四川县域医疗卫生行业信息化现状调查与分析

Investigation and Analysis of the Current Situation of Informationization in the Medical and Health Industry in Counties of Sichuan

目的:了解四川县域医疗卫生行业信息化现状,为数字化、智能化转型升级提供科学依据。方法:采用分层、随机、整群抽样方法,采用自行设计的问卷,开展现场和回顾性调查研究。结果:四川县域医疗卫生机构配置有信息化人员占92.73%,职工总人数与信息技术人员比例为1.13%,专科、本科学历占87.34%,IT专业人员比例占39.24%;县(区)级医疗卫生机构、乡镇(社区)医疗卫生机构、村卫生室平均拥有电脑分别为160.46台、35.18台、0.67台,信息化建设经费投入平均每年分别为43.07万元、4.17万元、0.041万元;县(区)、乡镇(社区)医疗卫生机构平均拥有应用软件73.95套(种);计算机机房配置率为74.42%;计算机互联网、政务网接入率分别为83.64%、45.45%;信息化安全漏洞扫描设备配置率为25.58%。结论:四川县域医疗卫生机构信息化发展不平衡,信息化基础设施陈旧,专业技术人员缺乏、经费投入不足,缺乏统一的标准和规范,应进一步加大信息化政策和资金投入力度,不断深入创新与实践,促进卫生健康信息化高质量发展。

Objective To understand the current status of informatization in the medical and healthcare industry in counties of Sichuan,and provide a scientific basis for digitalization,intelligent transformation and upgrading.Methods Stratified randomized cluster sampling method was used to carry out on-site and retrospective survey by using self-designed questionnaires.Results 92.73%of county medical and health institutions were staffed with information technology personnel,in which the ratio of the total number of employees to information technology personnel was 1.13%,the percentage of staff with education background of junior college and bachelors degrees accounted for 87.34%,and the percentage of IT professionals accounted for 39.24%.The average number of computers owned by the county(district)medical and health institutions,township(community)medical and health institutions,and village health offices were 160.46,35.18,0.67,respectively.The average annual investment in informatization construction was 430,700 yuan,41,700 yuan and 410 yuan,respectively.County(district),township(community)medical and health institutions had an average of 73.95 sets(species)of application software.The computer room configuration rate was 74.42%.The access rate of computer Internet and government network was 83.64%and 45.45%,respectively.The configuration rate of security vulnerability scanning equipment was 25.58%.Conclusion The development of informatization in county medical and health institutions is unbalanced,with obsolete informatization infrastructure,lack of professional technical personnel,insufficient funding,and lack of unified standards and norms.It is suggested to further increase informatization policies and funding,and continuously deepen the innovation and practice,so as to promote the high-quality development of health and health informatization.