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目的探讨促进实现基本公共卫生服务均等化,为急危重症患者提供及时、高效的现场急救和安全的监护转运方案。方法采用电子问卷普查的调查方法收集资料,对我国院前医疗急救资源进行分析研究。结果对我国院前医疗急救机构2009年的基本情况及运行状况等方面的调查显示,全国“120”急救电话开通率为94.16%,但计算机调度系统的拥有率仅为24.54%;编制内人员仅占在岗总人数的71.75%;平均每个院前医疗急救机构的总收入177.10万元,总支出190.12万元;每个院前医疗急救机构仅有4.86辆救护车、1.52台呼吸机、1.79台除颤仪、2.12台心电图机;平均回车率达14.00%。结论我国院前医疗急救资源不足,必须增加财政投入和补充急救人员数量,合理配置并有效利用院前医疗急救资源。
Objective To explore ways to promote the equalization of basic public health services and provide prompt and efficient on-site first aid and safe custody transfer programs for critically ill patients. Methods Electronic survey questionnaire survey method to collect data on our hospital pre-hospital emergency resources for analysis. Results The survey of the basic situation and operating conditions of prehospital medical emergency agencies in 2009 showed that the opening rate of emergency telephones was 94.16% in the whole country but the percentage of computer dispatching system was only 24.54% Personnel only accounted for 71.75% of the total number of posts; the average income of each pre-hospital medical aid agencies, the total income of 17710000 yuan, the total expenditure of 1901200 yuan; each pre-hospital medical aid agencies only 4.86 ambulances, 1.52 ventilators, 1.79 units defibrillator, 2.12 sets of ECG machines; average return rate of 14.00%. Conclusion In our country, there is not enough resources for pre-hospital emergency medical treatment. We must increase financial input and supplement the number of emergency workers so that we can rationally allocate and effectively use pre-hospital medical emergency resources.