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目的从中国国际救援队多次执行国内外医学救援任务中分析防疫力量、物资投入的有效性、预防的低效性和非持久性,是救灾工作的核心和关键问题。方法针对国内外灾害医学救援医务人员存在“标准预防”概念与“防护标准”认识混淆误区,结合卫生防疫现状和预防理念,运用科学高效可持续质量改进的方法,进行分析和总结。结果提出灾害应急救援早期开展主动卫生防疫策略新思路,制定了一套主动卫生防疫策略系列保障体系,明确责任和规范标准化保障方案。结论完善人才素质培养、知识技能培训,将专业基础知识、解决问题能力、防疫技能操作,作为平时基础内容、卫勤必训课程、战时技能掌握,成为防疫骨干通科人才,提升救援队灾害医学救援中卫生防疫能力和水平。
Objective To analyze the effectiveness of epidemic prevention, the effectiveness of material inputs, the ineffectiveness of prevention and the non-permanence of China’s international aid teams from many medical aid missions at home and abroad, which are the core and key issues of disaster relief. Methods Based on the concept of “standard precaution ” and “standard of prevention ”, confusion and misunderstanding of “standard precaution ” and domestic and international disaster medical rescue medical personnel, combined with the status of health and epidemic prevention and the concept of prevention, the use of scientific and efficient sustainable quality improvement methods to analyze and summarize . Results A new idea of active health and epidemic prevention strategy was put forward in the early stage of disaster emergency rescue and a set of active health and epidemic prevention policy series safeguards system was formulated to clarify responsibilities and standardize the standardization safeguard scheme. Conclusion Improve the quality of personnel training, knowledge and skills training, the professional basic knowledge, problem solving skills, operation of epidemic prevention skills, as the usual basic content, attendance training courses, wartime skills to become a master of epidemic prevention backbone to enhance the disaster relief team Medical rescue capacity and level of health and epidemic prevention.