哈尔滨医药
哈爾濱醫藥
합이빈의약
HARBIN MEDICAL JOURNAL
2014年
5期
262-264
,共3页
卫生应急%机制和体系%应对策略
衛生應急%機製和體繫%應對策略
위생응급%궤제화체계%응대책략
Health emergency%Mechanisms and systems%Status%Coping strategies
目的：了解临沂市现有公共卫生应急体系基本状况及其存在的问题，并提出合理的应对策略。方法采用全国《卫生应急能力评估调查问卷》，开展横断面的调查方法，对临沂市13家卫生行政部门、13家疾病预防控制中心、13家卫生监督所和29家县级以上医疗卫生机构及部分乡镇、村级卫生机构进行了调查。结果全市各机构均没有独立的办公室，50％人员很难满足实际工作需要，83．3％县区、乡政府未将卫生应急常规工作经费列入本级财政年度预算，45％县级以上预案、技术方案不能结合地方实际情况及时进行修订，85％单位尤其是基层单位缺少系统合理的培训、演练机制。结论临沂市卫生应急能力现状不容乐观，突出表现在政府保障机制不健全，人力资源结构不合理，信息监测及分析利用能力不足，应急机制不完善，培训演练效果不显著，应急物资储备不完善，与媒体沟通、宣传能力欠缺。
目的：瞭解臨沂市現有公共衛生應急體繫基本狀況及其存在的問題，併提齣閤理的應對策略。方法採用全國《衛生應急能力評估調查問捲》，開展橫斷麵的調查方法，對臨沂市13傢衛生行政部門、13傢疾病預防控製中心、13傢衛生鑑督所和29傢縣級以上醫療衛生機構及部分鄉鎮、村級衛生機構進行瞭調查。結果全市各機構均沒有獨立的辦公室，50％人員很難滿足實際工作需要，83．3％縣區、鄉政府未將衛生應急常規工作經費列入本級財政年度預算，45％縣級以上預案、技術方案不能結閤地方實際情況及時進行脩訂，85％單位尤其是基層單位缺少繫統閤理的培訓、縯練機製。結論臨沂市衛生應急能力現狀不容樂觀，突齣錶現在政府保障機製不健全，人力資源結構不閤理，信息鑑測及分析利用能力不足，應急機製不完善，培訓縯練效果不顯著，應急物資儲備不完善，與媒體溝通、宣傳能力欠缺。
목적：료해림기시현유공공위생응급체계기본상황급기존재적문제，병제출합리적응대책략。방법채용전국《위생응급능력평고조사문권》，개전횡단면적조사방법，대림기시13가위생행정부문、13가질병예방공제중심、13가위생감독소화29가현급이상의료위생궤구급부분향진、촌급위생궤구진행료조사。결과전시각궤구균몰유독립적판공실，50％인원흔난만족실제공작수요，83．3％현구、향정부미장위생응급상규공작경비렬입본급재정년도예산，45％현급이상예안、기술방안불능결합지방실제정황급시진행수정，85％단위우기시기층단위결소계통합리적배훈、연련궤제。결론림기시위생응급능력현상불용악관，돌출표현재정부보장궤제불건전，인력자원결구불합리，신식감측급분석이용능력불족，응급궤제불완선，배훈연련효과불현저，응급물자저비불완선，여매체구통、선전능력흠결。
Objective To understand the basic situation of existing public health emergency system of Linyi city and the existing problems,and puts forward the reasonable countermeasures.Methods Using the"health emergency capability assessment survey meth-od to carry out the investigation questionnaire"cross section, The 13 home health administrative departments,13 disease prevention and control center in Linyi City,village health organization 13 health supervision and more than 29 county-level medical institutions and part of the township,was investigated.Results The agencies did not have independent office,50%staff was difficult to satisfy the needs of practical work,the 83.3%County,township government would not health emergency routine expenses shall be included in the budget at the same level financial year,45%at or above the county level shall plan,technical scheme could not be combined with the local actual conditions and revised 85% units,especially the grass-roots units lack of training,exercises the reasonable mechanism system.Conclusion Status of health emergency response capacity in Linyi city is not optimistic, especially in government security mechanism is not sound,the structure of human resources is not reasonable,monitoring and analysis of information utilization ability is insufficient,emergency mechanism is not perfect,training effect is not obvious,emergency supplies reserve is not perfect,communica-tion,and media publicity and the lack of capacity.
