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中国上海新冠疫情期间社区卫生中心应对能力的回顾性分析:未来公共卫生突发事件的应对策略

A retrospective analysis of coping competence among community health centers during the COVID-19 pandemic in Shanghai, China: Coping strategies for future public health emergency events.

作者信息

Lin Yan, Ge Xiao-Hua, Liu Ping, Zhang Jie, Jiang Li-Ping

机构信息

Department of Nursing, Xinhua Hospital affiliated with Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Glob Health Med. 2023 Jun 30;5(3):151-157. doi: 10.35772/ghm.2023.01042.

Abstract

This study aims to investigate the coping competence of 12 community health centers through nursing workforce, emergency preparation, emergency response training, and emergency support in a district of Shanghai during the coronavirus disease 2019 (COVID-19) pandemic in 2022 to propose coping strategies and implication for Future Public Health Emergency Events for community health centers. A cross-sectional survey was conducted on June 2022, and 12 community health centers (servicing a population of 104,472.67 ± 41,421.18, with 125 ± 36 health care providers per center) were then divided into group A ( = 5, medical care ratio ≥ 1:1) and group B ( = 7, medical care ratio < 1:1) according to collected data, and the nursing human resources management and coping competence of the centers with COVID-19 of both groups were retrospectively analyzed. Nursing shortages were obvious across all 12 centers. Certain deficiencies in the coping competence of community health centers with emergencies must be addressed (possession rate < 70% in both groups, > 0.05). Community health centers need to enhance hospital-to-hospital collaboration and the ability to transport emergency staff to the post promptly during outbreaks. Emergency coping assessments, emergency drills at different levels, and mental health support need to be implemented regularly among community health centers, and effective donation management should be pursued as well. We expect that this study could support efforts by leaders of community health centers to conclude coping strategies including increasing nursing workforce, optimizing human recourse management, and identifying areas of improvement of centers for emergency coping during public health events.

摘要

本研究旨在通过护理人力、应急准备、应急响应培训和应急支持,调查上海市某区12家社区卫生服务中心在2022年新型冠状病毒肺炎(COVID-19)大流行期间的应对能力,为社区卫生服务中心未来应对突发公共卫生事件提出应对策略及启示。于2022年6月进行了横断面调查,根据收集的数据,将12家社区卫生服务中心(服务人口为104472.67±41421.18,每家中心有125±36名医护人员)分为A组(n = 5,医护比≥1:1)和B组(n = 7,医护比<1:1),并对两组COVID-19相关社区卫生服务中心的护理人力资源管理及应对能力进行回顾性分析。12家中心均存在明显的护理短缺。社区卫生服务中心在应对突发事件的能力方面存在一定不足(两组拥有率均<70%,P>0.05)。社区卫生服务中心在疫情暴发期间需要加强医院间协作,并提高应急人员及时到岗的能力。社区卫生服务中心应定期开展应急应对评估、不同层面的应急演练以及心理健康支持,同时应做好有效的捐赠管理。我们期望本研究能够为社区卫生服务中心的领导总结应对策略提供帮助,包括增加护理人力、优化人力资源管理以及明确公共卫生事件期间中心应急应对的改进方向。

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