云南省院外急救资源调查分析与对策

目的为促进实现基本公共卫生服务均等化，提供迅速、准确、有效的现场急救和安全的监护转运，为医院内的救治赢得时机。方法采用填写急救资源调查表调查的方法，从急救中心的急救人员保障、运转资金保障、救护车与医疗装备保障等方面进行研究，分析存在的问题，提出合理、有效的对策。结果截止2008年底，云南省基本上已建立了省级、州（市）级、县（市、区）级三级院外急救网络。但全省急救中心的财政经费投入和从事院外急救工作的人员均不足，在岗总人数中编制内人员占48％、编制外人员占52％；“120”急救电话开通率达73．8％，计算机调度系统的拥有率仅为3．2％；急救中心救护车和医疗设备也不足，州（市）级急救中心平均有救护车4．6辆、随车医疗设备不足4套，县（市、区）级急救中心平均只有救护车1．3辆、随车医疗设备不足1套。结论云南省院外急救资源极其缺乏，必须增加人员编制，保障运行经费，建立先进的调度系统，装备相应的救护车和医疗设备，实现院外急救资源的合理配置；通过强化管理职能，完善管理制度，进行规范化培训，提高院外急救水平和应对突发事件医疗救援的能力，实现院外急救资源的有效利用。

Medical resources of emergency medical centers in Yunnan Province

Objective To investigate the medical resources of emergency medical centers in Yunnan Province. Methods A questionnaire survey was conducted among 129 emergency medical centers at different levels in Yunnan Province to collect the data about personnel, funds for operation, ambulance, medical equipments, etc. Results Up to 2008, 119 effective questionnaires were collected. There were 1859 staff members on the pay roll, accounting for 48% of the staff members, less than those not on the permanent staff, 966 persons accounting for 52%. 120 emergency telephone call system had been built in all emergency medical centers at the provincial and prefecture/city levels, only 4 of which were equipped with computer dispatch system. Of the 110 emergency medical centers at the county/district level only 77 had built their own 120 emergency telephone call systems, all without computer dispatch system. Totally 73.8% of the emergency medical centers in Yunnan had established their 120 emergency call service system, and only 3.2% of them had computer dispatch system. There were 4.6 ambulances and less than 4 sets of medical equipments carried by ambulance in the emergency medical centers at the prefecture/city level; and there were only 1.3 ambulances and less than 1 set of medical equipments carried by ambulance on average in the emergency medical centers at the county/district level. Conclusion There is a deficiency in personnel, operation funds, square area for professional operation, and pre-hospital emergency equipments in the emergency medical centers in whole Yunnan Province. The working conditions are poor, and dispatch system is backward. More attention should be paid to the management and building of emergency medical centers so as to strengthen their pre-hospital emergency medical care.