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突发公共卫生事件医院应对能力评价模型

Evaluation Model for Hospital Response Capability for Public Health Emergency.

机构信息

School of Public Health, Tianjin Medical University, Heping District, Tianjin, China.

出版信息

Disaster Med Public Health Prep. 2021 Aug;15(4):403-408. doi: 10.1017/dmp.2020.31. Epub 2020 Apr 17.

Abstract

OBJECTIVES

We aimed to explore and create an evaluation model to assess hospital response capability for a public health emergency (PHE).

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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