The Study On The Effect Of Creating Health Emergency Demonstration Area (Streets, Towns) In Ningbo Beilun

Backgrounds and ObjectivesWith the development of industrialization, urbanization and globalization, SARS, earthquake, influenza a (H1N1) and the infection by bird flu H7N9, exposed the fact of lacking the capabilities in health emergency as well as development bottle neck. The official post health emergency work at the provincial level demonstration county (city, area) to create assessment measures for its implementation in zhejiang province in2010, prior to explore at the national institutes of health in the health emergency demonstration area, villages and towns (street) created as the core of advanced grass-roots health comprehensive emergency management mode, improve grassroots health emergency management level and the health emergency ability. In the second half of2012, Ningbo decided to create the demonstration of the streets (town) work. Beilun district in the province prior to be the provincial health emergency demonstration area at the end of2008, and started the demonstration zone, villages and towns (street) to create jobs in2009.This paper takes the district and street (township) grade level, create performance evaluation as the breakthrough point. Comprehensively understand the Beilun health emergency management system, the health emergency safeguard mechanism, the health emergency team ability, health emergency change such as social participation, grope for a set of "health emergency demonstration area, villages and towns (street)" effectively promote a way to create work, find the weak links in time and improve the health emergency construction bottleneck. Thus, summing up experience and effective guidance in the future and adapt to the coordinate the development of regional social economy health emergency, normalize the construction of Zhejiang province and even provide the work experience for the national construction of grass-roots health emergency.Material and Methods1. The research subject(1) Routine information:"The work of integrated demonstration area of Beilun create health emergency plan" and "The Beilun health emergency scheme for comprehensive demonstration street (township)"; Beilun health emergency work, contingency plans, monitoring and early warning management system, training exercises such as archiving data; All kinds of medical institutions and health information from the annual report data of emergency team.(2) Selection of subjects:The research subject is responsible for creating six administrative department and nine streets of villages and towns; District center for disease control and prevention, district health supervision, the district people’s hospital and the community health service centers and51acute infectious diseases in the health emergency response team members. For emergency management, school superintendent, director of the health emergency construction basic situation questionnaire survey; A random sampling of health emergency questionnaire for grade-three students and120ordinary citizens.2. the research methodsUse of data access, expert consultation and investigation interview, Beilun master health emergency management system, the hardware support, ability quality, development situation of the construction of the social participation, and to create demonstration effect of qualitative and quantitative analysis. Investigators selection and training in accordance with the relevant regulations, strictly enforced, Testing the two questionnaires and business, questionnaire survey before and after its creation. The efficient and recovery are both100%, within which51acute infectious diseases all health emergency personnel to participate in the business knowledge test.3. statistical methodsRoutine monitoring data with Excel2003summary analysis. Quantitative questionnaire and business knowledge test with Epidata3.0software build survey database, using SPSS17.0software, creating the questionnaire data comparison before and after using chi-square test; Health emergency personnel in creating scores before and after the change with paired t test, fixed point hospital medical treatment level before and after creating comprehensive evaluation using Topsis method, etc.Results1. The effectiveness of health emergency management system(1) The health emergency organization system becomes more scientific. Establishing the unified leadership of government, practice members to different units, consider district health system as the main body, and establish three levels of public health service framework to support network system.(2) Health emergency plan system becomes more perfect. District health bureau plays a leading role. Formulated and revised the21st contingency plans,32technical solutions and45work plans.(3) The health emergency monitoring report system becomes more comprehensive. Monitoring sentinel key infectious diseases (flu) increased to363. The distribution of monitoring sentinel rate increased from29.8%to29.8%. The distribution becomes broader and the monitoring becomes higher sensitivity.2. The health emergency safeguard mechanism to create the effect(1)Hospital in total assets, beilun people’s hospital outpatient visits, the number of discharges, the length of surgery, the scientific research item number, the number of beds, masses satisfaction increase, respectively,496%,83.3%,64.3%,83.3%,1000%,100%and6.5%; Comprehensive evaluation for the optimal in2012.(2) Health emergency supplies reserves and higher security level of funds. District health bureau, the centers for disease control and prevention, health supervision and people’s hospital in physical reserves amount, daily budget expenses, health contingency reserve, temporary additional funds invest growth rates are higher than the entire province average growth rate of similar units. 3. The health emergency ability quality to create the effect(1)Health emergency team business knowledge has significant increase.51acute infectious disease before and after the health emergency personnel to create test scores increased from an average of47.39points to56.73points, each individual grades improve in different degrees.(2) The grassroots health emergency drill evaluation condition overall is good. After creating the health emergency drills score increased from an average of71.56points to87points.4. The effectiveness of public participation of creation(1)The public health emergency knowledge mastered well.12health emergency mastering related knowledge increased from59.4%to65.4%, the answer accuracy increased by10.2%. Found a large number of dead livestock problem solving accuracy increased by32.4%. Families are prepared ahead of disaster emergency problem solving accuracy increased by61.1%, the remaining10knowledge to master degree rise is not significant.(2) Students are more familiar with the knowledge about health emergency. Eight health emergency relevant basic knowledge of master degree increased from58.6%to78.6%, the answer accuracy increased by34.1%. Among them, the prevention of respiratory infectious diseases, the fire escape and other six major kinds of knowledge to be mastered better; The result of two points in mastering the knowledge of escaping from traffic and flood escape is not significant.ConclusionsGrasp the status and development trend of the local health emergency work; Find the weakness in the creation process; Confirmed the create work to promote the local health emergency ability and level; Should the situation has formed the health emergency work.