山东省社区卫生服务信息化开展情况调查分析

The Analysis of Development Condition of Community Health Service Informationization in Shandong Province

目的了解山东省社区卫生服务信息化的开展情况,为山东省卫生信息化的发展提供依据。方法采用多阶段分层系统抽样的方法进行有关社区卫生服务信息化开展情况的问卷调查。结果社区卫生服务机构信息化管理率为77.6%,不同地区、不同机构间差异无统计学意义(P>0.05)。社区卫生服务机构信息化管理开始时间,发达地区明显早于中等发达地区和欠发达地区,差异有统计学意义(P<0.05)。在社区卫生服务信息化开展程度上,发达和中等发达地区高于欠发达地区(P<0.05),社区卫生服务站高于社区卫生服务中心(P<0.05);社区卫生服务机构使用电子健康档案不同地区间差异有统计学意义(P<0.05),欠发达地区(70.4%)明显高于发达地区(35.4%)和中等发达地区(26.4%),建档率不同地区间差异无统计学意义(P>0.05)。结论社区卫生服务信息化开展程度不均衡,社区居民电子健康档案发展缓慢,有关心理和社会医学的社区卫生服务项目信息化开展程度较低。

Objective To learn the development condition of community health service informationization （CHSI） in Shandong province so as to provide the basis for the development of health inforrnationization. Methods We used multi - stage stratified sampling method to survey the development condition of CHSI by questionnaires. Results The rate of management by （CHS） institution, and the beginning time concentrated using CHSI was 77. 6% in community health service in 2007 later; in the development level of CHSI, developed and mid developed areas were higher than less developed areas, and CHS Station were higher than Centre; CHS institution using electronic health record （EHR） accounted for 43.4% , and the rate of establishing record. was 76.84%. Conclusion The development condition of CHSI was imbalance, and community EHR developed slowly, and the informationization development of CHS items on psychological and social was in low level.