基层卫生机构数据采集现状调查与对策研究

Investigation and countermeasures of data collection in primary health institutions

为了解基层卫生机构数据采集现状和存在的问题,采用定性访谈和问卷调查相结合的方法,对我国东、中、西部样本省份的18家基层卫生机构数据采集工作进行调查,对收集到的资料与数据进行梳理总结和描述性统计分析。结果显示,样本地区报表填写任务较重,基本公共卫生类和妇幼类报表数量占比普遍较高;两成左右报表没有填写说明,数据报送频率以月报为主;报送方式以上传电子版或者系统网报为主,但纸质报送在江苏、陕西样本地区占较大比重;信息系统繁多,中部和西部地区信息系统的联通水平较低。建议降低重复填报率,减轻基层卫生机构负担;加强报表填报管理,提升规范性和数据质量;加强统一规范的信息化建设,提升数据采集效率;提升互联互通水平,优化数据共享通道。

In order to understand the current status and existing problems of data collection in primary health institutions,this study used a combination of qualitative interviews and questionnaire surveys to investigate the data collection work of 18 primary health institutions in the eastern,central,and western sample provinces of China.Summary and descriptive statistical analysis of the information and data were conducted.The results showed that the task of filling in reports in the sample areas was heavy,and the proportion of basic public health and women’s and children’s reports were generally higher.About 20%of the reports were not filled out,and the frequency of data reporting was mostly monthly.The reporting methods are mostly uploading the electronic version or filling out the online system reports.But paper reports accounted for a large proportion in the sample areas of Jiangsu and Shaanxi.There were many information systems,and the levels of connectivity of the information systems in the central and western regions were relatively low.It is recommended to reduce the repetitive reporting rate and reduce the burden on primary health institutions,strengthen reporting management to improve standardization and data quality,enhance unified and standardized information construction to improve data collection efficiency,and improve interconnection levels to optimize data sharing channels.