南京市白下区住宿业实施公共场所卫生监督量化分级管理效果评估

目的探讨上海市浦东新区祝桥镇公共场所卫生监督量化分级管理的效果，防止突发性公共卫生事件发生，提高公共场所的卫生监督效率。方法2018年在浦东新区祝桥镇随机抽取200家公共场所进行卫生监督量化分级分析。量化分级项目包含公共场所各项法规制度、控烟工作和用具清洗消毒规程等，根据得分结果将公共场所卫生评定为A、B或C级。采用单因素和多因素条件logistic回归模型找出影响公共场所卫生监督量化分级效果的相关因素。结果200家公共场所量化分级监督前后公共场所相关知识得到了提升。经单因素和多因素条件logistic回归分析，最终筛选出公共场所卫生监督量化分级管理效果的3个相关因素为未持有有效的健康证(OR=1.121，P=0.026)、公共场所内摆放烟灰缸(OR=1.012，P=0.032)、未做卫生检测报告(OR=1.412，P=0.012)。结论公共场所卫生监督量化分级影响因素主要与未持有有效的健康证、公共场所内摆放烟灰缸和未做卫生检测报告有关。今后要重点加强公共场所这几方面的卫生督导。

Effect analysis of quantified and graded management of health supervision in some public places of Shanghai Pudong New Area

ObjectiveIn order to strengthen health supervision and management of public places and prevent occurrence of sudden public health events, we explored the effect of quantified and graded management of public places health supervision in Pudong New Area, Shanghai, and drew relevant research results, improving the efficiency of supervision and management in public places.MethodsIn 2018 from Zhuqiao Town of Pudong New Area Zhuqiao, 200 public places were randomly selected for quantified and graded management of health supervision and quantitative grading including public regulations, tobacco control and appliances, cleaning and disinfection procedures, and according to the score of evaluation results, public health levels A, B, C were rated for those public places.Single factor and multi factor conditional logistic regression model were used for comprehensive analysis to identify related factors affecting the quantitative and graded effect of public health supervision.ResultsWith regard to quantitative and graded health supervision, the relevant knowledge in the 200 public places was updated.By univariate and multivariate conditional logistic regression analysis of multiple factors were ultimately selected 3 factors for public health supervision and quantitative grading management:with or without a health certificate valid (OR=1.121, P=0.026), with or without ashtrays placed in public places (OR=1.012, P=0.032), with or without health inspection report (OR=1.412, P=0.012).ConclusionThe influencing factors of quantifying hygienic supervision in public places are mainly effective health certificates, ashtrays in public places and health inspection reports.In future, health supervision of public places should be enhanced in this regard.