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广东省社区医疗机构卫生应急相关科室及制度设置现状评价

周志衡 王彩霞 余昌泽 郑婵娇 王家骥 梁万年

中国全科医学Issue(19):2189-2192,4.
中国全科医学Issue(19):2189-2192,4.DOI:10.3969/j.issn.1007-9572.2014.19.005

广东省社区医疗机构卫生应急相关科室及制度设置现状评价

Assessment of the Current Situation of Related Emergency Clinics and System Setting of Community Medical Institution in Guangdong Province

周志衡 1王彩霞 2余昌泽 1郑婵娇 1王家骥 1梁万年3

作者信息

  • 1. 510182广东省广州市,广州医科大学公共卫生学院
  • 2. 广州医科大学附属市一医院内科
  • 3. 国家卫生和计划生育委员会
  • 折叠

摘要

Abstract

Objective To explore the status of related community health emergency institutional settings and system construction of community hospitals in Guangdong province and provide scientific basis for future health emergency management at basic level. Methods Between March and September 2013 ,220 community medical organizations were selected from 21 city-regions in Guangdong province(110 from Pearl River Delta Area,80 from east Guangdong and west Guangdong,30 from north Guangdong)by using stratified random sampling method and were investigated about health emergency human resources,depart-ment installment and health emergency system. Results In the community health institutions under investigated,the numbers of clinic doctors,nurses and public doctors per million community residents owned were ( 5. 1 ± 4. 4 ), ( 5. 1 ± 4. 8 ), ( 1. 4 ±1. 8)respectively. 193(87. 7%)were equipped special staff who reported cases of inflection diseases. 135(61. 4%),162 (73. 6%),209(95. 0%)and 128(58. 2%)community medical organizations were equipped emergency departments,emer-gency handling team,fever clinic and triage respectively. 195(88. 6%)established the health emergency management systems, 194(88. 2%)established cooperative communication mechanism and 174(79. 1%)established health emergency preparedness plans,among which the first four were epidemic situation of infectious diseases plan(93. 6%),foodborne disease outbreaks plan(62. 7%)Hospital infection outbreaks plan(51. 8%),new infectious diseases/unexplained infectious diseases with group character plan(50. 9%). The community health emergency related institutional settings and system construction of community hospitals in the Pearl River Delta region were better than that in other regions in Guangdong ( P ﹤0. 05 ) . Conclusion The community health emergency related institutional settings and systems of community medical organizations in Guangdong province have some deficiencies. We need to strength the construction of the emergency software and hardware to increase the emergency re-sponse capability at basic level.

关键词

社区医疗机构/卫生应急/医院科室/管理制度

Key words

Community medical organization/Health emergency/Hospital departments/Management system

分类

医药卫生

引用本文复制引用

周志衡,王彩霞,余昌泽,郑婵娇,王家骥,梁万年..广东省社区医疗机构卫生应急相关科室及制度设置现状评价[J].中国全科医学,2014,(19):2189-2192,4.

基金项目

广州市科技局项目(2011J1300010);中华医学会医学教育研究项目(2012- QK -2);广东省医学科研基金 ()

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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