摘要
目的了解地市级妇幼保健机构"互联网+妇幼健康"服务提供状况.方法 2018年6—8月,通过国家妇幼中心信息网络直报系统,对全国285所地市级妇幼保健机构"互联网+妇幼健康"服务提供现状进行问卷调查.调查内容包括地市级妇幼保健机构在服务提供、院内管理、辖区管理等方面的互联网技术使用情况.计数资料用频数和构成比描述.结果地市级妇幼保健机构应用"互联网+"技术为服务对象提供最多的前三项便民服务依次是医院信息查询、预约挂号和检查检验查询,分别占49.1%、44.2%和35.8%;妇幼特色服务提供比例由高到低依次是可穿戴设备远程监测(16.1%)、产检/儿童体检/预防接种提醒(13.3%)、线上孕妇学校( 10.2%)、随访管理服务(9.8%)和身高体重血压等自助测量并上传(3.5%);为医生提供最多的前三项服务依次是查看患者检查检验结果、查询患者基本信息、查看患者诊疗情况,分别占19.3%、17.5%、13.0%;为护士提供最多的服务是标本扫码核收,占17.5%.在18项便民服务、5项妇幼特色业务服务、为医生提供的9项服务、为护士提供的4项服务提供上,东、中、西部应用比例递减.开展"互联网+妇幼健康"服务最需要解决的前三项问题依次是缺少监管体系、缺少专业技术管理人员和缺少标准规范,分别有63.5%、57.5%和49.1%.结论我国地市级妇幼保健机构"互联网+妇幼健康"发展仍处于初始阶段,且东、中、西部发展差异较大,必须采取相关措施减少地区间发展差距,解决制约我国地市级妇幼保健院"互联网+妇幼健康"发展的因素.
Objective To probe into the status of " Internet+ maternal and children healthcare" services provided by municipal maternal and child healthcare institutions, and to analyze existing problems, provide reference for the development of " Internet+ maternal and children healthcare" for MCH institutions and other medical institutions. Methods From June to August 2018, the National General Information Platform on Women and Children Health was engaged, to launch a questionnaire survey on the status of " Internet+ maternal and children healthcare" application at municipal MCH institutions across the country. Results The top three handy services for the public provided by municipal MCH institutions using the " Internet+" technology for the clients were hospital information inquiry, appointment registration and medical test result queries, accounting for 49.1%, 44.2% and 35.8% respectively.The proportion of " Internet+" specific service for women and children from high to low were portable device remote monitoring(16.1%), antenatal examination/physical examination of children/vaccination reminder(13.3%), online school for pregnant women(10.2%), follow-up management services(9.8%)and self-service measurements such as body height, weight, and blood pressure(3.5%).The top three services for doctors were patient test result checkup, inquiry of patients′ basic information, and inquiry of patients′ treatment, accounting for 19.3%, 17.5% and 13.0% respectively.In terms of service provision of the top one service for nurses was specimen code scan(17.5%).In terms of the 18 handy services accessible, 5 specific services for women and children, 9 services for doctors, 4 services for nurses, the proportion declined in turn from the eastern, central and western areas in the country.The top three roadblocks to be resolved right away in the " Internet+ maternal and children healthcare" service, were the lack of supervision system, that of professional technical management personnel and that of standard specifications, accounting for
作者
钟小燕
白晶
罗荣
潘晓平
周立平
Zhong Xiaoyan;Bai Jing;Luo Rong;Pan Xiaoping;Zhou Liping(National Center for Women and Children′s Health, China CDC, Beijing 100081, China)
出处
《中华医院管理杂志》
CSCD
北大核心
2019年第8期627-631,共5页
Chinese Journal of Hospital Administration
基金
全国妇幼健康信息化现状调查项目(2017).
关键词
初级卫生保健
妇幼保健机构
"互联网+"
服务提供
Primary healthcare
Maternal and children healthcare institutions
"Internet+"
Service provision
