摘要
目的 调查四川省各级妇幼保健机构传染病疫情防控相关的组织机构建设、常规管理、突发应对、物资储备等情况,掌握全省妇幼保健机构的新发传染病防控体系建设情况.方法 采用自行编制的妇幼保健机构疫情防控体系现状调查表,分别于2020年10月及2021年7月开展调查.对2020年与2021年四川省各级妇幼保健机构的基本情况、新发传染病防控体系建设情况、发热门诊/诊室的设置及管理情况等进行对比分析.结果 2020年共有166家妇幼保健机构参与调查,回收问卷166份,其中省市级妇幼保健机构17家,县级妇幼保健机构149家.2021年共有182家妇幼保健机构参与调查,回收问卷182份,其中省市级17家,县级165家.2021年四川省各级妇幼保健机构均成立了疫情防控领导小组.2021年相比2020年,四川省各级妇幼保健机构新发传染病防控体系建设情况在成立疫情防控领导小组、院区三通道管理、三级预检分诊、住院病区配置、工作人员管理和患者管理等方面有一定改善(P<0.05).2021年相比2020年,四川省各级妇幼保健机构发热门诊满足三区两通道管理要求、发热门诊达到闭环管理要求、发热门诊/诊室管理情况有一定改善(P<0.05).结论 通过疫情防控期间的强化建设,四川省妇幼保健机构的新发传染病防控体系建设情况有所改善,但仍面临常态化防控的不断挑战.
Abstract
Objective To investigate the organizational structure,routine management,emergency response,and material reserves related to the prevention and control of infectious diseases in maternal and child health institutions at all levels in Sichuan,and to understand the construction of emerging infectious diseases prevention and control system in maternal and child health institutions throughout the province.Methods We conducted a survey on the current situation of the epidemic prevention and control system in maternal and child health institutions using a self-developed questionnaire,which was conducted in October 2020 and July 2021,respectively.We conducted comparative analysis on the basic situation,the construction of emerging infectious disease prevention and control systems,and the setting and management of fever clinics/rooms of maternal and child health institutions at all levels in Sichuan in 2020 and 2021.Results In 2020,a total of 166 maternal and child health institutions participated in the survey,and 166 questionnaires were collected,including 17 at the provincial and municipal levels and 149 at the county level.In 2021,a total of 182 maternal and child health institutions participated in the survey,and 182 questionnaires were collected,including 17 at the provincial and municipal levels and 165 at the county level.In 2021,all levels of maternal and child health institutions in Sichuan had established epidemic prevention and control leadership groups.Compared with 2020,the construction of the emerging infectious disease prevention and control system in maternal and child health institutions at all levels in Sichuan in 2021 had improved to a certain extent in terms of establishing epidemic prevention and control leadership groups,hospital area three channel management,three-level pre-examination triage,inpatient area allocation,staff management,and patient management(P<0.05).Compared with 2020,fever clinics that met the requirements of three zones and two channels management,fever clinics that met the requirements of closed-loop management,and management of fever clinics/rooms in maternal and child health institutions at all levels in Sichuan in 2021 had improved to a certain extent(P<0.05).Conclusion Through strengthened construction during the epidemic prevention and control period,the construction of the emerging infectious disease prevention and control system in maternal and child health institutions in Sichuan has improved,but still faces continuous challenges in normalized prevention and control.