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目的了解广东省各级医院应对突发公共卫生事件的医疗救治能力,以发现医院医疗救治中存在的不足,并提出相应的改进措施。方法采用分层目的抽样的方法,从广东省珠三角及其他地区抽取医院进行问卷调查。主要调查医院基本情况、医院成立突发公共卫生事件医疗救治专家组情况、疾病的院内治疗指导方案、应急救治队伍及应急救治资源,并采用描述性流行病学方法进行分析。结果共调查223家医院,实际收回有效问卷205份,有效应答率为91.93%;34.63%(71/205)的医院报告已成立8大类突发公共卫生事件医疗救治专家组,以成立传染病(如SARS和禽流感等)医疗救治专家组医院的比例为最高,为96.59%(198/205),已成立群体性预防接种异常反应和生物/化学恐怖医疗救治专家组医院的比例最低,均为46.34%(95/205);24.39%(50/205)的医院报告已制定15种突发公共卫生事件相关疾病或中毒的治疗指导方案,其中85.85%(176/205)的医院制定了SARS治疗指导方案;应急救治工作相关卫生技术人员占卫生技术人员总数的18.44%(13 766/74 643),在启动突发公共卫生事件应急预案时,被调查的205家医院能增加床位共5 821张,占所有被调查医院床位总数的7.48%(5 821/77 818)。结论广东省各级医院已具有一定的突发公共卫生事件医疗救治能力,但仍需进一步提高和完善。
Objective To understand the medical treatment ability of hospitals at all levels in Guangdong Province in response to public health emergencies in order to find out the shortcomings in hospital medical treatment and to propose corresponding improvement measures. Methods A stratified purpose sampling method was used to select hospitals from the Pearl River Delta and other areas in Guangdong Province for questionnaire survey. The main investigation of the basic situation of the hospital, the hospital set up a group of medical emergency medical emergencies, disease treatment guidance program in hospital, emergency treatment team and emergency treatment resources, and descriptive epidemiological methods for analysis. Results Totally 223 hospitals were investigated, 205 valid questionnaires were actually recovered and the effective response rate was 91.93%. In the hospital of 34.63% (71/205), 8 major categories of public health emergency medical treatment experts were set up to establish infectious diseases (Such as SARS and bird flu), the highest proportion was 96.59% (198/205). The proportion of hospitals that had set up group vaccination anomalous reaction and bio-chemical terrorist medical treatment was the lowest 46.34% (95/205); and 24.39% (50/205) reported that 15 kinds of public health emergencies-related diseases or poisoning treatment guidelines have been developed. Among them, 85.85% (176/205) of the hospitals have SARS Treatment guidance program; the emergency response and treatment related health technicians accounted for 18.44% (13 766/74 643) of the total number of health technicians. When starting the contingency plan for public health emergencies, the 205 hospitals surveyed could increase the total number of beds by 5 821 Zhang, accounting for 7.48% (5 821/77 818) of the total number of beds in all hospitals under investigation. Conclusions Guangdong Province hospitals at all levels already have some emergency medical and health emergency treatment capabilities, but still need to be further improved and improved.