目的考察黑龙江省各级医院对突发公共卫生事件的医疗救治能力,以期发现问题并提出相应对策。方法定性与定量方法结合,采用分层整群抽样方法对黑龙江省5个市级综合医院和5个传染病院、9个县级医院的机构和个人进行问卷调查并对主要负责人进行深入访谈。采用SPSS12.0软件进行统计分析。结果医疗机构人员学历构成主要以中专、大专为主,医疗救治体系存在的主要问题是救治人员对于突发公共卫生事件认识和意识不强,资金配备不够合理,突发事件应急医疗救治机构可持续发展问题突出。结论黑龙江省医疗救治体系具备了一定的规模,体系运作已初见成效,但传染病院面临压力很大,综合医院传染科也面临着平战结合的矛盾,医疗救治体系可持续发展问题突出。
Objective To make a primary evaluation on medical care capacity for public health emergencies in Heilongjiang province, and to find out the weak part and bring forward some tactics to improve it. Methods Stratifying cluster sampling was adopted; questionnaire investigations were made on the individual and hospitals, and in- depth interview were made to the leaders and directors in 5 Tertiary Class A hospitals and 5 lazarettos in cities, 9 Secondary Class B hospitals in counties in relevant sections; SPSS12.0 was used to make statistical analysis. Results Personnel in these hospitals mainly graduated from technical schools or colleges; the main deficiencies existed in medical care system:medical workers didn't pay enough attention to the public health emergencies; what they knew about how to deal with the public emergency was not adequate;financing recourse was insuffcient and fund utilization was not rational; in addition, lazarettos in cities were facing up with many pressures as a result of the system transformation. Conclusion The medical care systems in Heilongjing province was set up and primary achievement had come into being, but some deficiencies still existed to be perfected.