基层卫生信息化建设现状分析及思考

Analysis and Thinking on the Status of Primary Medical and Health Information Construction

目的:分析我国基层卫生机构信息化发展现状,为探索适宜的基层卫生信息化建设模式提供参考。方法:采取系统抽样,对全国6 764家基层医疗卫生机构进行网络问卷调查,采用统计描述及?、Mann-Whitney检验分析。结果:85.68%的机构信息化主管领导为院长级;信息系统覆盖率达82.82%,已建系统功能使用率基本达到95%以上;功能使用率与共享程度、共享程度与是否为上级配发、系统数量与重复录入率有关。结论:我国基层卫生信息化水平大幅度提升,但仍存在发展程度不均、系统功能建设及使用情况不一、信息联通不理想、运维保障机制缺失等问题,应进一步明确基层卫生信息化建设模式,以全面提升信息化建设。

Objective: Analyze the status quo of informationization development of primary health institutions in China, and provide reference for exploring appropriate primary health information construction mode. Methods: Systematic sampling was conducted to conduct a network questionnaire survey of 6 764 primary healthcare, using statistical descriptions and , Mann-Whitney test. Results: 85.68% of the directors of institutional informationization are heads of directors. The coverage rate of primary health care business management information system reached 82.82%, whose usage rate has basically reached more than 95%. There were direct correlations existed between the system function usage rate and its sharing degree, the degree of sharing and whether it is uniformly distributed by the superior and system number and data repetition entry rate. Conclusion: The level of primary health information in China has been greatly improved. However, there are still problems such as uneven development of primary health information, uneven system construction and use, unsatisfactory connectivity, and lack of long-term operation and maintenance guarantee mechanism. The primary medical and health information construction model should be further clarified to comprehensively improve and implement information construction.