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目的了解《浙江省犬伤门诊评审标准(试行)》(浙卫发〔2010〕50号)实施以来各地犬伤门诊建设进度及遇到的困难和问题,进一步完善相关标准,更好地开展犬伤门诊规范化建设。方法制定调查方案、设计调查表,由统一培训的调查员对全省范围内所有犬伤门诊开展现场调查,采用EpiData 3.0软件建立数据库,Excel软件进行数据分析。结果2011年全省共有703家犬伤门诊,其中79.23%设在乡镇卫生院,26.46%为独立设置,68.71%具有完整五大功能分区,9.39%的门诊面积<15 m2,39.12%的门诊无冷热双相供水,8.96%的门诊甚至无伤口冲洗设备,3.27%的门诊无急救药品配备,平均每家犬伤门诊医护人员7人,5.85%的门诊在节假日和夜间无医护人员配备。结论与2008年相比,浙江省犬伤门诊的整体规范化有所提高,但各地规范化建设进展不平衡,需加强人群犬伤暴露后卫生服务可及性研究,重新考量犬伤门诊的分布、数量和配置。
Objective To understand the progress and difficulties encountered in the construction of dog outpatient clinics in various parts of Zhejiang Province since the implementation of the “Criteria for Evaluation of In-patient Outpatient Visits in Zhejiang Province (Trial)” (Zhejiang Weifa [2010] No. 50), and to further improve relevant standards and better develop dogs Injury clinic standardized construction. Methods To develop a survey program and design a questionnaire. Investigators from a unified training field conducted field surveys on all dogs outpatient clinics within the province, and used EpiData 3.0 software to establish a database and Excel software to conduct data analysis. Results In 2011, there were 703 canine outpatient clinics in the province, of which 79.23% were located in township hospitals, 26.46% were independently set up, 68.71% had five complete functional divisions, 9.39% outpatient clinics <15 m2, 3.12% clinically cold Hot dual-phase water supply, 8.96% outpatient or even no wound washing equipment, 3.27% outpatient emergency medical equipment, an average of 7 dog outpatient medical staff, 5.85% of outpatient holidays and night without medical staff. Conclusion Compared with 2008, the general standardization of dog clinic in Zhejiang Province has been improved. However, the standardization of construction in various places is not balanced. It is necessary to study the accessibility of health services to dogs after being exposed to canine injuries and to re-examine the distribution, And configuration.