“互联网+”技术在区县级辖区妇幼卫生管理中的应用现状

Application status of “Internet + ” technology in county level maternal and child health management

[目的]掌握“互联网+”技术在区县级辖区妇幼卫生管理中的应用现状及存在的问题,为我国妇幼卫生信息化建设提供参考。[方法]通过国家妇幼卫生综合信息平台对1432所区县级妇幼保健机构“互联网+”技术在辖区妇幼卫生管理中的应用现状进行问卷调查。[结果]通过区域卫生信息平台实现辖区管理和服务功能中,比例最高的两项是孕产妇系统管理和儿童系统管理,分别为33.3%和31.8%,其次是高危孕产妇管理(27.7%)与高危新生儿管理(19.8%),4项功能均存在地区差异,东、中、西部比例依次降低(P<0.05)。我国区县级妇幼卫生信息平台建设比例为16.6%,东部地区区县级妇幼卫生平台建设比例为43.9%,高于中、西部地区(P<0.05)。12.0%的区县级妇幼保健机构开展了远程医疗服务,通过远程医疗服务与上级医疗机构合作的比例最高为11.5%,远高于区域内其它医疗机构。与社区卫生服务机构/乡镇卫生院合作情况存在地区差异,东、中、西部比例依次降低(P=0.01)。中部地区区县级机构通过远程医疗服务与孕产妇急救中心合作的比例为2.5%,高于东部和西部地区(P=0.02)。[结论]“互联网+”技术在区县级辖区妇幼卫生管理中的运用刚刚起步,区县级妇幼卫生信息化水平仍有待提高。

Objective The paper aims to grasp the application status and existing problems of“Internet+”technology in county level maternal and child health management so as to provide reference for the construction of maternal and child health informatization in China.Methods Through national comprehensive maternal and child health information platform,questionnaire survey was conducted on the application of“Internet+”technology in maternal and child health management in 1432 county and district level maternal and child health institutes.Results In the function of the areas management and service by regional health information platform,two highest proportion were pregnant and lying-in woman,and child system management with 33.3%and 31.8%respectively,followed by high-risk pregnant and lying-in woman management(27.74%)and high-risk newborn management(19.8%).There was regional difference in four functions,the proportion of east,central and west reduced successively,the difference had statistical significance(P<0.05).The construction proportion of county and district level maternal and child health institute was 16.6%,it was 43.9%in the east which was higher than it in central and west areas(P<0.05).12.0%county and district level maternal and child health institutes had telemedicine services,the highest proportion of county and district level maternal and child health institute cooperated with superior medical institution in telemedicine services was 11.5%,which was much higher than other medical institutes.There was regional difference in cooperating with community health center/township health center,the proportion of east,central and west reduced successively,the difference had statistical significance(P=0.01).The proportion of cooperating with pregnant and lying-in woman emergency center through telemedicine services was 2.5%,which was higher that was in eastern and western region(P=0.02).Conclusions“Internet+”technology of maternal and child health management at district and county level has just started,and the level of health informatization still needs to be improved.