Current status of public health emergency response capabilities of community health service centers in a certain district of Shanghai
YU Hongjie1, LI Qian2, SHAO Yuqing2, CHENG Fan3, ZHONG Peisong1, DUAN Chunmei1, CHU Qiao2, WANG Zhaoxin4, LYU Yipeng2
1. Jiading District Center for Disease Control and Prevention, WHO Collaborating Center for Primary Health Care in Jiading District, Shanghai 201899, China; 2. School of Public Health, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China; 3. Shanghai Dental Tissue Restoration and Regeneration Engineering Technology Research Center, The Affiliated Stomatological Hospital of Tongji University, Shanghai 200072, China; 4. Management School of Hainan Medical University, the First Affiliated Hospital of Hainan Medical University, Haikou, Hainan 570102, China
Abstract：Objective To survey, research and analyze the dimensions like emergency command, communication, plan building, early warning monitoring, emergency disposal, drill and emergency response training in the emergency management of community health service centers so as to sort out and display the characteristics of primary health emergency response capacities in a certain district of Shanghai Municipality. Methods All 13 community health service centers in a certain district of Shanghai Municipality were selected in this study. We conducted an interview and survey by using a self-designed interview outline questionnaire, Public Health Emergency Capability Evaluation Questionnaire (Community Health Service Center Version), and thecontents included 23 questions like emergency system setup, emergency command and management, plan management, capacity building, health publicity and education and practical work. Most subjects involved were managers of community health service centers, and interviews on key issues were performed during the survey. Results In terms of reserve supply of medical resource, there were sufficient actual members (82 on average) in the emergency response teams, and most of them were emergency medical service professionals, emergency response staff on duty and on-site epidemiological investigation and sampling personnel. The funds actually invested in the work regarding emergency response varied greatly (37,000-1,008,000 yuan, with an average of 209,000 yuan). The average of total value of emergency supplies was 36,000 yuan, and it generally increased in 2020. As for emergency management, all 13 community health service centers built emergency leader groups and on-duty systems, and set up their own centers' health emergency response plans and medical treatment plans for public health emergency, and monitored the information on clustering epidemics. 6 community health service centers established working systems and mechanisms for risk assessment of public health emergencies. In terms of training drills, all the research subjects participated in more than one drill and training session per year. Conclusion Currently, human resource reserve for public health emergency management in the community health service centers cannot meet the needs of sudden increase emergencies during the epidemic. Material and financial supply and reserve are the foundation of response to health emergencies in primary care settings. It is necessary to give full play to the public health emergency function of community health service centers, optimize emergency communication and coordination mechanisms, and strengthen emergency response training and drills so as to improve emergency response capacities of thecommunity health service centers.
于宏杰, 李倩, 邵钰清, 程帆, 钟培松, 段春梅, 楚翘, 王朝昕, 吕奕鹏. 上海某区社区卫生服务中心公共卫生应急能力现况研究[J]. 实用预防医学, 2024, 31(2): 237-242.
YU Hongjie, LI Qian, SHAO Yuqing, CHENG Fan, ZHONG Peisong, DUAN Chunmei, CHU Qiao, WANG Zhaoxin, LYU Yipeng. Current status of public health emergency response capabilities of community health service centers in a certain district of Shanghai. , 2024, 31(2): 237-242.
2024, Vol. 31 
