【摘要】 目的分析本省县级卫生应急能力建设情况,为进一步加强能力建设提出改进对策。方法 2013年采用普查方式对87个县级卫生行政部门及承担应急任务的主要机构进行问卷调查,问卷1 000分制,分为好、中、差3个档次,"好"为得分位于总体的≥P75、"中"为得分位于总体的>P25和<P75、"差"为得分位于总体的≤P25。使用Epidata 3.1建立数据库,采用Excel 2003统计,SAS9.1进行率的比较。结果对县级级调查单位共发放问卷87份,回收率为100%,得分资料服从偏态分布(W=0.93,P<0.01)。卫生应急能力评估分数范围为153.01~916.26分,P25=620.23分,P50=718.06分,P75=801.90分。87个县区8个不同方面得分的频数分布有统计学意义(χ2 Mantel-Haenszel=45.28,P<0.01),有22(25.29%)个县区列入"好",43(49.42%)个县区列入"中",22(25.29%)个县区列入"差"。经Fisher精确检验,9个设区市列入"好"等级的县区有统计学意义(P<0.05),"中"和"差"无统计学意义。结论福建省各地市间县(区)卫生应急能力的发展存在一定差距,且各县发展不平衡。各具体项目上也存在一定不足之处,卫生应急能力有待进一步提高。更多还原

【Abstract】 Objective To analyze the construction of emergency response capability at county level in Fujian province,so as to provide the basis for improving the emergency response capability. Methods In a total of 87 county health departments and major agencies undertaking administrative tasks,aquestionnaire survey on emergency was conducted in 2013,1 000-point questionnaire,divided into good,middle,and poor,three grades, " good" was located in the overall score≥P75, " middle" for the overall score was located >P25and <P75, " poor" was located in the overall score ≤P25.using Epidata 3.1establishment of a database,Statistics using SAS 9.1. Results County(city,district)level survey questionnaires were issued to a total of 8 7units,the recovery rate was 1 0 0%,score data obey skewed distribution(W =0.93,P <0.01).Health emergency capability assessment scores ranged from 153.01-916.26 points,P25 =620.23,P50 =718.06,P75 =801.90.87 counties in eight different aspects of the frequency distribution of the number of scores was statistically significant(χ2 Mantel-Haenszel=45.28,P <0.01)by the county self-assessment score normality test,22(25.29%)counties included in the "good",43(49.42%)counties included in the " middle",22(25.29%)counties included in the "poor." By Fisher’s exact test,nine cities with districts included in the "good" level of counties were statistically significant(P <0.05), " medium" and "poor" not statistically significant. Conclusion In development of county emergency capability,there is a gap in the ability of the survey,and the counties are in uneven development.There are also some shortcomings at each specific project,health emergency response capacity needs to be further improved.更多还原