Investigation On Prevention And Control Ability Of Staff In Primary Medical And Health Institutions In A District During Public Health Emergencies

Objective: Based on the literature study on the epidemic prevention and control ability of primary hospitals and the investigation on the current situation of the awareness,professional ability and practical effectiveness of the doctors,nurses,workers,protection and management personnel of primary medical and health institutions in Changchun city,This paper probes into the problems existing in the ability of staff of primary medical and health institutions to cope with major public health emergencies and their causes,and initially puts forward targeted strategies to provide reference for governments and institutions at all levels to formulate solutions.Method:This study adopted the methods of literature research,thematic research and expert questionnaire,and selected 155 workers from 5 health service centers in Chaoyang District,Changchun City,Jilin Province as the research objects.Collated and analyzed the literature on the prevention and control ability of the staff of primary medical and health institutions in emergencies,designed questionnaires and conducted structural quality and ability analysis,including knowledge survey on COVID-19 emergency capacity,survey on COVID-19 prevention and control behavior,and self-comprehensive evaluation survey on COVID-19 prevention and control ability,and conducted expert questionnaire survey on existing problems.Then,it discusses the policy support,function mechanism,resource allocation,personnel allocation,implementation,ability improvement,training promotion and other aspects,and puts forward the corresponding improvement countermeasures.Quantitative data were recorded by Epidata3.1 software,and statistical analysis was performed by SPSS23.0.Descriptive analysis,single factor analysis,Pearson correlation analysis and multiple linear regression analysis were respectively used.Result:1.Design of survey evaluation form: According to seven related norms and literature research,after two rounds of expert questionnaire evaluation,five-level Likert scale and four-level scoring method were used to design the scale,and four investigation and evaluation forms were completed,including the knowledge survey on COVID-19 emergency capacity,the investigation on COVID-19 prevention and control behavior,the selfcomprehensive evaluation survey on COVID-19 prevention and control ability,and the investigation on the internal situation of medical institutions.2.Current investigation study :(1)Human resources: the proportion of medical and nursing technicians was high(69.1%),and the proportion of prevention and control full-time personnel was very low(5.4%);Bachelor degree or less accounted for 51.7 percent,master degree or above only 3.4 percent.It indicates that there is a significant shortage of professional prevention and control personnel and highly educated personnel in primary hospitals.(2)Prevention and control capacity: The average score of the eight evaluation indicators of epidemic prevention and control capacity was above 4 points,indicating that the epidemic prevention and control capacity of the institutions was good.This study evaluated staff’s prevention and control ability through three dimensions: knowledge related to epidemic prevention and control,behavior related to epidemic prevention and control,and self-evaluation of epidemic prevention and control ability.Among 149 staff members of Chaoyang District Community health Service Center in Changchun,the overall average score was 106.8 ±16.4 points(full score: 128),indicating that the epidemic prevention and control ability of staff within the organization was at an above average level.(3)In terms of influencing factors: According to univariate variance analysis,Pearson correlation analysis and multiple linear regression analysis,there were significant differences between the age,educational background,working years and institutional training of staff and epidemic prevention and control ability,and they played a positive role.3.Research on countermeasures and suggestions: institutions should continuously strengthen the training of relevant emergency mechanisms and relevant knowledge,improve the relevant incentive mechanism for staff,increase the training and reference of public health talents,improve the integrated medical service system,increase capital investment and management,and strengthen assessment and evaluation.Conculsion:(1)From the level of primary medical and health institutions,the institutional assessment mechanism is not perfect,heavy system lack of practice,lack of professional talents and loss,low level of staff treatment;From the staff of grass-roots medical and health institutions,the staff as a whole do not learn enough about the relevant laws and regulations of public health emergencies,and have little communication with the residents under their jurisdiction.(2)The government should pay more attention to the role of grass-roots medical and health institutions and increase investment in the treatment of talents in grass-roots medical and health institutions.The institutions themselves should strengthen the emergency mechanism for corresponding public health emergencies in real time,conduct more training and exercises on relevant laws and regulations and relevant systems,recruit and train more talents in public health and traditional Chinese medicine,and improve their service capabilities.Give full play to its role in the medical community to provide integrated medical and health services to residents;Staff should strengthen learning,enhance their knowledge of public health emergencies,and strengthen health education for residents.(3)Compared with other research directions in China,it is possible that the prevention and control ability of public health emergencies and infectious diseases in primary medical and health institutions is relatively less.Moreover,the existing research lacks the indicator system to evaluate the prevention and control ability of relevant public health emergencies and infectious diseases.It is urgent to improve and solve,under the guidance of existing theories,it is necessary to conduct in-depth exploration of grassroots public health emergencies and infectious disease prevention and control,and dig out a community governance model of infectious diseases with Chinese characteristics.