深圳市预防接种APP模式应用现状与服务分析  

Utilization and efficiency of smartphone application in vaccination service management in Shenzhen city:a cross-sectional survey

作　　者：陈霖祥 林喜乐[1] 杨洁[1] 黄文琼 刘卫民[1] CHEN Lin-xiang;LIN Xi-le;YANG Jie(Department of Planned Immunization,Luohu District Center for Disease Control and Prevention,Shenzhen,Guangdong Province 518020,China;不详)

机构地区：[1]深圳市罗湖区疾病预防控制中心免疫规划科,广东518020 [2]广东医科大学

出　　处：《中国公共卫生》2020年第5期686-692,共7页Chinese Journal of Public Health

基　　金：深圳市卫生计生系统科研立项(201602007)。

摘　　要：目的分析预防接种智能手机第3方应用程序(APP)模式的现状,并跟传统模式(非APP)相比,在服务可及性,便捷性与满意度方面是否有差异。方法2018年3—5月采用单纯随机抽样方法抽取广东省深圳市罗湖区43家预防接种门诊1434名≤6岁儿童监护人作为调查对象并进行问卷调查。将使用APP的调查对象归为研究组,未使用则归为对照组,对两组进行统计比较分析。结果在1434名调查对象中,研究组和对照组的人数分别为963人(67.2%)和471人(32.8%)。与对照组相比,研究组在“Q17”、“Q18”、“Q19”、“Q20”、“Q21”、“Q22”、“Q23”、“Q24”上,均优于对照组(u=–3.088,P=0.002)。影响因素分析得:儿童在深圳出生(P=0.004)、监护人是母亲(P<0.001)、年龄越大(P<0.001)、文化程度越高(P=0.022)、家庭年收入越高(P=0.025)和儿童月龄越小(P<0.001)是APP使用的保护因素。儿童性别、孩子是否一直在深圳接种、监护人来深时间和职业都不是APP有无使用的影响因素。结论预防接种APP模式可及性更高,便捷性更好,满意度更高。APP使用人群特征倾向于城市化、女性、年纪大、文化程度高、收入高、儿童月龄小的人群。Objective To examine the utilization and efficiency of smartphone application(APP)in vaccination service management and compare disparities in accessibility,convenience and attendees′satisfaction between APP-supported and routine vaccination service.Methods We conducted a questionnaire survey among 1434 guardians of children aged 6 years and below selected with simple random sampling at 43 vaccination clinics in Luohu district of Shenzhen city,Guangdong province during March to May 2018.The guardians with APP-supported vaccination service were assigned into an observation group and those with routine service into a control group for a comparison analysis.Results Compared to those in the control group(n=471,32.8%of all the guardians),the guardians in the observation group(n=963,67.2%)reported better accessibility and being more convenient for the vaccination services they received and a significantly higher rate of satisfaction to vaccination services(u=–3.088,P=0.002).Logistic regression analysis indicated that the guardians with children born in Shenzhen city(P=0.004),being maternal caregiver(P<0.001),at elder age(P<0.001),with higher education(P=0.022),having higher household annual income(P=0.025),and with children at younger ages(P<0.001)are more likely to utilize APP-supported vaccination service.While,children′s gender,whether the children having planned immunization in Shenzhen city all the time,guardians′time residing in Shenzhen city and guardian′s occupation had no significant impact on the utilization of APP-supported vaccination service.Conclusion APP-supported vaccination management could provide more accessible,convenient and satisfactory vaccination services and the guardians of living in urban regions,female gender,at elder age,with higher education,having high income,and taking care of small children are more likely to utilize APP-supported vaccination services.

关 键 词：预防接种 智能手机第3方应用程序(APP)模式 信息化服务 

分 类 号：R186[医药卫生—流行病学]