Empirical and experiential analysis of pre-hospital coronavirus disease 2019 epidemic emergency care resource allocation and usage in Jinan / 中华危重病急救医学

ABSTRACT

Objective:To find effective methods to improve the distribution and usage efficiency of pre-hospital epidemic emergency care resource (PEECR) by analyzing the PEECR allocation and usage in Jinan City during the coronavirus disease 2019 (COVID-19) epidemic.Methods:Correlation significance test between the COVID-19 epidemiology sample and the PEECR allocation sample was conducted to estimate whether they came from the same population in Jinan from January 24 to June 30, 2020. The data used in empirical analysis were collected from the Health Commission of Shandong Province's daily epidemic information announcement (definite case increment, suspected case increment, suspected case stock, medical observation stock, close contact increment) and interview with some epidemic branch centers in Jinan City (vehicle using increment). Experiential analysis was used to analyze the waste of PEECR usage.Results:All the 5 COVID-19 epidemiology samples and the PEECR allocation sample came from different population. There was no correlation between the vehicle using increment and definite case increment, suspected case increment, suspected case stock, close contact increment (all P < 0.05), there was a weak correlation between the vehicle using increment and medical observation stock [the correlation coefficient was 0.048, ∈ (0.0, 0.2), P = 0.550]. There was systematic difference between PEECR indicator and COVID-19 epidemiology indicator. The waste in practice was also amplified by improper usage such as unsophisticated allocation, low effectiveness in primary units and unvalid emergency calling. Conclusions:① A primary screening system should be established in control center to decrease the waste of efficiency. ② Communities and units should improve overall epidemic dealing ability to assist emergency system. ③ The medical treatment ability and protection resource should be increased in normal pre-hospital care.