive score for response capability, C1, C2... ..C53, respectively representing the score of each three level index), 3. on the current situation of the response ability of public health emergencies in the city and county of Guangxi city and county, and found that the capacity building of the public health emergencies in the city and county of Guangxi has achieved great achievements, including the emergency plan and system, the utilization and improvement of the monitoring and warning system, but still still exist. In the aspects of the greater potential, such as the establishment and improvement of the organization, the quality of the emergency personnel, the laboratory testing technology, the training training, the evaluation work and so on, the.4. comprehensive evaluation model is used to carry out the evaluation of the CDC. When the comprehensive score of the coping ability is graded, the medium level CDC is the most important. Part, city and county CDC emergency ability is different, indicating that the level of CDC emergency capacity needs to be adjusted in general, the city CDC in all aspects of emergency capacity is higher than the county CDC, indicating that the city's CDC coping ability is higher than the county. Through the analysis of the ranks of the response capability to the per capita GDP and public financial input (medical input), the emergency ability and the per capita GDP are found. Development has nothing to do, but the emergency team, the actual emergency disposal capacity of two aspects of the emergency capacity and public financial expenditure (medical aspects) has a positive correlation. (1) to build a good reliability and validity of the Guangxi CDC public health emergency response capability index system; (2) investigation and research of emergency organization system, emergency team construction, The emergency ability of 6 aspects of monitoring and warning, actual emergency disposal, emergency support, department cooperation and social support are all improved, but there are still some problems, and still need to be strengthened and continuously improved; (3) the response ability of CDC public health emergency in Guangxi city and county is better, and the response ability of the city CDC is higher than that of the county CDC, and 6 aspects should be taken. The relationship between the emergency ability and the GDP level in the whole area is low or not. The emergency team, the two indexes of the actual emergency disposal ability are positively related to the public finance expenditure (medical treatment).

【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R197.21

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