An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan.
An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan.
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对中国四个地区公共卫生紧急情况的医院准备能力的分析：北京，山东，广西和海南。
DOI：
10.1186/1471-2458-8-319
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发表时间：
2008-09-20
影响因子：
4.5
通讯作者：
Zhang, Hui
中科院分区：
文献类型：
--
作者：
Li, Xingming;Huang, Jianshi;Zhang, Hui
医院准备工作对于及早发现和处理突发公共卫生事件至关重要。了解当前的公共卫生应急准备状况是规划加强医院应急能力的第一步。本研究的目的是了解中国医院PHE准备工作的现状。采用标准化问卷对中国所在的4个省市的400家医院进行调查。收集和分析了以下方面的数据：医院人口学数据；PHE准备；社区对PHE的反应；药物和材料库存；PHE的检测和识别；医疗程序；实验室诊断和管理；工作人员培训；以及风险沟通。在接受调查的400家医院中，有318家(79.5%)收到了有效回复。在有效的回应中，264家医院(85.2%)有应急计划；93.3%的医院有卫生应急指挥中心和人员；22.9%的医院包括社区组织；97.4%的医院可以将需要的医务人员运送到卫生部门；53.1%的医院评估了药品库存；61.5%的医院评估了供应系统；55.5%的医院建立了监测系统；74.6%的医院可以监测异常情况(见附录)。80.2%的被分析医院的医生报告了他们机构的PHE方案的最新知识。在318名受访者中，97.4%的人遵守了严格的实验室规定，但只有约33.5%的人有可疑样本的检测方案。此外，只有59.0%的人能分离和鉴定沙门氏菌和葡萄球菌，只有不到5%的人能分离和鉴定人H5N1禽流感和SARS。94.5%的机构报告了员工培训或演习计划；50.3%的机构定期评估员工培训的效果；45%的机构有专家提供心理咨询；12.1%的机构为其医务人员提供了评估PHE相关压力的培训。所有上述能力都与医院的人口统计特征有关，本文将对此进行深入讨论。我们的调查表明，在调查时，中国的医院为苯丙醇胺所做的准备工作还处于早期发展阶段。应采取综合措施，提高医院预防和管理PHE的能力。
Hospital preparedness is critical for the early detection and management of public health emergency (PHE). Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Valid responses were received from 318 (79.5%) of the 400 hospitals surveyed. Of the valid responses, 264 (85.2%) hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix). Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above capacities related to the demographic characteristics of hospitals and will be discussed in-depth in this paper. Our survey suggested that, at the time of the survey, hospital preparedness for PHE in China was at an early stage of development. Comprehensive measures should be taken to enhance hospital capacity in the prevention and management of PHE.
影响因子：
4.9
作者：
Hui Z;Jian-Shi H;Xiong H;Peng L;Da-Long Q
通讯作者：
Da-Long Q
影响因子：
3.6
作者：
Crupi, RS;Asnis, DS;Flanz, BJ
通讯作者：
Flanz, BJ
影响因子：
4.9
作者：
Higgins, W;Wainright, C;Carrico, R
通讯作者：
Carrico, R