中国医学装备2024,Vol.21Issue(10) :141-148.DOI:10.3969/j.issn.1672-8270.2024.10.026

应对突发重大传染病事件中应急救援物资保障政策与管理体系研究

Research on the policy and management system of emergency rescue materials in response to major infectious disease emergencies in China

钱思颖 张海波 黄如春 赵俊
中国医学装备2024,Vol.21Issue(10) :141-148.DOI:10.3969/j.issn.1672-8270.2024.10.026

应对突发重大传染病事件中应急救援物资保障政策与管理体系研究

Research on the policy and management system of emergency rescue materials in response to major infectious disease emergencies in China

钱思颖 1张海波 2黄如春 1赵俊3
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作者信息

  • 1. 南京医科大学第一附属医院总务处(基建处) 南京 210029
  • 2. 南京中医药大学卫生经济管理学院 南京 210023
  • 3. 南京医科大学第一附属医院科技处 南京 210029
  • 折叠

摘要

目的:梳理我国应对突发重大传染病事件应急救援物资保障政策与管理体系,分析各阶段政策实施效果,研究公立医院提升应急管理能力对策.方法:检索1949-2023年中国知网(CNKI)、万方、维普和国务院政策文件库数据库,获取突发重大传染病事件和应急救援物资保障相关研究文献538篇,按照纳入与排除标准最终纳入研究文献79篇.采用文献分析方法、应急管理理论和组织韧性理论对相关政策文件、研究报告、学术论文等进行整理和分析.结果:我国应对突发重大传染病事件应急救援物资保障政策演变的79篇研究文献可划分为4个阶段3个时期,应急管理萌芽期纳入研究文献14篇,包括新中国成立至改革开放前(7篇)和改革开放后至2003年"非典"疫情(7篇)两个阶段,该时期政府处于单项应对及分散粗放管理模式;综合协调应急管理模式期纳入研究文献30篇,为2003年"非典"疫情之后至2018年年初阶段,该时期首次提出"一案三制"(应急预案、应急管理体制、机制和法制)并逐步走向信息化与智能化;综合应急管理模式期纳入研究文献35篇,时间为2018年年初开始之后,该时期主要特点为国家组建集中统一的应急管理体制.公立医院借鉴我国应急救援物资保障政策与管理体系现状,从事前、事中、事后全过程提升医院应急管理能力.结论:3个时期的政策演变逐步适应错综复杂的突发公共卫生事件,能够更好地实现我国应急管理水平进入法制化、智能化和精细化的成熟阶段,公立医院应紧跟国家政策体系要求,不断完善应急管理机制,提高处理突发重大传染病事件能力.

Abstract

Objective:To sort out China's emergency rescue material support policies and management systems for responding to major infectious disease emergencies in China,to analyze the effects of policy implementation at each stage,and to improve emergency management capabilities of public hospitals.Methods:The China National Knowledge Infrastructure(CNKI),Wanfang,VIP and he State Council Policy Document databases from 1949 to 2023 were searched,and 538 research literatures related to major infectious disease emergencies and emergency rescue material support were retrieved,and 79 research literatures were finally included according to the inclusion and exclusion criteria.The relevant policy documents,research reports and academic articles were sorted and analyzed using literature analysis methods,emergency management theory and organizational resilience theory.Results:The 79 research literatures on the evolution of emergency rescue material support policies in response to major infectious disease emergencies in China can be divided into four stages and three periods.14 research papers were included in the embryonic period of emergency management,including the two stages from the founding of People's Republic of China to the period before the reform and opening up(7 papers)and from the reform and opening to the SARS epidemic in 2003(7 papers),during which the government was in a single response and decentralized and extensive management mode.30 research papers were included in the comprehensive coordination emergency management model period,which was from the after of the SARS epidemic in 2003 to the beginning of 2018,during which the first"one plan,three systems"(emergency response plan,emergency management system,mechanism and legal system)were proposed and gradually moved towards informatization and intelligence.35 research papers were included in the comprehensive emergency management model period,which began in early 2018,and the main feature was the establishment of a centralized and unified emergency management system at the national level.Public hospitals can learn from the current situation of emergency rescue material support policy and management system in China and enhance the emergency management capabilities from the whole process of before,during,and after emergencies.Conclusion:The policy evolution in three stages has gradually adapted to the complex public health emergencies,which could better realize the mature stage of legalization,intelligence and refinement of emergency management of China.Public hospitals should closely follow the requirements of the national policy system,continuously improve the emergency management mechanisms and enhance the ability to deal with major infectious disease emergencies.

关键词

突发重大传染病事件/应急救援物资/政策分析/管理体系/应急管理

Key words

Major infectious disease emergencies/Emergency rescue materials/Policy analysis/Management system/Emergency management

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出版年

2024
中国医学装备
中国医学装备协会

中国医学装备

CSTPCD
影响因子:0.882
ISSN:1672-8270
参考文献量8
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