[1]范晓彧马骏郎毓倩.突发公共卫生事件应对中区域性医疗中心韧性建设的实践与探索：以上海某区属三级综合性医院为例[J].中国卫生质量管理,2022,29(12):105-109.[doi:10.13912/j.cnki.chqm.2022.29.12.23 ]
　FAN Xiaoyu,MA Jun,LANG Yuqian.Practice and Exploration of Resilience Construction of Regional Medical Center in Public Health Emergency Response: A Case Study of a District Tertiary General Hospital in Shanghai[J].Chinese Health Quality Management,2022,29(12):105-109.[doi:10.13912/j.cnki.chqm.2022.29.12.23 ]
点击复制

突发公共卫生事件应对中区域性医疗中心韧性建设的实践与探索：以上海某区属三级综合性医院为例
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年12期
页码:
105-109
栏目:
一切为了人民健康——我们这十年
出版日期:
2022-12-28

文章信息/Info

Title:
Practice and Exploration of Resilience Construction of Regional Medical Center in Public Health Emergency Response: A Case Study of a District Tertiary General Hospital in Shanghai
作者:
范晓彧马骏郎毓倩
上海交通大学医学院附属同仁医院
Author(s):
FAN Xiaoyu; MA Jun; LANG Yuqian
Tongren Hospital, School of Medicine
关键词:
韧性建设; 突发公共卫生事件; 新冠肺炎疫情; 区域性医疗中心
Keywords:
Resilience Construction; Public Health Emergencies; COVID-19; Regional Medical Centers
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2022.29.12.23
文献标志码:
B
摘要:
目的通过增强区域性医疗中心韧性建设，应对由新冠肺炎疫情引发的重大突发公共卫生事件。方法引入组织韧性建设理论，以T医院为例，通过保持核心医疗功能，储备和调拨人力和物资，快速响应、快速处置，灵活适应现状或再造新状态等策略，展现出医院在危机中抵抗、吸收、恢复、适应、变革与创新的能力。结果在2022年上半年上海本土新冠疫情暴发所引发的危机中，T医院展现出了关键韧性特征，不仅让新冠肺炎患者获得了及时的筛查、救治，圆满完成了各项政府指令性保障任务，还保证了市民的正常就医需求，有效控制了院内感染。结论对于规模、资源有限的区域性医疗中心，实施韧性治理策略，有助于前瞻性克服组织在应对突发公共卫生事件中的脆弱性、易损性，提升综合能力，实现医院的可持续发展。
Abstract:
ObjectiveTo strengthen the resilience construction of regional medical center to respond to major public health emergencies caused by COVID-19. MethodsTaking T Hospital as an example, the theory of organizational resilience construction was introduced to demonstrate the ability of the hospital to resist, absorb, recover, adapt, change and innovate in crisis by maintaining core medical functions, reserving and transferring manpower and materials, responding quickly and disposing quickly, flexibly adapting to the current situation or reconstructing the new state.ResultsIn the crisis caused by the outbreak of COVID-19 in Shanghai in the first half of 2022, T Hospital showed key resilience characteristics. It not only enabled COVID-19 patients to receive timely screening and treatment, successfully completed various government mandated security tasks, but also ensured the normal medical needs of citizens, and effectively controlled nosocomial infection.Conclusion For regional medical centers with limited scale and resources, implementing the strategies of resilient governance will help to prospectively overcome the fragility and vulnerability of organizations in dealing with public health emergencies, improve their comprehensive ability, and realize the sustainable development of hospitals.

参考文献/References:

［1］World Health Organization. Strategic plan 2016-2020: investing in knowledge for resilient health systems［EB/OL］. (2016-03-31) ［2021-11-10］.http://www.who.int/alliance-hpsr/news/2016/sp2016/en. ［2］ALEXANDER DE. Resilience and disaster risk reduction: an etymological journey［J］. Natural Hazards and Earth System Sciences,2013,13(11):2707-2716. ［3］ZHONG S，CLARK M，HOU XY，et al． Development of hospital disaster resilience: conceptual framework and potential measurement［J］．Emerg Med J，2014，31(11) : 930-938． ［4］BARBASH IJ，KAHN JM． Fostering hospital resilience-lessons from COVID-19［J］.JAMA，2021，326( 8) : 693-694． ［5］周一丹,宁宁,周文婧,等.冗余性视角下医院应对重大突发公共卫生事件的韧性提升策略［J］.中国医院管理,2021,41(10):61-64. ［6］吴昕霞,王媛媛,刘温文,等. 以医院为基础的新发重大传染病应急响应机制研究［J］.中国医院管理,2022,42(3):17-19. ［7］周利敏,原伟麒.迈向韧性城市的灾害治理：基于多案例研究 ［J］.经济社会体制比较,2017(5):22-33. ［8］单雪芹,曹鹏,王兵侠,等. 医院应急处置突发公共卫生事件的韧性体系建设策略［J］.中华卫生应急电子杂志,2021,7(6):371-373. ［9］王秋芳,李婷,倪士光.软韧性视角下积极韧性医院模型构建研究［J］.中国医院管理,2022,42(1):68-71. ［10］陈江,肖良成,李礼安,等.后疫情时期公立医院单体多院区发展的实践与探索［J］.中国卫生质量管理,2022,29(2):103-106. ［11］AHMED S．The resilience dividend:Being strong in a world where things go wrong［J］．Ｒesilience，2017，5(3):222-228． ［12］朱正威,刘莹莹.韧性治理:风险与应急管理的新路径［J］.行政论坛,2020,27(5):81-87.

相似文献/References:

[1]陶然 李萍.突发公共卫生事件应急救援护士自我评价调查[J].中国卫生质量管理,2018,25(05):013.[doi:10.13912/j.cnki.chqm.2018.25.5.05]
[2]杜汋 王延赏 杨雪倩 王焕 姜凡晓 张竞超 黄国伟.医疗机构应对突发公共卫生事件能力评估策略研究[J].中国卫生质量管理,2019,26(06):122.[doi:10.13912/j.cnki.chqm.2019.26.6.33]
[3]贺华葛名欢冯加锐余铃程少华吴耀贵颜利晶王熇生 胡航源张锐任俊马宗奎沈波.新冠肺炎医疗应急管理问题分析及对策研究[J].中国卫生质量管理,2020,27(04):001.
　HE Hua,GE Minghuan,FENG Jiarui,et al.Reaearch on Problems and Countermeasures of Medical Emergency Management of 2019 Novel Coronavirus Pneumonia[J].Chinese Health Quality Management,2020,27(12):001.
[4]喻丹钱招昕*潘频华李丽张丽娜刘龙飞.应急状态下临时病区医疗质量控制策略探析[J].中国卫生质量管理,2020,27(04):005.
　YU Dan,QIAN Zhaoxin,PAN Pinhua,et al.Analysis of Medical Quality Control Strategy in Temporary Wards under Emergency Condition[J].Chinese Health Quality Management,2020,27(12):005.
[5]王海银陈颖王晓雯程文迪符雨嫣金春林.国际突发公共卫生事件综合监测启示与思考[J].中国卫生质量管理,2020,27(04):119.
　WANG Haiyin,CHEN Ying,WANG Xiaowen,et al.Implications and Reflections on Comprehensive Monitoring of International Public Health Emergencies[J].Chinese Health Quality Management,2020,27(12):119.
[6]王晓雯金春林程文迪陈颖符雨嫣王海银.日本急性传染病和突发公共卫生事件综合监测及应对体系介绍与启示[J].中国卫生质量管理,2020,27(04):127.
　WANG Xiaowen,JIN Chunlin,CHENG Wendi,et al.Experience of Comprehensive Surveillance and Response System for Acute Infectious Diseases and Public Health Emergencies in Japan[J].Chinese Health Quality Management,2020,27(12):127.
[7]程文迪金春林王晓雯陈颖符雨嫣王海银.湄公河流域疾病监测网络综合监测经验及启示[J].中国卫生质量管理,2020,27(04):131.
　CHENG Wendi,JIN Chunlin,WANG Xiaowen,et al.Experience and Enlightenment of Comprehensive Surveillance of the Mekong Basin Disease Surveillance[J].Chinese Health Quality Management,2020,27(12):131.
[8]王晓雯 金春林 程文迪 陈颖 符雨嫣 王海银.美国急性传染病和突发公共卫生事件综合监测和应对系统分享[J].中国卫生质量管理,2020,27(05):110.
　WANG Xiaowen,JIN Chunlin,CHENG Wendi,et al.Experience of Comprehensive Surveillance and Responding System for Acute Infectious Disease and Public Health Emergency in America[J].Chinese Health Quality Management,2020,27(12):110.
[9]符雨嫣 金春林 程文迪 王晓雯 陈颖 王海银.我国香港地区突发公共卫生事件综合监测经验与启示[J].中国卫生质量管理,2020,27(05):114.
　FU Yuyan,JIN Chunlin,CHENG Wendi,et al.Experience and Enlightenment of Comprehensive Monitoring of Public Health Emergencies in Hong Kong[J].Chinese Health Quality Management,2020,27(12):114.
[10]程文迪 金春林 王海银.我国台湾地区突发公共卫生事件管理机制及综合监测经验与启示[J].中国卫生质量管理,2020,27(05):118.
　CHENG Wendi,JIN Chunlin,WANG Haiyin.Experience and Enlightenment of Management Mechanism and Comprehensive Surveillance of Public Health Emergencies in Taiwan China[J].Chinese Health Quality Management,2020,27(12):118.

更新日期/Last Update: 2022-12-28