| Objective Based on the field investigation to work out the province-provincialregion-city-district (county-level city)-community (street/town) five levels ofemergency medical rescue system project.Methods Information was collected by questionnaire survey, expert consultation,interview, academic seminar and literature collection. Chi-square test was used tocompare the rate between different samples. Independent-samples T test or one-wayanalysis of variance (ANOVA) was used to compare means for the measurement datawhich was homogeneity of variance. Rank sum test was used to compare means forthe measurement data which was heterogeneity of variance.Results1.408medical staff in emergency departments from18hospitals in Guangdongprovince was investigated. Of the respondents, More than70%people knew disastermedicine,96.1%(392people) thought it was essential to establish the professionalemergency medical rescue team.79.2%(323people) would like to participate in theemergency medical rescue team when emergency events happened. The medical staffhad the turnover intention accounted for22.8%(93people). The general jobsatisfaction score was68.48±12.06. The work pressure score was6.91±1.47, and thepsychological symptom score was2.35±1.83.2. According to the principle of territorial management, integration ofpeacetime with wartime, government finance investment, unified leadership, theprovince-provincial region-city-district (county-level city) four levels of emergencymedical rescue system which used the emergency medical rescue base(team) as themain body, and contained trauma, infectious diseases, nuclear damage and chemicalinjury, public health and disease control, and psychological rescue five functionsshould be established actively in Guangdong province. The system included1provincial emergency medical rescue center (located in Guangzhou),4provincialregional emergency medical rescue centers (Pearl River Delta-located in Guangzhouor Shenzhen, Eastern Guangdong-located in Shantou, Western Guangdong-locatedin Zhanjiang, Northern Guangdong-located in Shaoguan),21municipal emergencymedical rescue centers (each prefecture-level city1center), a number of district(county-level city) emergency medical rescue centers. 3．①Basic information:81municipal hospitals of Guangzhou were investigated.It contained31Grade3A hospitals (38.3%),36Grade2A hospitals (44.4%),7Grade1A hospitals (8.6%) and7undetermined level hospitals (8.6%);②Emergencymanagement organization:73(90.1%) hospital had established the emergency rescueleadership organization. And6hospitals had established the special independentemergency agency.③Emergency medical rescue personnel: There were1710professionals,262managers,328logistical personnel could carry out the pre-hospitalemergency medical rescue in the total hospital departments.59(72.8%) hospitals hadpreliminary established the emergency medical rescue team.④Emergency medicalrescue materials:54(66.7%) hospital had169field ambulance cars. There were a totalof40423beds,689beds for ICU and1746beds for infectious diseases in theinvestigated81hospitals. And20hospitals (24.7%) could carry out the pre-hospitalemergency operation.⑤Emergency response resources reserves: there were51hospitals (63.0%) had a total of1313backup emergency beds.46hospitals (63.0%)could provide30emergency beds,20hospitals (24.7%) could provide50emergencybeds,11hospitals (13.6%) could provide80emergency beds or more. There were14hospitals (17.3%) had established the emergency rescue command platform,15hospitals (18.5%) were under construction and52hospitals (64.2%) without anyaction in this issue.⑥Emergency training and research work in2008-2010:69emergency projects had been implemented, the total research funding was6.71million.646emergency rescue drills and542emergency trainings had been carriedout.17monographs on this field had been published.4. According to the same principle of Guangdong province, the city-district(county-level city)-community (street/town) three levels of emergency medicalrescue system which used the emergency medical rescue base (team) as the main body,and contained trauma, infectious diseases, nuclear damage and chemical injury, publichealth and disease control, and psychological rescue five functions should beestablished actively in Guangzhou city. The system included1municipal emergencymedical rescue center,6district(county-level city) emergency medical rescue centers(located in Conghua City, Zengcheng City, Panyu district, Huadu district, Baiyundistrict and Luogang district respectively),165community (street/town) emergencymedical rescue centers(each street and town established1center). Conclusion It is imperative to establish the emergency medical rescue systemin which professional emergency medical rescue team as the main body inGuangdong province. This system is composed of the province-provincial region-city-district (county-level city)-community (street/town) five levels, and five kindsof emergency medical rescue teams which cope with trauma, infectious diseases,nuclear damage and chemical injury, public health and disease control, andpsychological rescue. The Guangdong province should pay attention to theconstruction of the community level emergency medical rescue team. And thesystematization, standardization trainings and drills for the “five levels and nine kindsof people” should be implemented. |
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