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目的了解安徽省县区级卫生应急能力。方法采用国家卫生和计划生育委员会统一设计的《卫生应急能力评估调查问卷及评估标准》,对安徽省62县和42区级的卫生计生行政、疾病预防控制、卫生监督、医疗等承担卫生应急的主要医疗卫生部门进行问卷调查并评分,将原始数据经过标准化处理,采用因子分析方法,以县(区)级为单位,计算出其得分值,建立综合评价模型,综合评价分析各地的卫生应急能力。结果安徽省县区级卫生应急能力综合评价模型为C=0.698C1+0.179C2+0.123C3,式中:C为综合能力总分,C1为卫生应急准备能力得分,C2为识别善后能力得分,C3为应急处置能力得分。县级在应急准备能力、识别善后能力和综合能力得分均高于区级,差异有统计学意义。结论因子分析模型对县区级卫生应急能力综合评价方法科学,可行性好,可以为卫生应急能力综合评价管理提供参考。
Objective To understand the district-level health emergency response capability in Anhui Province. Methods The questionnaire and assessment criteria of health emergency response capacity, which were uniformly designed by the State Health and Family Planning Commission, were used to provide health emergency response to the health planning administration, disease prevention and control, health supervision and medical care of 62 and 42 districts in Anhui Province The main medical and health departments conducted questionnaire survey and grading, standardized the raw data, adopted the factor analysis method, calculated the county (district) level as its unit, established the comprehensive evaluation model, comprehensively evaluated and analyzed the health emergency ability. Results The comprehensive evaluation model of district health emergency response capability in Anhui Province is C = 0.698C1 + 0.179C2 + 0.123C3, where C is the total score of comprehensive ability, C1 is the score of health emergency preparedness ability, C2 is the score of identifying aftercare ability, C3 Scored for emergency response ability. The county level in the emergency preparedness ability, ability to identify aftermath and comprehensive ability score higher than the district level, the difference was statistically significant. Conclusion The factor analysis model is scientific and feasible for the comprehensive evaluation of health emergency response capability at county level, which can provide reference for the comprehensive evaluation and management of health emergency response capacity.