University of Cape Town, Division of Emergency Medicine, Cape Town, South Africa.
West J Emerg Med. 2010 May;11(2):189-96.
To assess current medical staffing levels within the Hospital Referral System in the City of Cape Town Metropolitan Municipality, South Africa, and analyze the surge capacity needs to prepare for the potential of a conventional mass casualty incident during a planned mass gathering.
Query of all available medical databases of both state employees and private medical personnel within the greater Cape Town area to determine current staffing levels and distribution of personnel across public and private domains. Analysis of the adequacy of available staff to manage a mass casualty incident.
There are 594 advanced pre-hospital personnel in Cape Town (17/100,000 population) and 142 basic pre-hospital personnel (4.6/100,000). The total number of hospital and clinic-based medical practitioners is 3097 (88.6/100,000), consisting of 1914 general physicians; 54.7/100,000 and 1183 specialist physicians; 33.8/100,000. Vacancy rates for all medical practitioners range from 23.5% to 25.5%. This includes: nursing post vacancies (26%), basic emergency care practitioners (39.3%), advanced emergency care personnel (66.8%), pharmacy assistants (42.6%), and pharmacists (33.1%).
There are sufficient numbers and types of personnel to provide the expected ordinary healthcare needs at mass gathering sites in Cape Town; however, qualified staff are likely insufficient to manage a concurrent mass casualty event. Considering that adequate correctly skilled and trained staff form the backbone of disaster surge capacity, it appears that Cape Town is currently under resourced to manage a mass casualty event. With the increasing size and frequency of mass gathering events worldwide, adequate disaster surge capacity is an issue of global relevance.
评估南非开普敦大都市区医院转介系统中的当前医疗人员配置水平，并分析应对潜在常规大规模伤亡事件的应急能力需求，以应对计划中的大规模集会期间可能发生的大规模伤亡事件。
查询开普敦大都市区所有州立员工和私人医疗机构的现有医疗数据库，以确定当前人员配置水平以及公共和私人领域的人员分布情况。分析现有人员管理大规模伤亡事件的能力是否足够。
开普敦有 594 名高级院前急救人员（每 10 万人中有 17 人）和 142 名基础院前急救人员（每 10 万人中有 4.6 人）。共有 3097 名医院和诊所的医疗从业者（每 10 万人中有 88.6 人），其中包括 1914 名全科医生（每 10 万人中有 54.7 人）和 1183 名专科医生（每 10 万人中有 33.8 人）。所有医疗从业者的空缺率在 23.5%至 25.5%之间。这包括：护理岗位空缺（26%）、基础急救护理人员（39.3%）、高级急救人员（66.8%）、药剂助理（42.6%）和药剂师（33.1%）。
开普敦有足够数量和类型的人员来满足大规模集会场所的预期普通医疗保健需求；然而，合格的工作人员可能不足以应对同时发生的大规模伤亡事件。考虑到充足的、正确技能和培训的工作人员是灾害应急能力的核心，开普敦似乎目前在管理大规模伤亡事件方面资源不足。随着全球大规模集会活动的规模和频率不断增加，充足的灾害应急能力是一个具有全球相关性的问题。
