医院信息化中医疗数据平台的现实应用探讨

The Real-world Applications of Health Data Platform for Hospital Information

目的:了解本地区医院信息化中医疗数据平台的现实应用情况,为推动信息化建设提供参考。方法:以30家我市卫生系统二级以上公立医院(三级医院6家,二级医院24家)为调查对象,调查表内容包括四个部分,包括医院基本情况、信息化部门设置规划情况、资金投入情况和医院数据平台应用情况。结果:有18家医院有信息化发展规划,4家医院信息化发展无规划。医院信息建设资金主要投入方向在硬件,其中二级医院的硬件投入大大超过软件投入,差异有显著性(P<0.05)。同时医疗数据使用平台的效率也不一样,住院病人出入管理系统,门急诊划价收费系统,门急诊药房管理系统使用率排在前三位,使用率最低的为门急诊导医系统。结论:本市医院医疗数据平台的建设大多数还停留在第一个阶段,也是一项复杂的系统工程,要加强信息化工作的组织领导和制定相应的信息化标准规范,建立信息主管制,加大信息化建设的资金投入,真正做到为患者服务。

Objective： To understand reality applications of health data platform for hospital information in the region to provide a reference for promoting information construction. Methods： Selected 30 health system （third-grade class-6 hospitals and second-grade class-24 hospitals） for the survey, the questionnaire includes four parts- hospitals situation, information technology department, planning of funding and hospital data platform application. Results： 18 hospitals had the information technology planning, and 4 hospitals had no planning. The hospital information construction funds were put into the hardware, two grade of hospitals were unreasonable （P 〈0.05）. The efficiency of the medical data using the platform were not the same, the inpatient access control system, outpatient and emergency plan fiat rate system, outpatient and emergency pharmacy management system were the three most using systems, the lowest using system was outpatient and emergency department. Conclusion： The majority of the platform for the construction of the city hospital medical data os still stuck in the first phase, but also a complex systems engineering, we should to strengthen the information work of the organization and leadership and to develop appropriate information technology standards, the establishment of the CIO system, large construction funding that can truly serve for patients.