【摘要】 目的调查江苏省居民健康档案建设管理运行机制和应用现状,探寻其中存在的问题,为科学有效地开展居民健康档案建设、提高居民健康档案的建设质量提出合理化建议。方法采用访谈和问卷调查的形式,调查和分析县级卫生行政部门、乡镇和社区卫生服务机构居民健康档案建设和使用情况,以及各级机构工作人员和居民对健康档案工作的满意度。结果 2008—2010年3年期间以县为单位平均累计投入105.1万元用于居民健康档案建设,居民健康档案建设条件基本成熟,总体建档率达到76.5%,以孕产妇人群建档率最高,糖尿病患者建档率相对最低。92.0%的医务人员认可健康档案建设,89.7%的居民认为从健康档案中受益,但仍存在重硬偏软、健康档案建设发展不均衡等问题需要解决。结论地方政府需要在政策和资金上予以保证,既要加大投入、统一规划,又要加强人力资源建设和建立有效的管理和激励机制;业务上应遵循由简到繁、由点到面、分步实施的原则,确保居民健康档案建设又好又快发展。更多还原

【Abstract】 Objective To investigate the management and operation mechanism and current status of residents′ electronic health records construction in Jiangsu Province and find the existing problems,so as to put forth reasonable proposal for scientifically and effectively carrying out the record construction and raise the quality.Methods The interview and questionnaire survey were used to investigate and analyze the construction of residents′ health record established by the health organizations at county level,township and grass-root,and application of the records,as well as the satisfaction grades of working staff at different-leveled organizations and the residents on the health record working.Results From 2008 to 2010,the average accumulative investment per county to residents′ health record construction was RMB 1.05 million yuan.The condition of the record construction had been basically matured,and overall construction rate reached 76.5%,with the highest rate for pregnant women and the lowest rate for diabetics.Some 92.0% of the medical staff recognized the health record construction,89.7% of the residents thought they had benefited from the health record.Nevertheless,there were still some problems,such as imbalance of construction development,need to be solved.Conclusion The local government should give guarantee on policies and funs,or enlarge investment and make unified planning,at the other hand,enhance the construction of manpower resource and establish an effective mechanism of management and motivation.It is necessary to follow the principle of from simple to complicated,from point to plane,and step by step in implementation,so as to the record construction both quickly and well.更多还原