【作者】 张慧；

【导师】 黄建始；

【作者基本信息】 中国协和医科大学 ， 流行病与卫生统计学， 2006， 博士

【摘要】 背景 突发公共卫生事件是指突然发生，造成或者可能造成社会公众健康严重损害的重大传染病疫情、群体性不明原因疾病、重大食物和职业中毒以及其他严重影响公众健康的事件，直接关系到公众的健康、经济的发展和社会的稳定。突发公共卫生事件的预防、控制和救治工作需要社会众多部门在统一高效的指挥下，协同采取应对措施。在这些部门中，医院是提供医疗和心理服务的关键场所。突发公共卫生事件的早发现、早诊断、早报告、早隔离和早治疗各个环节都离不开医院的参与。医院突发公共卫生事件应对能力(简称“应对能力”)的强弱直接关系到整个突发公共卫生事件防控工作的成败。然而，医院应对能力不足是一个世界性的问题，中国也不例外。SARS危机显示了中国医院突发公共卫生事件应对能力建设的重要性和必要性。医院应对能力评价是医院应对能力建设的基础。然而，目前国内尚未见到对医院应对能力全面系统评估的研究报道。 目的 1．构建医院突发公共卫生事件应对能力评价指标体系框架； 2．设计符合我国国情的医院突发公共卫生事件应对能力现状调查问卷； 3．对北京市二级以上医院突发公共卫生事件应对能力现状进行普查； 4．建立医院突发公共卫生事件应对能力综合评价模型； 5．应用医院应对能力综合评价模型，综合评价北京市二级以上医院突发公共卫生事件应对能力； 6．在现状普查和综合评价的基础上，进一步采用战略机会窗口分析法(SWOTAnalysis)分析北京市医院应对能力建设存在的优势、劣势、机会和障碍，提出加强北京市医院突发公共卫生事件应对能力建设的建议。 研究方法 本研究采用文献研究、自由列举访谈和专家评分法构建医院应对能力评价指标体系框架。在构建评价指标体系框架的基础上，设计医院突发公共卫生事件应对能力现更多还原

【Abstract】 BackgroundPublic health emergencies refer to the events that occur unexpectedly and can cause or potentially cause mass destruction to the public’s health, including epidemics of public health importance, diseases outbreaks in the large population with unknown causes, large scope food poisoning and occupational poisoning, and other events that can severely affect public’s health. They have a direct impact on public’s health, economic development and society stability. Prevention and control of public health emergencies requires multi-sector effort and strong, effective leadership. Of all organizations involving in public health emergency preparedness, hospital is the key organization providing medical care and mental health services. Since hospital plays a central role in the early recognition, early diagnosis, early reporting, early quarantine, and early treatment, its capacities in public health emergency preparedness (CPHEP, 突发公共卫生事件应对能力) significantly influence the process and results in handling public health emergencies. Therefore, hospital’s CPHEP is the critical component of a nation’s public health preparedness system. However, that hospital has insufficient capacities in dealing with public health emergencies is a worldwide problem, China has no exception. The SARS crisis taught us the importance and necessity of CPHEP building. An evaluation of hospital’s CPHEP is the initial step for hospital CPHEP building. However, up to today, evidence-based scientific research on hospital’s CPHEP building is still to be seen. Objectives1. To establish an indicator system framework for evaluating hospital’s CPHEP in China;2. To develop a comprehensive questionnaire suitable for hospitals in China to survey hospitals’ CPHEP;更多还原