中国9个省免疫规划信息系统建设现状调查

Survey on Status of Information System Development on Immunization Program in 9 Provinces of China

目的了解中国免疫规划信息系统建设的现状,为免疫规划信息系统建设提供决策依据。方法选择江苏、浙江、广东、河北、河南、湖北、云南、陕西、甘肃9个省,于2005年6月对免疫规划管理和信息建设的组织机构、人员、设备、经费、信息建设状况等进行普查。结果疾病预防控制中心免疫规划信息管理单位不统一,东、中、西部地区预防接种门诊的形式和周期差异较大;工作人员计算机操作水平、信息设备拥有量、网络覆盖率、信息管理经费投入和信息化管理覆盖率等指标均为东部地区好于中、西部地区,省、市级好于县、乡级;仅16%的县、10%的乡实施了预防接种信息化管理,各地现有信息系统数据标准不统一,数据不共享,信息建设经费主要靠收费弥补。结论开展国家免疫规划信息系统建设需要解决与各地现有系统的数据交换问题,并充分利用现有资源;乡级卫生院防保组织应尽快配备计算机等硬件设备,加强计算机操作培训;加大信息系统建设经费投入,重点支持中、西部地区;开展国家免疫规划信息系统建设试点,以期摸索经验、完善系统,并为最终在全国推广奠定基础。

program in munization Objective China and To know to provide program. Methods the status of information system development on immunization the evidence for developing national information system on imThe study was undertaken through mass survey in Jiangsu,Zhejiang,Guangdong, Hebei, Henan, Hubei, Yunnan, Shannxi, and Gansu provinces in June, 2005, and to assess the status of immunization program management and information system development involving those related organizations,staff, equipments, and cost. Results Not the same divisions within the organizations of disease control are responsible for the immunization information management, both the patterns and periods of immunization clinics are very different among eastern,middle, and western areas. Levels of computer operation, number of information equipments, coverage of internet use, cost of information management and coverage of information system are higher or more in the eastern areas than in the middle and western areas, and in the province and prefecture levels than in the county and township levels. 16% counties and 10% townships have utilized the information systems with the different standards of data. Furthermore,information cannot be shared among different systems. The expenses of information system development mainly come from the charge to vaccinees. Conclusions Developing national information system on immunization program needs to solve the issue of data exchange with the local information systems,and fully utilize the current local sources. The hardware equipments such as computers should be supplied for the township immunization points as soon as possible, and the computer operation training for staff should be strengthened. Financing support, focusing on middle and western areas,also needs to be increased. Finally,a pilot study for developing national immunization information system may be conducted to explore the experiences, improve the system and establish a base for the use in the whole country.