乡镇卫生院急救服务能力与空间可及性实证研究——以四川省富顺县农药中毒急救服务为例

目的:以四川省自贡市富顺县为例,探究乡镇卫生院急救服务能力状况,并以农药中毒的急救为例,了解急救点空间可及性。方法:在富顺县城集中26所乡镇卫生院负责人,采用自编问卷了解急救服务相关情况;收集行政区划、水系路网、人口分布、急救点位置等数据,基于GIS软件平台运用行进成本法定量测量急救点空间可及性。结果:富顺县能够开展指定抢救项目的医院所占比例较低;农药中毒急救点平均可达时间为13.57分钟,可达性较差的地区主要分布在富顺县西南边界。结论:富顺县乡镇卫生院急救资源软硬件水平均较低,乡级急救网络亟待健全;提高急救点空间可及性可考虑在县域西南边界增加急救点数量或加强路网建设;利用GIS技术评价急救点空间可及性直观易懂、具有可操作性。

Capability and spatial accessibility of the emergency service at township hospitals in Fushun county,Sichuan

Objective:To understand the capability of the emergency service at township hospitals in Fushun county and take emergency treatment of pesticide poisoning in Fushun as an example to measure the spatial accessibility of the emergency service center. Methods:Gathered the heads of 26 township hospitals,using self compiled questionnaire to collect emergency services data;basic data including administrative districts, hydrographic net, road network, population distribution and the position of the first aid post were collected, Travel cost method was used to quantitatively measure the emergency service spatial accessibility based on GIS platform. Results:The proportion of hospitals that are able to carry out rescue projects is low;it takes 13.57minutes on average from a residential area to a first aid post of pesticide poisoning in Fushun. The regions with poor accessibility of the first aid post are mainly distributed in the southwest boundary. Conclusion:The hardware and software level of emergency resources of township hospitals in Fushun were lower;Township emergency network need to be improved;That using GIS to assess the accessibility of the first aid post is intuitive and easy to operate.