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目的:了解北京市社区卫生服务机构传染病防控工作的现状,为建立社区发热和腹泻症状监测与预警系统提供依据。方法:采用整群随机抽样,从北京市城八区抽取41家社区卫生服务中心(站),调查所有在职社区医生和管理者。结果:被调查社区卫生机构中,分别有55.8%和51.2%设有发热和肠道门诊;有80%以上的社区医生认为目前诊断发热、腹泻症状为重症或疑似传染病的能力不足,90%以上认为缺乏实验室和影像学的诊断能力。
Objective: To understand the status quo of communicable disease prevention and control in community health service agencies in Beijing and provide evidence for establishing community fever and diarrhea symptom monitoring and early warning system. METHODS: A total of 41 community health service centers (stations) were drawn from a cluster of eight districts in Beijing city using random sampling of clusters to investigate all the doctors and managers in the working community. Results: Among the surveyed community health institutions, 55.8% and 51.2% of them had fever and enteric clinics respectively; more than 80% of community doctors considered that the current diagnosis of fever, diarrhea, symptoms of severe or suspected infectious disease is not enough, 90% Above that the lack of laboratory and imaging diagnostic capabilities.