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目的探讨山体滑坡灾后居民安置点医疗保障工作的具体做法,以期为灾后医疗保障工作提供借鉴。方法以“12·20”深圳山体滑坡居民安置点医疗保障工作的实践和数据为依据,对应急预案的制订、医疗保障工作的开展进行回顾性归纳和整理。结果 (1)在11个灾后居民安置点开展为期21 d的医疗保障工作,每天派出医护人员66人次,共安排医护人员1188班次,安置1269名受灾群众,对775名受灾群众进行心理健康教育和心理疏导,将83名受灾群众转运至上级医院进行诊治。(2)医疗保障区域无传染病病例报告,无聚集性疫情发生,无突发公共卫生事件报告。(3)各医疗保障点运作顺畅,应急保障工作到位,累计诊疗人数954人次,诊疗病种前五名的分别是上呼吸道感染、焦虑症、高血压(病)、肠胃炎和皮炎。结论灾后居民安置点应有其科学、合理的应急预案和运行机制,规范化的应急预案可以提高医疗保障效率。
Objective To explore the specific practices of medical security work for residential settlements after landslide landslide so as to provide reference for the post-disaster medical security work. Methods Based on the practice and data of “12 · 20” Shenzhen mountain landslide settlements medical insurance work, the emergency response plan formulation and medical insurance work were retrospectively summarized and sorted out. Results (1) The 21-day medical insurance work was carried out in 11 post-disaster resettlement sites. 66 medical staffs were dispatched daily, 1188 medical staff were arranged, 1,269 affected people were resettled, 775 affected people were educated for mental health and Psychological counseling, 83 affected people will be transported to the higher hospital for diagnosis and treatment. (2) Reported cases of non-contagious diseases in medical security area, no cluster epidemic situation, no public health emergencies report. (3) The medical insurance points operated smoothly and the emergency support work was in place. The total number of clinics was 954 and the top five clinics were upper respiratory tract infection, anxiety, hypertension, gastroenteritis and dermatitis. Conclusion Residents settlements should have their scientific and reasonable contingency plan and operation mechanism after disaster and the standardized emergency plan can improve the efficiency of medical insurance.