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中文摘要: 摘 要：目 的 ：了解淄博市农村地区院前急救现状，分析其存在的问题，为优化农村急救服务、推动城乡急救服务均衡 发展提供依据。方法：2016—2024年，每年的5月、11月分别对淄博市设置在沂源县、博山区、淄川区、临淄区、桓台县、 高青县的全部19处农村急救点，通过实地走访、座谈交流等方式展开调研，了解农村急救点在机构建设、政策支持、人员 配置、车辆运行等方面的现状和基本情况，结合各区域农村急救点出车占比、急救反应时间、急救站点转出率等核心指标， 比较不同急救模式的特点。结果：19处农村急救点中，运行模式为独立型的有10处、融合型的有4处、派驻型的有5处。 淄博市农村急救车出车次数由2016年的8176次上升至2024年的34788次，农村急救点急救车的出车占比由2016年5.59% 上升到2024年的23.00%。患者转出情况数据显示，2024年独立型急救点患者转出率最高为98.95%,派驻型急救点最高为 90.25%,融合型急救点最高为92.52%。结论：淄博市农村急救点综合实力有待提高，同时还存在院前急救队伍不稳定、派 驻型急救点参与度不高、急救车辆配置不到位、急救覆盖范围存在空白区域等问题，政府应加大财政投入力度，支持农村急 救网点建设工作，同时完善院前急救队伍建设。
Abstract:Abstract: OBJECTIVE To understand the current situation of pre-hospital emergency medical services(EMS)in rural areas of Zibo,analyze existing problems,and provide a basis for optimizing rural emergency services and promoting balanced development of urban and rural emergency services. METHODS A survey was conducted on all 19 rural emergency stations located in six districts/ counties of Zibo:Yiyuan County,Boshan District,Zichuan District,Linzi District,Huantai County,and Gaoqing County every May and November from 2016 to 2024.Field visits,interviews,and discussions were carried out to investigate the current status and basic conditions of these rural emergency stations in terms of institutional construction,policy support,personnel allocation,and vehicle operation.Key indicators such as the proportion of emergency responses dispatched from rural stations,emergency response time,and patient transfer rates were compared across different emergency service models.RESULTS Among the 19 rural emergency stations,10 operated under an independent model,4under an integrated model,and 5under a dispatched model.The number of rural emergency ambulance dispatches in Zibo increased from 8,176 in 2016 to 34,788 in 2024,and the proportion of dispatches from rural emergency stations rose from 5.59%in 2016 to 23.00%in 2024.Patient transfer data showed that the independent model had the highest patient transfer rate(98.95%),followed by the integrated model(92.52%),and the dispatched model(90.25%).CONCLUSION The overall capacity of rural emergency stations in Zibo needs improvement.Existing problems include instability in the pre-hospital emergency workforce,low participation rates in dispatched-model stations,inadequate ambulance allocation,and uncovered areas in emergency coverage.The government should increase financial investment to support the development of rural emergency service networks and improve the construction of pre-hospital emergency teams.
文章编号：3202410004 中图分类号：R459.7 文献标志码：
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| 作者 | 单位 |
| 聂爱婷，耿玲，袁海，刘萍萍，张辉 |
| Author Name | Affiliation |
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