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上海市疾病预防控制机构公共卫生应急队伍建设现状及问题分析

The current status and problems of public health emergency response team building in disease prevention and control institutions in Shanghai city

  • 摘要:
    目的 调查上海市疾病预防控制机构公共卫生应急队伍建设现状,分析存在的问题及原因,为完善上海市疾病预防控制机构公共卫生应急队伍建设提供参考依据。
    方法 于2023年3月22日—2023年 4 月 15 日,采用问卷调查法,收集上海市疾病预防控制机构公共卫生应急队伍建设现状及队员的基本情况、专业技能和卫生应急处置情况等,采用 Excel 2003及SPSS 20.0 软件进行统计分析。
    结果 共收回问卷1 956份,有效问卷1 921份,有效率为98.21%。上海市疾病预防控制机构已建立了12个常规应急组(综合协调组、急性传染病处置、慢性传染病处置、免疫可预防疾病处置、消毒与病媒生物控制、放射事件处置、环境事件处置、食源性疾病处置、职业中毒处置、化学品毒性检测、病原生物检测、保障组)和2个后备应急组(急性传染病处置后备组、健康相关危害因素控制后备组);应急队员平均年龄为(36.82±9.05)岁,男女比例为1:1.90,主要为本科学历队员(占59.66%)和中级职称队员(占41.12%),50.34%的队员从事卫生应急工作年限≤5 年;熟知急性传染病防治、综合协调、慢性非传染性疾病防治、应急管理、微生物检测、环境卫生、食品卫生等公共卫生相关专业的人员较多,但熟知放射卫生、寄生虫病防治、儿少卫生、免疫规划、职业卫生等专业的人员不足10%;除参与新冠疫情处置的人数>90%外,参与其他公共卫生应急处置的人数均低于45%,且频次多为1~5次。
    结论 上海市疾病预防控制机构已建立较完善的应急队伍,但存在应急队伍结构失衡、高层次和复合型人才不足、应急处置经验不足等问题。上海市疾病预防控制机构应建立统一规划、统筹管理、统一指挥的公共卫生应急队伍管理工作机制,进一步加强高层次人才引进力度,加强公共卫生应急人才储备,优化应急队伍组成结构,开展针对性的应急培训和演练,提升应急队伍综合素质,确保卫生应急工作高质量、可持续发展。

     

    Abstract:
    Objective To investigate the current status of public health emergency response team building in disease prevention and control institutions in Shanghai city, analyze existing problems and their causes, and provide a reference for improving the construction of public health emergency response teams in these institutions.
    Methods From March 22, 2023 to April 15, 2023, a questionnaire survey was conducted to collect data on the current status of public health emergency response team building in Shanghai city′s disease prevention and control institutions, as well as the basic information, professional skills, and emergency handling experience of team members. Data were statistically analyzed using Excel 2003 and SPSS 20.0 software.
    Results A total of 1 956 questionnaires were collected, of which 1 921 were valid, yielding an effective rate of 98.21%. Shanghai city′s disease prevention and control institutions have established 12 regular emergency response teams (Comprehensive Coordination, Acute Communicable Disease Control, Chronic Communicable Disease Control, Vaccine-Preventable Disease Control, Disinfection and Vector Control, Radiation Event Response, Environmental Event Response, Foodborne Disease Control, Occupational Poisoning Control, Chemical Toxicity Testing, Pathogen Detection, and Logistics Support) and 2 reserve emergency response teams (Acute Communicable Disease Control Reserve and Health-Related Hazard Control Reserve). The average age of emergency responders was (36.82±9.05) years, with a male-to-female ratio of 1:1.90. The majority of team members held bachelor′s degrees (59.66%) and intermediate professional titles (41.12%). 50.34% of the team members had ≤5 years of experience in public health emergency response work. A relatively large number of personnel were familiar with public health-related specialties such as acute communicable disease prevention and control, comprehensive coordination, chronic non-communicable disease prevention and control, emergency management, microbial detection, environmental health, and food hygiene. However, fewer than 10% of personnel were familiar with radiation hygiene, parasitic disease prevention and control, child and adolescent health, immunization planning, and occupational health. Except for the number of individuals who participated in the COVID-19 response (>90%), the number of participants in other public health emergency responses was less than 45%, and the frequency of participation was mostly 1–5 times.
    Conclusions Shanghai city′s disease prevention and control institutions have established relatively well-developed emergency response teams. However, there are problems such as an unbalanced team structure, a shortage of high-level and interdisciplinary professionals, and insufficient experience in emergency response. These institutions should establish a unified planning, coordinated management, and unified command working mechanism for public health emergency response teams. They should further strengthen the recruitment of high-level personnel, enhance the reserve of public health emergency personnel, optimize the composition of emergency response teams, conduct targeted emergency training and drills, and improve the overall quality of emergency response teams to ensure high-quality and sustainable development of public health emergency work.

     

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