农村居民健康档案管理人员的认知意向分析  

Analysis of Administrators′ Cognition and Intention on Health Records of Rural Residents

作　　者：姜稚心[1] 何华明[1] 吴思静[1] 马海燕[1] 郭清[1] 

机构地区：[1]杭州师范大学,浙江省杭州市310016

出　　处：《中国全科医学》2009年第15期1412-1414,共3页Chinese General Practice

摘　　要：目的了解管理人员对农村居民健康档案的认知和对档案管理工作的看法和意向。方法用分层抽样方法,对全国东、中、西3个试点县的部分基层管理人员进行问卷调查与访谈。结果97.0%的农村基层管理者对开展农村居民健康档案工作是赞同的。县卫生局的管理人员多认为健康档案应存放在乡镇卫生院,而基层卫生服务机构的大多数管理人员认为档案应存放在村卫生室,两者差异有统计学意义(χ2=10.400,P=0.001)。基层卫生服务机构的管理人员多数认同健康档案应由责任医生保管,而县卫生局管理人员对此认同度不高,差异有统计学意义(χ2=11.059,P=0.004)。结论管理人员对健康档案工作基本持赞成态度,但对档案管理制度的认知存在较多分歧,认为不能实现信息化是目前健康档案工作中最突出的问题。健康档案工作可以有效推动农村卫生发展,但必须贯彻落实管理规范,逐步统一认知,并为健康档案信息化发展做好准备。Objective To learn about the cognition and views of the administrators about health records of rural residents.Methods Stratified sampling was used in questionnaire survey and interview on some administrators at basic level from three pilot counties respectively in eastern,central and western parts of China.Results Some 97.0% of the administrators approved of the implementation of health records administration for rural residents.The majority of the administrators at county level held that the health records should be filed in the town hospital,but those at basic health service organizations believed that the health records should be filed in the village clinics,with a significant difference(χ2=10.400,P=0.001).The majority of the administrators at basic health service organizations held that the health records should be kept by responsible doctors,but nor did those at county level,with a significant difference (χ2=11.059,P=0.004).Conclusion The administrators generally assent on the implementation of health records.However,there are differences on recognition of administration system of health records.The most outstanding problem in health record implementation is that informatization cannot be now realized.The implementation of health record can effectively promote the rural health development,but it needs to carry out an administration norm,gradually unify the cognition and get ready for information development of health record.

关 键 词：社区卫生服务 健康档案 农村 认知 

分 类 号：R197[医药卫生—卫生事业管理]