| 引用本文：李陈晨, 王芳, 袁莎莎, 刘利群, 周巍, 傅济, 刘伟.信息化在完善社区卫生服务模式中的利用与效果研究[J].中国卫生政策研究,2014,7(12):50-55 |
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| 信息化在完善社区卫生服务模式中的利用与效果研究 |
| 投稿时间：2014-11-14 修订日期：2014-12-07 PDF全文浏览 HTML全文浏览 |
| 李陈晨1,2, 王芳2, 袁莎莎2, 刘利群3, 周巍3, 傅济3, 刘伟3 |
1. 北京协和医学院 北京 100730;
2. 中国医学科学院医学信息研究所/卫生政策与管理研究中心 北京 100020;
3. 国家卫生和计划生育委员会基层卫生司 北京 100044 |
| 摘要:目的:了解信息化在完善社区卫生服务模式中的利用情况并分析其效果.方法:采用目的抽样,对北京、上海、成都和郑州四市的12家社区卫生服务中心进行现场调察,访谈卫生行政部门和中心负责人,重点了解当地社区卫生服务机构的信息化建设及利用情况,探讨信息化在完善社区卫生服务模式中发挥的作用等.结果:调研机构信息系统可分为核心系统、核心辅助系统和外围支持系统三类;信息化在优化服务流程、提高工作效率、加强机构协作、促进质量监管、优化绩效考核和加强医患互动等方面为推进社区卫生服务模式的转变提供了有利支撑.结论:信息化在转变和完善社区卫生服务模式中发挥了关键性的作用,建议从优化服务流程、促进服务的高效协同安全、优化绩效考核和加强医患互动等四方面进一步加强社区卫生信息化的建设和利用. |
| 关键词:信息化|社区卫生|服务模式|效果 |
| 基金项目:国家卫生和计划生育委员会基层卫生司委托项目;中央级公益性科研院所基本科研业务费(13R0112) |
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| Utilization and effects of informatization in perfecting community health service mode |
| LI Chen-chen1,2, WANG Fang2, YUAN Sha-sha2, LIU Li-qun3, ZHOU Wei3, FU Ji3, LIU Wei3 |
1. Peking Union Medical College, Beijing 100730, China;
2. Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100044, China;
3. The Department of Primary Health, National Health and Family Planning Commission, Beijing 100044, China |
| Abstract:Objective: To explore the utilization and effects of informatization in perfecting the community health service mode. Method: Through purposive sampling, 12 community health service centers in Beijing, Shanghai, Chengdu, and Zhengzhou were selected for site investigation. The heads of the health administrative department and community health service centers were interviewed, with a focus on the construction and utilization of the local community health informatization and a discussion of the role of informatization in perfecting the community health service mode. Results: The information systems can be divided into core systems, core auxiliary systems, and peripheral support systems. Informatization provides strong support to perfecting the community health service mode in optimizing the service process, improving work efficiency, strengthening institutional cooperation, promoting quality regulation, optimizing performance appraisal, and strengthening doctor-patient interaction. Conclusion: Informatization plays a key role in perfecting the community health service mode. Recommendations were proposed to strengthen community health informatization construction and utilization: optimizing service processes, promoting the efficient coordination of safe health services, optimizing performance appraisals, and strengthening doctor-patient interaction. |
| Key words:Informatization|Community health|Service mode|Effect |
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