本文選題：CDC + 突發(fā)公共衛(wèi)生事件　； 參考：《廣西醫(yī)科大學》2017年碩士論文

【摘要】：研究目的:通過構建廣西疾病預防控制中心(以下簡稱“CDC”)突發(fā)公共衛(wèi)生事件應對能力的評價指標框架,為CDC應對能力考核提供參考的范圍。開展對廣西市縣CDC進行應對能力現(xiàn)狀調(diào)查,了解具備的能力和存在的不足,為應急能力建設提供實證依據(jù)。在現(xiàn)狀調(diào)查的基礎上,構建CDC的應對能力綜合評價模型,運用模型進行定量分析,可針對性地開展工作,為今后廣西CDC的應急管理進行應急資源優(yōu)化配置,確定最優(yōu)先和次優(yōu)先發(fā)展提供科學依據(jù)。研究方法:(1)文獻研究法:根據(jù)本研究的需求,有目的性地檢索相關政府網(wǎng)頁的相關政策文件、數(shù)據(jù)報表和相關方面的文獻,初步構建評價指標框架。(2)德爾菲專家咨詢法:基于文獻研究的基礎上,對邀請的專家進行兩輪的咨詢,對初步設定的評價指標框架進行打分并給予建議,最終確定指標體系。(3)層次分析法:構建層次模型,利用均數(shù)的差值分的高低確定Saaty標度構建判斷矩陣,從而確定指標的權重。(4)問卷調(diào)查法:在評價指標體系構建的基礎上,合理構建評價問卷,對廣西14個市CDC和75個縣CDC開展問卷調(diào)查。研究結果:1.通過兩輪德爾菲專家咨詢后構建了廣西CDC突發(fā)公共衛(wèi)生事件應急能力評價指標體系,評價指標體系包括組織體系、應急隊伍、監(jiān)測預警、實際應急處置能力、應急保障和信息溝通與部門協(xié)作6個一級指標、20個二級指標、53個三級指標。并對指標進行了信度、效度的檢驗,指標的信度和效度良好,可以用于開展現(xiàn)狀的調(diào)查研究;2.構建了廣西cdc突發(fā)公共衛(wèi)生事件應對能力綜合評價的模型,即z=1000*0.25*[0.20*(0.67c1+0.33c2)+0.48*(0.45c3+0.12c4+0.31c5+0.12c6)+0.32*(0.5c7+0.5c8)]+……+1000*0.10*[0.20*(0.67c46+0.33c47)+0.30*(0.67c48+0.34c49)+0.40*(0.67c50+0.34c51)+0.10*(0.34c52+0.67c53)](其中z代表應對能力的綜合得分,c1、c2…..c53分別代表各三級指標的得分)3.對廣西市縣cdc突發(fā)公共衛(wèi)生事件應對能力的現(xiàn)狀開展調(diào)查,發(fā)現(xiàn)廣西市縣cdc突發(fā)公共衛(wèi)生事件應對能力建設取得較大的成效,其中包括應急預案和制度的制定、監(jiān)測預警系統(tǒng)的利用和完善等,但仍存在可以發(fā)掘更大潛力的方面,比如組織機構的建立和完善、提高應急人員的素質(zhì)、實驗室的檢驗技術、培訓演練開展、評估工作等方面。4.運用綜合評價模型開展對cdc的評價發(fā)現(xiàn):對應對能力綜合得分進行等級劃分時,中等水平的cdc占絕大部分,市縣cdc應急能力強弱不一,說明cdc應急能力水平總體上還需要調(diào)整,市cdc在應急能力各個方面得分均高于縣cdc,說明市cdc應對能力高于縣。通過對應對能力與人均gdp和公共財政投入(醫(yī)療投入)的秩相關分析,發(fā)現(xiàn)應急能力與人均gdp的發(fā)展無關,但應急隊伍、實際應急處置能力兩方面的應急能力與公共財政支出(醫(yī)療方面)存在正相關關系。結論:(1)構建具有良好信度和效度的廣西cdc突發(fā)公共衛(wèi)生事件應對能力指標體系;(2)調(diào)查研究的應急組織體系、應急隊伍建設、監(jiān)測預警、實際應急處置、應急保障、部門協(xié)作和社會支持6個方面的應急能力均得到不小的提升,但依舊存在一些問題,還需加強和不斷完善;(3)廣西市縣CDC突發(fā)公共衛(wèi)生事件應對能力總體較好,市CDC的應對能力高于縣CDC,且6個方面的應急能力與整個地區(qū)的GDP水平相關性較低甚至不存在相關關系,應急隊伍、實際應急處置能力兩個指標與公共財政支出(醫(yī)療方面)存在正相關關系。
[Abstract]:Objective: through the construction of the evaluation index framework of Guangxi disease prevention and control center (hereinafter referred to as "CDC") emergency response ability of public health events, it provides a reference range for the assessment of the ability to respond to CDC, carries out a survey on the current situation of CDC in Guangxi city and County, and understands the ability and shortcomings of the existence, for the construction of emergency capacity. On the basis of the current situation investigation, the comprehensive evaluation model of CDC's response ability is constructed, and the quantitative analysis of the model can be used to carry out the work. It can provide the scientific basis for the optimization of emergency resources for the emergency management of Guangxi CDC in the future, and provide the scientific basis for determining the first and second priority development. (1) literature research method: According to the needs of this study, the relevant policy documents, data reports and related documents are retrieved, and the evaluation index framework is initially constructed. (2) the Delphy expert consultation method: Based on the literature research, the invited experts are consulted in two rounds, and the preliminary evaluation index framework is made. And finally determine the index system. (3) analytic hierarchy process (AHP): building a hierarchical model, using the level of the difference of the number to determine the Saaty scale construction judgment matrix, so as to determine the weight of the index. (4) questionnaire survey method: on the basis of the evaluation index system construction, reasonable construction of evaluation questionnaire, 14 cities in Guangxi CDC and 75 counties CDC The results were as follows: 1. the evaluation index system of emergency capacity of Guangxi CDC public health emergency was constructed by two rounds of consultation of Delphy experts. The evaluation index system includes the organization system, emergency team, monitoring and warning, actual emergency disposal capacity, emergency support and information communication and department cooperation 6 first level indicators, 20 two Level index, 53 three level indicators, and the reliability of the index, validity test, reliability and validity of the index, can be used to carry out the status of investigation and research; 2. to build the Guangxi CDC public health emergency response ability comprehensive evaluation model, that is, z=1000*0.25*[0.20* (0.67c1+0.33c2) +0.48* (0.45c3+0.12c4+0.31c5+0.12c6) +0.32* (0.45c3+0.12c4+0.31c5+0.12c6) +0.32* ( 0.5c7+0.5c8)]+.+1000*0.10*[0.20* (0.67c46+0.33c47) +0.30* (0.67c48+0.34c49) +0.40* (0.67c50+0.34c51) +0.10* (0.34c52+0.67c53)] (Z represents a comprehensive score for response capability, C1, C2... ..C53, respectively representing the score of each three level index), 3. on the current situation of the response ability of public health emergencies in the city and county of Guangxi city and county, and found that the capacity building of the public health emergencies in the city and county of Guangxi has achieved great achievements, including the emergency plan and system, the utilization and improvement of the monitoring and warning system, but still still exist. In the aspects of the greater potential, such as the establishment and improvement of the organization, the quality of the emergency personnel, the laboratory testing technology, the training training, the evaluation work and so on, the.4. comprehensive evaluation model is used to carry out the evaluation of the CDC. When the comprehensive score of the coping ability is graded, the medium level CDC is the most important. Part, city and county CDC emergency ability is different, indicating that the level of CDC emergency capacity needs to be adjusted in general, the city CDC in all aspects of emergency capacity is higher than the county CDC, indicating that the city's CDC coping ability is higher than the county. Through the analysis of the ranks of the response capability to the per capita GDP and public financial input (medical input), the emergency ability and the per capita GDP are found. Development has nothing to do, but the emergency team, the actual emergency disposal capacity of two aspects of the emergency capacity and public financial expenditure (medical aspects) has a positive correlation. (1) to build a good reliability and validity of the Guangxi CDC public health emergency response capability index system; (2) investigation and research of emergency organization system, emergency team construction, The emergency ability of 6 aspects of monitoring and warning, actual emergency disposal, emergency support, department cooperation and social support are all improved, but there are still some problems, and still need to be strengthened and continuously improved; (3) the response ability of CDC public health emergency in Guangxi city and county is better, and the response ability of the city CDC is higher than that of the county CDC, and 6 aspects should be taken. The relationship between the emergency ability and the GDP level in the whole area is low or not. The emergency team, the two indexes of the actual emergency disposal ability are positively related to the public finance expenditure (medical treatment).

【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R197.21

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