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目的了解广州市花都区医务人员突发公共卫生事件应急能力的现状,为进一步提高突发公共卫生事件应对能力提供科学决策。方法采用分层抽样调查方法对广州市花都区23家医疗卫生机构250名医务人员进行问卷调查及评估。结果不同类别医疗卫生机构医务人员突发公共卫生事件应对能力不同,差异有统计学意义(v=8,χ2=57.03,P<0.01),疾控卫监、二甲以上医院>乡镇卫生院、社区卫生服务中心>其它医疗卫生机构;应对能力与医务人员年龄无关,差异无统计学意义(v=6,χ2=10.02,P>0.05);应对能力与学历水平有关,学历越高应对能力越强,差异统计学意义(v=4,χ2=11.88,P<0.05);应对能力与执业类别有关,医师>护士>其它专业,差异有统计学意义(v=4,χ2=27.97,P<0.01);应对能力与管理分级有关,管理层明显高于一般医务人员,差异有统计学意义(v=2,χ2=40.07,P<0.01)。结论应建立与完善基层培训机制,增加突发公共卫生事件应急投入,进一步提高基层医务人员的应对能力。
Objective To understand the current situation of emergencies abilities of medical personnel in Huadu District of Guangzhou City and to provide scientific decision-making for further improving the coping ability of public health emergencies. Methods A stratified sampling method was used to survey and assess 250 medical staff in 23 medical and health institutions in Huadu District of Guangzhou City. Results There were significant differences in coping style among public health workers in different categories of medical and health institutions (v = 8, χ2 = 57.03, P <0.01) (V = 6, χ2 = 10.02, P> 0.05). Coping ability was related to education level and higher education level. Coping ability was higher than that of medical staff (V = 4, χ2 = 11.88, P <0.05); coping ability was related to practicing category, physician> nurse> other specialties, the difference was statistically significant (v = 4, χ2 = 27.97, P < 0.01). Coping ability was related to management grade, and management was significantly higher than that of general medical staff (v = 2, χ2 = 40.07, P <0.01). Conclusions A grassroots training mechanism should be established and perfected to increase emergency response to emergent public health emergencies and further improve the coping ability of primary health care workers.