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院前急救医师配置缺口的测算方法和结果——以上海为例
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| 投稿时间： 2015-07-21 最后修改时间： 2015-08-09 摘要点击次数: 2404 全文下载次数: 6 |
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| 引用本文：温伟军, 金超, 侯磊,等.院前急救医师配置缺口的测算方法和结果——以上海为例[J].中国卫生政策研究,2015,8(9):75-78 |
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| 温伟军1, 金超1, 侯磊1, 熊雪晨1, 朱勤忠2, 张瑜2, 罗力1 |
1. 复旦大学公共卫生学院 上海 200032;
2. 上海市医疗急救中心 上海 200233 |
| 基金项目:上海市卫生计生委委托项目——基于地理信息技术的卫生资源规划决策支持系统研究(2014—Z—M02) |
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| | 摘要:本文研制院前急救医师配置缺口的测算方法并对上海市的急救医师配置缺口进行测算。以减少迟缓派车现象为目标,通过分析上海市市区近两年的迟缓派车数据来获得上海市市区急救医师缺口的数量,并推广至整个上海市。课题组研制出了峰值法,该方法建立了急救医师增量与减少迟缓派车次数的数量关联。峰值法采用描述统计方法,运用SAS软件编程对原始数据进行分析,具有良好的信度和效度。课题组使用峰值法对上海市2013年、2014年的迟缓派车数据进行分析,结果发现增加40辆值班车次(381名急救医师)可将迟缓派车率从25.61%降至0.22%。建立了增加急救医师与减少迟缓派车次数的数量关联,为决策提供了科学依据。 | |
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关键词:院前急救 急救医师 迟缓派车
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| The calculation method and pre-hospital emergency physician allocation gap in Shanghai |
| WEN Wei-jun1, JIN Chao1, HOU Lei1, XIONG Xue-chen1, ZHU Qin-zhong2, ZHANG Yu2, LUO Li1 |
1. School of Public Health, Fudan University, Shanghai 200032, China;
2. Shanghai Emergency Medical Center, Shanghai 200233, China |
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| | Abstract:This study aimed to develop the calculation method of pre-hospital emergency physician allocation gap and apply it to Shanghai. In order to reduce the ambulance dispatch lag frequency, through the analysis of its data in the Shanghai urban area, the research group obtained the gap and extended the data to Shanghai city. The peak method establishes the association between pre-hospital emergency physician increment and the ambulance dispatch lag decrement. Based on descriptive statistics, the peak method by which the Shanghai ambulance dispatch lag data were analyzed uses the SAS programming software. This method of using programming software provides it with good reliability and validity. After an increase of 40 duty vehicles (381 pre-hospital emergency physicians), the ambulance dispatch lag ratio would drop from 25.61 percent to 0.22. Therefore, the association between the pre-hospital emergency physician increment and the ambulance dispatch lag decrement was established and can provide a scientific evidence for the policy formulation. | |
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