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引用本文:周奕男, 陆璇, 戴臻, 沈宏, 朱勤忠, 罗力.急救站点规划方法及实证研究[J].中国卫生政策研究,2016,9(3):69-73
急救站点规划方法及实证研究
投稿时间:2015-11-29  修订日期:2016-02-18  PDF全文浏览  HTML全文浏览
周奕男1, 陆璇2, 戴臻3, 沈宏2, 朱勤忠4, 罗力1
1. 复旦大学公共卫生学院 上海 200032;
2. 上海市嘉定区卫生和计划生育委员会 上海 201899;
3. 上海市嘉定区医疗急救中心 上海 201808;
4. 上海市医疗急救中心 上海 200233
摘要:目的:研制新增急救站点数量、选址以及配置车辆数的方法并进行可视化表达,为急救站点资源合理布局的直观显示与定位提供参考。方法:本文基于应用地理信息系统软件平台,通过专家咨询、模拟认证等研制新增急救站点及车辆配置的方法。结果:以服务区覆盖面积,服务区覆盖人口数为指标,提出新增8个急救站点。规划后,J区急救站点覆盖急救呼叫数比例82.6%,较规划前增加19.7个百分点;服务区覆盖面积比例45.5%,较规划前增加22.6个百分点,并测算了规划后各个急救站点车辆配置数。讨论:本文研制的急救站点规划方法能够有效提高J区居民对院前急救服务的可及性;方法的信度和效度较高;可视化表达直观、易懂,接受度高;方法可操作性较好,已得到J区卫生部门应用推广。
关键词:急救  急救车  规划  地理信息系统
基金项目:教育部哲学社会科学研究重大课题攻关项目(15JZD029)
Emergency site planning approach and empirical research
ZHOU Yi-nan1, LU Xuan2, DAI Zhen3, SHEN Hong2, ZHU Qin-zhong4, LUO Li1
1. School of Publlic Health, Fudan university, Shanghai 200032, China;
2. Jiading Municipal Commission of Health and Family Planning, Shanghai 201899, China;
3. Jiading Medical Emergency Center, Shanghai 201808, China;
4. Shanghai Medical Emergency Center, Shanghai 200233, China
Abstract:Objective:Taking J District of S city as an example, this paper aimed to develop a method to plan the number, location and ambulances needed on the emergency sites. Methods:Adopting the geographic information system software platform, visualize the development of the new sites and emergency vehicles configuration through expert advice, certification and other simulation methods. Results:The service area coverage and which covers a number of population indicators proposes new 8 emergency sites. After planning, J district's emergency sites covering a ratio of 82.6% of emergency call number, an increase of 19.7 percent points compared with that before planning; service area coverage ratio of 45.5%, an increase of 22.6 percent points compared with that before the planning and calculation of various emergency site vehicle configuration data after planning. Discussion:The results show that the emergency sites planning method developed in this paper can effectively increase the pre-hospital emergency service availability for J district residents; both this method's reliability and validity are high; visual expression leading the method to be intuitive and easily understood and accepted; J area health sector has got the plan applied for promotion based on the preferable operability.
Key words:First aid  Ambulance  Planning  Geographic information system (GIS)
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