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[目的 ]调查全省 6个市非典应急反应机制 ,为完善公共卫生应急反应体系 ,制定突发公共卫生事件防治对策提供科学依据。 [方法 ]印制统一的调查表 ,对政府、非典定点医院和疾控中心进行抗非典应急反应的人力、物力、财力调查。 [结果 ]六市公共卫生经费占卫生事业总经费的 1 49%～ 2 1 0 3 % ,而卫生事业经费又占财政总投入的 2 %～ 4%。非典流行时 ,6市公共卫生经费投入为 3 770 83万元 ,占抗非典总投入的 13 82 %。在非典防治工作中 ,定点医院和疾控中心均成立了抗非典专业队伍 ,及时开展了救治、流调、消毒和宣传等抗非典工作。 6市设非典监测点总计 2 677483个 ,监测总人数 63 3 5 9945 4人次 ,以农村、学校和社区监测人数较多 ,分别占 42 14 %、2 9 5 9%和 15 5 4% ,[结论 ] 6市政府定点医院和疾控中心均有一定的应急反应能力 ,无论平常和非典流行时 ,公共卫生事业经费都明显不足。
[Objective] To investigate the emergency response mechanism of SARS in 6 municipalities in the province and provide scientific basis for improving emergency response system of public health and formulating prevention and treatment measures for public health emergencies. [Method] To print a unified questionnaire to investigate the manpower, material and financial resources of the government, SARS fixed-point hospitals and CDC in combating SARS. [Results] The public health funds in the six cities accounted for 149% ~ 213% of the total funds for health care, while the expenditures for health care accounted for 2% ~ 4% of the total financial input. During the SARS epidemic, 6 municipal public health funds were invested in an amount of 377.73 million yuan, accounting for 13.82% of the total SARS investment. In the prevention and treatment of SARS, designated hospitals and CDCs have set up special anti-SARS teams and promptly carried out anti-SARS work such as treatment, flow control, disinfection and publicity. There were 2 677483 surveillance sites in 6 municipalities with a total monitoring population of 63359945, with a large number of persons monitored in rural areas, schools and communities, accounting for 42 14%, 295 9% and 15 5 4% respectively [ Conclusion] 6 municipal government designated hospitals and CDC have a certain degree of emergency response capacity, both in the ordinary and SARS epidemic, public health funding are clearly insufficient.