2019冠状病毒病大流行期间上海市社区卫生中心应对能力的回顾性分析:未来突发公共卫生事件的应对策略

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global health & medicine Pub Date : 2023-06-30 DOI:10.35772/ghm.2023.01042
Yan Lin, Xiao-Hua Ge, Ping Liu, Jie Zhang, Li-Ping Jiang
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引用次数: 0

摘要

本研究旨在通过对上海市某区12家社区卫生中心的护理人员、应急准备、应急响应培训和应急支持等方面的调查,了解社区卫生中心在2022年2019冠状病毒病(COVID-19)大流行期间的应对能力,提出应对策略及对未来突发公共卫生事件的启示。横断面调查的时间是2022年6月,12个社区卫生中心(服务人口104472 .67±41421 .18,125±36健康保健提供者/中心)被分成A组(n = 5,医疗保健比≥1:1)和B组(n = 7,医疗保健比< 1:1)根据收集的数据,以及护理中心的人力资源管理和应对能力的COVID-19两组进行回顾性分析。所有12个中心的护理人员短缺都很明显。社区卫生中心应对突发事件能力的不足有待解决(两组接入率均< 70%,p > 0.05)。社区卫生中心需要加强医院与医院之间的合作,以及在疫情爆发期间迅速将急救人员运送到岗位的能力。社区卫生中心应定期开展应急应对评估、不同层次的应急演练和心理健康支持,并进行有效的捐赠管理。我们期望本研究能支持社区卫生中心的领导者制定应对策略,包括增加护理人员,优化人力资源管理,以及确定中心在公共卫生事件中应对紧急情况的改进领域。
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A retrospective analysis of coping competence among community health centers during the COVID-19 pandemic in Shanghai, China: Coping strategies for future public health emergency events.

This study aims to investigate the coping competence of 12 community health centers through nursing workforce, emergency preparation, emergency response training, and emergency support in a district of Shanghai during the coronavirus disease 2019 (COVID-19) pandemic in 2022 to propose coping strategies and implication for Future Public Health Emergency Events for community health centers. A cross-sectional survey was conducted on June 2022, and 12 community health centers (servicing a population of 104,472.67 ± 41,421.18, with 125 ± 36 health care providers per center) were then divided into group A (n = 5, medical care ratio ≥ 1:1) and group B (n = 7, medical care ratio < 1:1) according to collected data, and the nursing human resources management and coping competence of the centers with COVID-19 of both groups were retrospectively analyzed. Nursing shortages were obvious across all 12 centers. Certain deficiencies in the coping competence of community health centers with emergencies must be addressed (possession rate < 70% in both groups, p > 0.05). Community health centers need to enhance hospital-to-hospital collaboration and the ability to transport emergency staff to the post promptly during outbreaks. Emergency coping assessments, emergency drills at different levels, and mental health support need to be implemented regularly among community health centers, and effective donation management should be pursued as well. We expect that this study could support efforts by leaders of community health centers to conclude coping strategies including increasing nursing workforce, optimizing human recourse management, and identifying areas of improvement of centers for emergency coping during public health events.

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