兰州市120急救网络资源调查与分析

2008年9～10月，甘肃省紧急医疗救援中心对兰州市的“120”急救网络进行了现场调查和问卷调查。结果发现，该网络所属22家医疗单位（1家急救中心，9家直属分中心，10家依托型分站，9所网络医院）仅能覆盖4个城区，而3个远郊县和红古区仍未被覆盖。22家单位中，17家（77．3％）有专职院外急救人员：有专职院外急救人员者的平均急救反应时间和平均急救反应间期分别为2．9min和12．2min，均显著短于无专职院外急救人员者（分别为4．9min和17．1min）。平均急救半径为4km。院外急救人员共176人，其中98人（55．7％）为临聘人员，86．4％的年龄在30-40岁，68．8％的学历在本科以上，76．7％的职称为住院医师，18．8％为主治医师，4．5％为副主任人医师和主任医师。每10万人拥有救护车2．4辆，床位13．0张，专职人员9．5人。兰州市的急救资源分布极不均衡，因为急救不能带来经济效益，依托型医院多不愿作投入，政府在这方面的投入也很不足。

Resources of 120 emergency treatment network in Lanzhou, Gansu Province

In September to October 2008, an on-the-spot investigation and a questionnaire survey were conducted, and relevant technical data were consulted so as to understand the resources of the ＂120＂ emergency treatment network in Lanzbou, Gansu Province. It was revealed that this network, including 22 medical institutions： an emergency center, 9 sub-centers directly affiliated thereto, 10 sub-centers relying thereupon, and 9 network hospitals, just covered the 4 urban districts, however, the 3 districts in remoter outskirts and the Honggu District still lacked emergency network. Seventeen of the 22 institutions （77.3%） had their own specialized pre-hospital staff. The average emergency response time and emergency response interval of those institutions with specialized pre-hospital staff were 2.9 ruin and 12.2 rain respectively, both shorter than those of the institutions without specialized pre-hospital emergency treatment staff （4.9 min and 17.1 rain respectively）. The average radius of emergency treatment is 4 kin. Among the 176 specialized pre-hospital first aider, 98 were temporarily employed members （55.7%）;86.4% were 30-40-years old; more than 68.8% had the academic degrees of bachelor or above; and 76.7% were resident physicians, 18.8% were attending physicians, 4.5% were and associate chief physicians or above. There were 2.5 ambulances, 11.9 emergency treatment beds, and 9.5 first aid professionals for every 100 thousand residents. It is concluded that the emergency treatment resources in Lanzhou are distributed unevenly, the reliance-type sub-centers and network hospitals are unwilling to invest much to emergency treatment because it fails to carry obvious economic benefit, and that the government funding for emergency treatment is insufficient.