School of Public Health, Tianjin Medical University, Heping District, Tianjin, China.
Disaster Med Public Health Prep. 2021 Aug;15(4):403-408. doi: 10.1017/dmp.2020.31. Epub 2020 Apr 17.
We aimed to explore and create an evaluation model to assess hospital response capability for a public health emergency (PHE).
Grounded theory was used to construct a comprehensive evaluation index system. Combining with the index system and previous studies and policy documents, we investigated surge capability of hospitals in a PHE. The factor analysis method was used to establish the model.
The comprehensive evaluation system with 11 primary and 30 secondary indicators was constructed. A total of 89 secondary and tertiary hospitals were surveyed in China. The evaluation model (C = 0.587C1 + 0.151C2 + 0.140C3 + 0.122C4) was established. Four factors were identified, namely, preparation factor, treatment factor, emergency awareness factor, and prehospital first-aid factor.
A public health emergency could bring huge losses and a capable hospital response was necessary. There was an urgent need to evaluate hospital capability for a PHE.
本研究旨在探索并构建一个公共卫生应急事件（PHE）医院应对能力评价模型。
采用扎根理论构建综合评价指标体系，结合指标体系和既往研究及政策文件，对医院 PHE 应对能力进行调查，运用因子分析法建立模型。
构建了包含 11 个一级指标和 30 个二级指标的综合评价体系，对全国 89 所二、三级医院进行调查，建立评价模型（C=0.587C1+0.151C2+0.140C3+0.122C4），提取出准备因子、救治因子、应急意识因子和院外急救因子 4 个公因子。
PHE 可能带来巨大损失，需要医院具备应对能力，因此对医院 PHE 应对能力进行评价十分必要。
