摘要
目的 了解安徽省某市县级疾病预防控制中心(简称“疾控中心”)应急能力现状和问题,为制定提高县级疾控中心应急能力相关决策提供参考。方法 2021年8—9月对安徽省某市下辖7个县疾控中心进行现场调研,通过小组座谈和自制问卷调查,了解疾控中心基本情况、应急能力现状和存在问题等。结果 安徽省某市每万人口疾控中心编制配置比例为1.17/万;各县级疾控中心,1县设有独立的应急部门,各县均成立了应急队伍,2县成立了应急专家组,2县卫生应急物资实物储备与国家目录要求存在差距,各县撰写常规疫情分析报告频次以“月报+年报”为主,C县风险沟通能力较好。结论 各县疾控中心工作人员数量少,高素质人才匮乏;应急管理机制不健全,应急预案实用性不强;应急队伍仍须补充,应急培训缺乏针对性;应急物资管理制度不完善,部分县卫生应急储备未达国家要求;监测预警有滞后性,信息化程度较低;缺乏与相关部门的风险沟通机制,对媒体报道的监测与评估未重视。建议当地政府加强相关方面建设和管理,为制定县级疾控中心应急能力提升政策提供理论依据。
Objective To learn the current situation and problems of emergency response capacity of county-level Centers for Disease Control and Prevention(CDCs)in a city of Anhui Province,so as to provide reference for making relevant decisions to improve the emergency response capacity of county-level CDCs.Methods From August to September 2021,a field survey was conducted to the CDCs in 7 counties under the jurisdiction of the city in Anhui Province,and the basic situation,emergency response capacity and existing problems of CDCs were investigated through group discussion and self-made questionnaire survey.Results The staffing ratio of CDCs per 10000 population in a certain city in Anhui Province was 1.17/10000.Among the county-level CDCS,one county had an independent emergency department.All CDCs had established emergency teams,and two CDCs had established emergency expert groups.There was a gap between the physical reserves of health emergency supplies of two county-level CDCs and the requirements of the national catalogue.Monthly reports and annual reports were the main types of routine epidemic analysis reports written by counties.County C had better risk communication ability.Conclusion The number of staff in the county centers for disease control and prevention is small,and high-quality personnel are scarce.The emergency management mechanism is not perfect,and the emergency plan is not practical.The emergency response workforce still needs to be expanded.Emergency training is not targeted.The management system of emergency materials is not perfect,and the health emergency reserves in some counties do not meet the national requirements.The monitoring and early warning of some countylevel CDCs lag behind,and the degree of informatization is low.There is a lack of risk communication mechanism with relevant departments,and no attention is paid to the monitoring and evaluation of media reports.It is suggested that local government departments should strengthen the construction and management of relevant aspects,so as to provide theoretical basis for formulating policies on improving the emergency capacity of county-level CDCs.
作者
周洋
杨金侠
陈晶晶
李伟
王繁可
马青连
ZHOU Yang;YANG Jinxia;CHEN Jingjing;LI Wei;WANG Fanke;MA Qinglian(Organization and Personnel Section,Nanjing Stomatological Hospital,Affiliated Hospital of Medical School Nanjing University,Jiangsu 210008,China;不详)
出处
《医学动物防制》
2023年第7期653-657,共5页
Journal of Medical Pest Control
基金
国家社会科学基金一般项目(17BGL183)
南京大学医学院附属口腔医院3456骨干人才资助项目(0222M506)
2020年度安徽高校人文社会科学研究重点项目(SK2020A0140)。
关键词
县级疾控中心
应急能力
提升策略
研究
监测
分析
County-level CDCs
Emergency response capacity
Improvement strategies
Research
Surveillance
Analysis
