杭州市社区居民建立电子健康档案意愿的影响因素分析  

Influence factors of demands of electronic health records among urban residents in Hangzhou

作　　者：任虹烨 张洁[1] 项莹 

机构地区：[1]浙江中医药大学人文社会科学学院,浙江杭州310050

出　　处：《中国预防医学杂志》2015年第6期434-437,共4页Chinese Preventive Medicine

基　　金：浙江省社科联研究课题(2014B148);2014年浙江省新苗计划(2014R410036)

摘　　要：目的了解并探讨影响杭州市社区居民电子健康档案参与意愿的因素。方法采用分层随机抽样的方法,在杭州市抽取445名社区居民进行问卷调查并运用SPSS软件进行分析。结果本次调查的人群中,有85.62%（381/445）的居民愿意建档,男性略高于女性（205∶176）,18~35岁年龄组、月收入为1 000~3 000元居民、亚健康者以及对政府管理满意度较高的居民建档意愿较高,分别占32.28%（123/381）、48.82%（186/381）和58.27%（222/381）。logistic回归分析显示年龄、自身健康认可度和政府电子健康档案工作满意度对居民建档影响具有统计学意义。年龄越大,建档意愿越低（OR=1.582,95%CI 1.228~2.037）;对自身健康认可度越高,建档意愿越高（OR=1.582,95%CI 0.419~0.875）;对政府管理满意度越高,建档意愿越高（OR=1.570,95%CI 1.023~2.029）。结论杭州市社区居民总体建档意愿较高,但仍需采取针对性的措施,如提高对老年群体的信息技术指导、加大治未病和健康管理的宣传力度、提升政府电子健康档案服务和管理水平等工作,引导居民积极建档。Objective To understand the influence factors of demands of electronic health records（EHR）among urban citizens in Hangzhou. Methods A total of 445 urban citizens recruited from eight districts of Hangzhou by random sampling method were surveryed by aquestionnaire.All data were analyzed with statistics software SPSS. Results There were 85.62%（381/445）residents who were willing to filing,with more male than female（205∶176）.People aged 18 to 35years,with middle-income and in sub-health status were more willing to set up EUR,accounting for 32.28%（123/381）,48.82%（186/381）and 58.27%（222/381）respectively.The older were less willing to filing（OR=1.582,95%CI1.228-2.037）,while people who were satisfied with self-health status and government service were more willing to filing（OR=1.582,95%CI0.419-0.875,OR=1.570,95%CI1.023-2.029）. Conclusions Although residents in Hangzhou were willing to set up EHR,appropriate measures still need to be taken,such as improving IT guidance for the aged,increasing the propaganda of health management and promoting HER service.

关 键 词：电子健康档案 建档意愿 影响因素 

分 类 号：R195[医药卫生—卫生统计学]