HUANG Shuping1,2,LI Caixv2,and LIANG Yuan1.1.School of Public Health, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China; 2. Hainan Provincial Health Supervision Corps, Haikou 570100, China
Abstract：Objective To investigate medical waste management by medical institutions at different levels in Hainan Province in 2013 in order to offer evidence and recommendations for better medical waste management. Methods This study involved 1830 medical institutions in Hainan Province, including 5 tertiary hospitals, 18 secondary hospitals, 235 primary hospitals and 1572 ones below the primary level. According to the process of management, the organization and management system, medical waste collection, transportation and storage, disposal of medical waste, and quantitative classification were studied. Results The overall qualified rate of management and emergency plans was 95.03%, that of training of relevant personnel was 88.96% and that of personal protection of the related staff was 89.78%. As for collection, transport and temporary storage, the total qualified rate of transfer registration was 85.79% and 76.23% of the contents of transfer registration were complete. The total qualified rate of was 75.90% for classified collection, 84.97% for containers, 68.03% for temporary storage locations, 78.09% for temporary storage time, and 59.95% for cleaning and disinfection of conveyance. The total waste disposal rate was 80.60%. Conclusion The lower the level of medical institutions, the lower the qualified rate of medical waste disposal. Primary-level health care institutions deserve more attention because of their close contact with the public. There are nearly perfect guidelines, but the subsequent collection, storage, transport and disposal are under loose surveillance, suggesting that medical waste management by medical institutions is "anticlimactic". In addition, increasing the target weights of subsequent hierarchical quantification is worthy of further research.
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2016, Vol. 27 
