首页|不同经济发展水平地区基层医务人员卫生应急能力对比研究:以北京市、Q市为例

不同经济发展水平地区基层医务人员卫生应急能力对比研究:以北京市、Q市为例

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目的 分析我国不同经济发展水平地区基层医务人员卫生应急能力差异,探索基层医务人员卫生应急能力的影响因素,为推进卫生应急体系建设提供依据.方法 采用便利抽样方法,通过自拟公共卫生事件应急能力调查问卷,抽取北京市(作为发达地区)和黑龙江Q市(作为欠发达地区)两地的1 333名基层医务工作人员进行调查.结果 回收有效问卷1 281份,有效回收率为96.10%.其中北京589人,Q市692人.北京市有正式编制、有执业资格证、高学历人员比例高于Q市,参加过卫生应急培训、演练和突发事件卫生应急处置人员的比例也均高于Q市(P<0.05).1 281名基层医务人员卫生应急能力总得分为(114.65±17.77)分,总均分为(3.82±0.59)分;按均分从高到低排位:心理素质(4.13±0.58)分、专业技能(3.86±0.69)分、理论知识(3.63±0.72)分.多元线性回归分析结果显示:相比Q市,北京市基层医务工作人员卫生应急能力得分提升2.068分;相比未参与过卫生应急培训、演练和处置的基层医务人员,参加过的基层医务人员卫生应急能力分别提高4.648分、10.935分和3.466分(P<0.05).结论 基层医务人员卫生应急能力是地方卫生健康综合实力的体现.经济欠发达地区卫生应急能力仍有不足,需积极加强卫生应急能力和体系建设,全面提升卫生应急能力和水平.
A comparative study of health emergency capacity of primary healthcare workers in regions with different economic development levels:taking Beijing and City Q as examples
Objective To analyze the differences in health emergency capacity of primary healthcare workers in regions with different economic development levels in China,explore the influencing factors of these capacities,and provide a basis for promoting the construction of the health emergency system.Methods A total of 1 333 primary healthcare workers were surveyed by convenience sampling with a self-designed public health emergency response capacity questionnaire in Beijing(as a developed region)and City Q of Heilongjiang Province(as a developing region).Results A total of 1 281 valid questionnaires were collected,with an effective recovery rate of 96.10%.Among them,589 were from Beijing and 692 from City Q.The proportions of personnel with formal establishments,professional qualification certificates,and high education in Beijing were higher than in City Q.The proportions of personnel participating in health emergency training,drills,and practical work on emergency response were also higher in Beijing than in City Q(P<0.05).The total score of health emergency capacity of 1 281 primary healthcare workers was(114.65±17.77)points,and the average score was(3.82±0.59)points.The rankings from high to low based on average scores were:psychological quality(4.13±0.58)points,professional skills(3.86±0.69)points,and theoretical knowledge(3.63±0.72)points.Multivariate linear regression analysis showed that,compared with City Q,the health emergency capacity score of primary healthcare workers in Beijing increased by 2.068 points.Compared with primary healthcare workers who had not participated in health emergency training,drills,and practice work on emergency response,the scores of those who had participated increased by 4.648,10.935,and 3.466 points,respectively(P<0.05).Conclusions The health emergency capacity of primary healthcare workers represents the comprehensive strength of local health and healthcare.The health emergency capacity in developing regions is still not strong enough,and efforts should be made to actively strengthen the construction of health emergency capacity and systems in order to comprehensively improve the capacity and level of health emergency response.

economic development levelprimary healthcare workershealth emergency capacitycomparative study

佟海龙、董志涛、徐洪娜、侯炳瑞、张博闻、杨金峰、邓墨瑶、刘金茹

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哈尔滨市疾病预防控制中心,黑龙江 哈尔滨 150056

讷河市疾病预防控制中心,黑龙江 齐齐哈尔 161000

北京市西城区卫生健康委员会,北京 100000

北京市海淀区疾病预防控制中心,北京 100000

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经济发展水平 基层医务人员 卫生应急能力 对比研究

黑龙江省卫生健康委科研项目

20231212050347

2024

职业卫生与应急救援
上海市职业安全健康研究院,上海市化工职业病防治院

职业卫生与应急救援

CSTPCD
影响因子:0.515
ISSN:1007-1326
年,卷(期):2024.42(2)
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