Analysis Of The Status Of The Emergency Medical System In Jilin Province And The Fairness Of The Allocation Of Emergency Resources

[Objective]This research investigates the first-aid capabilities and the status of first-aid practitioners in the first-aid departments of Jilin Province and various medical institutions,analyzes the current status of first-aid capabilities in Jilin Province,understands the current situation of resource allocation and the fairness of resource allocation in Jilin Province,and finds out existing problems.Provide data support and suggestions for the health department to optimize resource allocation,with a view to improving the capacity of medical emergency treatment in Jilin Province.[Method]Institutional survey method and questionnaire survey method were used to investigate the first-aid centers,medical institutions above level two,and first-aid practitioners in Jilin Province.The self-designed survey form was distributed to various units for recovery.The data was collated and analyzed with IBM SPSS 24.0 and Excel software to analyze the current situation of the emergency system in Jilin Province.The contents of the questionnaire include the basic situation,personnel composition and emergency facilities of the first-aid centers in Jilin Province and public hospitals of Grade II and above.The content of the questionnaire includes the basic situation of first-aid practitioners in Jilin Province,daily working hours,work pressure,satisfaction with the work,and the awareness of legal risks in the work.Use Lorentz curve,Gini coefficient and other methods to evaluate the fairness of first aid equipment and staffing.[Results]1.There are 49 emergency centers and 1,572 emergency personnel in all regions of the province.The emergency funding center of Jilin Province generally adopts differential funding as the main funding method.The operation mode of the emergency center is mainly dependent on,and the command mode and the independent mode complement each other.Most emergency centers in cities and prefectures in the province have not established a network of stations under their jurisdiction,and there are 12 emergency centers under their jurisdiction,accounting for nearly a quarter of the province.2.The proportion of men and women in emergency personnel is 51.3% and 48.7% respectively.The age distribution of first-aid personnel is concentrated between 30-50 years old,the most is 30-40 years old,accounting for 30.3%.Among the distribution of first-aid personnel’s academic qualifications,junior college accounted for the most,accounting for 37.5%.Among the professional situations of first-aid personnel,nursing accounted for 34.0%,medical(Western medicine)accounted for 21.9%,and other professions accounted for 39.2%.3.According to the construction standards of the emergency center,there should be no less than 60 emergency vehicles with a construction area of more than 5000 square meters.Changchun City is far above the standard.Yanbian City,Tonghua City,Songyuan City and Jilin City are also far higher than the standard,Meihekou City and Liaoyuan City are higher than the standard,Siping City has reached the standard,the construction area of Baicheng Emergency Center is 4430.32 ㎡,there are 14 emergency vehicles,lower than the country standard.4.A total of 121 emergency departments and 2,613 emergency department personnel in public hospitals at or above the second level in all regions of the province.Among them,men accounted for 30.2% and women accounted for 69.8%.Under 30 years old accounted for 34.8%,undergraduates accounted for more than 50%,the professional situation is concentrated in nursing and clinical.Doctors are concentrated between 30-50,nurses are under 40 years old.From the age distribution of medical care,it can be seen that the distribution of personnel in the emergency department of public hospitals in Jilin Province is not aging,but is normally distributed,and the age of the echelon is very health.5.The overall configuration of emergency vehicles is very fair.The comparison between the cities shows that the three regions of Tonghua,Songyuan and Liaoyuan are less fair than other cities and prefectures.Compared with other cities and prefectures,Songyuan,Baicheng,Jilin,and Baishan are relatively unfair.Baicheng’s staffing is not reasonable,and Liaoyuan’s first-aid staffing is not fair.The fairness of the allocation of emergency resources according to geographical distribution is relatively good.The curve of the first-aid personnel is farther from the fair line than the curve of the firstaid vehicle,and the configuration of the first-aid personnel is less fair than the configuration of the first-aid vehicle.6.The first-aid practitioners’ satisfaction with the four aspects of first-aid work in terms of income and treatment,liability risk,job title assessment,and work intensity.More than 40% of people choose general in these four areas.Hospital training is the main way for first-aid practitioners to obtain legal risk awareness.First-aid personnel have a high demand for laws and regulations.[Conclusion]1.The construction of emergency information network in Jilin Province needs to be improved.The command and dispatch of emergency stations cannot be timely and efficient,which affects the efficiency of emergency vehicles.2.The first aid radius of some cities and prefectures is too large,there is a waste of first aid resources,and the first aid resources cannot be maximized.3.The legal training of first-aid practitioners in Jilin Province is weak,the legal knowledge of first-aid is lacking,and professional legal training is urgently needed.4.There is a lack of rationality in the allocation of first aid resources in some areas of Jilin Province,there is a shortage of first aid equipment to varying degrees,and first aid personnel are scarce.5.First-aid practitioners have heavy work pressure,heavy tasks,many doctorpatient disputes,and low satisfaction with the first-aid system.