A Study On The Index System Of Emergency Service Capacity Of Primary Health Care Institutions In Severe Infectious Diseases

After the new medical reform,primary health care institutions assume the dual responsibility of basic public health services and basic medical services,and play an important role in promoting graded diagnosis and treatment,meeting people’s basic health service needs,and implementing the "Healthy China" strategy.After the outbreak of COVID-19,the lack of emergency service capacity of some primary health care institutions has been highlighted,such as medical crowding and lack of epidemic prevention supplies emerged.In the post-epidemic era,it is important to construct a measurement index system for the emergency service capacity of primary health care institutions,and to improve the emergency service capacity of primary health care institutions on this basis,which is a fundamental study to strengthen the public health and medical services at the primary level in China.Firstly,this study analyzed the current situation of the supply of emergency service capacity of primary health care institutions during COVID-19,based on the New Public Service Theory and Public Service Equalization Theory,using a mixed research method combining questionnaires and in-depth interviews.On the one hand,the questionnaire survey found that the problems of emergency service capacity of primary health care institutions include:insufficient quality medical resources,uneven level of nucleic acid testing,large disparity in the amount of emergency supplies stockpiled,and significant regional differences in financial levels.On the other hand,in-depth interviews further supplemented to reveal the shortcomings of the emergency service capacity of primary health care institutions,which were reflected in:insufficient flexibility of emergency mechanism,insufficient professionalism of emergency personnel,and insufficient advancement of emergency technology.Second,based on the identified problems,this study used the Delphi method to construct a three-level indicator system designed to evaluate the emergency service capacity of primary health care institutions in major infectious disease response.Based on the normalized indicators,the index system combined the findings of questionnaires and interviews to add emergency category indicators to measure the ability to provide emergency medical and health services under severe infectious diseases,and the final index system included four first-level indicators of public health services,medical services,medical security,medical supplies and drug supply security,9 secondary indicators of health emergency service capacity,health service capacity,medical service supply capacity,medical accessibility of services,effectiveness of basic medical insurance,emergency medical security capacity,drug stockpile mechanism,drug stockpile capacity,drug supply capacity,and 39 tertiary indicators.Finally,based on the questionnaire survey data,in-depth interview information,and analysis of the weight of the index system,this study proposed policy suggestions for improving the emergency service capacity of primary health care institutions.Local governments and corresponding departments should work together in a multifaceted manner to optimize the medical resource reserve system,improve the professionalism of health emergency personnel,upgrade the modernization of emergency technology,innovate the supply methods of emergency services,and strengthen post-evaluation and improvement,so as to promote the level of equalization of primary health care services in severe infectious diseases.