基于中国居民电子健康档案有效利用的东西部医务人员KAP分析

KAP analysis of electronic health records effective utilization the east and west of the medical personnel in China

目的研究对国家东西部医务人员对健康档案利用情况进行比较分析,发现问题,提出建议。方法调研我国东部城市上海、苏州、杭州;西部城市郑州、贵阳。样本630份。结果 1东西部医务人员对健康档案基本信息功能评价具有显著差异;2组比较,χ2=154.527,P<0.01,西部认为功能较好。2东西部医务人员对电子健康档案健康管理危险因素功能的认识存在显著差异;2组比较χ2=32.709,P<0.01,东部认为功能较好。3东西部地区认为开展电子健康档案建设能提高服务质量,也存在显著差异。2组比较,χ2=59.995,P<0.01。东部认为功能较好。结论 1政策上要有顶层设计;2体制上要实施医院社区密切联动;3机制上要实施首诊制度和双向转诊制度;4加强人才培养;5实施卫生的信息化管理。

Objective KAP analysis of electronic health records effective utilization the east and west of the medical personnel in China and to discovery problem and put forword of suggestions. Methods Cross sectional studyof and resident investigation, 630 people sample. Results （1） There was a significant difference in evaluation health records basic information function in the medical personnel between the east and west area, the ehi square value of the two group comparison is 154. 527, P 〈 0.01, function better in Western thought. （2）there was significant difference in the health records management risk factors in the medical personnel between the east and west area, chi square value of two groups is 32. 709, P 〈 0.01, East think function better. （3）there was significant difference in the health records management improving the quality of service, the ehi square value of two groups is 59. 995,P 〈 0.01. Eastern is thought better. Conclusion （1）The top-level design in poliey;（2）closely linked system in the implementation of hospital community;（3）the mechanism implement in the first diagnosis system and two-way referral system;（4）strengthen personnel training;（5）the implementation of health information management.