Emergency dispatching of trans-regional medical human resources under COVID-19 epidemic

Abstract:

Objective To analyze the emergency dispatching management mode of trans-regional medical human resources in the event of epidemic of major infectious diseases, provide reference for the emergency management of medical resources. Methods A single case study method was adopted, the emergency dispatching of medical human resources by Hunan Province to fight against COVID-19 epidemic was taken as a typical case, manpower allocation and team formation mode for assistance to Wuhan, Huanggang as well as various cities and municipalities in Hunan Province were described and analyzed. Results Hunan Province has arranged a total of 14 medical teams to support Wuhan (461 persons) and Huanggang (619 persons), at the same time, two echelons of expert teams (225 persons) have been set up to guide medical treatment in Hunan Province. The rapid re-organization and re-allocation process of trans-regional medical human resources was divided into four periods: rapid response period, anti-epide-mic stalemate period, anti-epidemic decisive period and consolidation recovery period. A total of 94 health institutions in 13 cities and municipalities of Hunan Province received unified dispatching, including 86 medical institutions (91.49%) as well as 8 centers for disease control and prevention (8.51%); medical institutions that received dispatching were mainly public hospitals (96.51%); the majority of medical human resources assisting in Wuhan and Huanggang were nurses, accounting for 71.15% and 66.56% respectively, the titles of medical team personnel showed a "pyramid" structure from junior to senior; the majority of the people who assisted the cities and municipalities in Hunan Province were clinicians, accounting for 80.00%, and most of them had senior professional titles, 90.22% had associate professional titles or above. According to medical needs of different regions, there were 7 types of emergency medical teams and 2 types of operation modes: trusteeship and guidance. Conclusion Trans-regional medical human resources emergency dispatching of Hunan Province is characterized by rapid and timely response, sufficient resource input and accurate grasp of demands. It is suggested to further optimize the classification system of emergency medical teams, emergency human resources reserve system as well as emergency command and dispatching system on the basis of experience summary.