摘要
目的研究江门市医疗救治机构应急资源和能力现状,为卫生应急能力和医疗救治体系建设提供依据。方法采用问卷和现场考察等方法对江门市各级各类医疗机构基本信息、应急管理体系、医疗救治能力、卫生应急保障和储备、院感控制能力、疾病监测报告能力、卫生应急培训等进行调查分析。结果 82.65%及以上医疗机构已制定了常用的5个预案,77.55%及以上医疗机构已制定了7个必须的制度,95.65%县级以上医院成立了医疗卫生应急救援小分队。2012年仅有4.35%县级以上医疗机构得到财政拨付的应急资金;90.82%医疗机构应急物资储备率低于60%;52.17%及以下县级以上医院对6类事件具有诊疗能力;13.04%县级以上医疗机构对71.88%的调查传染病(32种)有实验室诊断能力;8.70%县级以上医疗机构对调查传染病有治疗能力;6.67%乡镇卫生院对调查传染病有临床诊断能力;2.67%乡镇卫生院对75.00%调查传染病有治疗能力。结论江门市医疗救治机构应急资源和能力建设取得了一定成绩,但是各级各类医疗机构都不同程度地存在供给保障不足、服务能力较弱等问题。
Objective To study the status quo of emergency resources and capacity of medical institutions in Jiangmen city,to provide a basis for medical system construction and health response capacity. Methods Investigation analysis was conducted on basic conditions,emergency management system,medical treatment capabilities,health emergency support reserve,hospital infection control,the ability to diseases monitor and report and health emergency training at all levels medical institutions in Jingmen City,by using tools such as questionnaires and on- site inspection. Results 82. 65% and above medical institutions had made 5 commonly used plans,77. 55% and above medical institutions had established 7 necessary regimes,95. 65% of the county level hospitals were set up medical emergency rescue team. Only 4. 35% of the county level hospitals got emergency fund in 2012; 90. 82% medical institutions emergency supplies reserve ratio is less than 60%;52. 17% and below of the county level hospital had treatment ability of 6 classes of events; 13. 04% of the county level hospitals have the laboratorydiagnosis on 71. 88% survey infectious disease; 8. 70% of the county level hospitals have treatment ability of the survey infectious disease; 6. 67% township hospitals have clinical diagnosis ability of survey infectious disease; 2. 67% township hospitals have the treatment capacity on 75%survey infectious disease. Conclusions Emergency resources and capacity- building has made some achievements of medical institutions in Jiangmen city,but varying degrees of problems such as lack of supply security and weaker services ability still exist in all grades and all types of medical institutions.
出处
《医学动物防制》
2014年第7期751-754,757,共5页
Journal of Medical Pest Control
关键词
医疗机构
应急能力
调查
Medical institutions
Emergency capacity
Survey
