“互联网+医疗”生态下川琼两地居民电子健康档案建档需求现状及影响因素调查  

Investigation on the establishment demands of electronic health records of residents in Sichuan and Hainan Province under the “Internet+medicine” ecology

作　　者：张健 钟成龙 何星 陈莉[4] 彭文涛[5] Zhang Jian;Zhong Chenglong;He Xing;Chen Li;Peng Wentao(Operation Management Department,Sichuan Academy of Medical Sciences&Sichuan Provincial People′s Hospital,Chengdu 610072,China;Institute of Philosophy,Sichuan Academy of Social Sciences,Chengdu 610071,China;Department of Respiratory and Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Rehabilitation,Qingchengshan Hospital,Medical Group of Sichuan Provincial People′s Hospital,Chengdu 611830,China;Department of Nursing,West China Second Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川省医学科学院,四川省人民医院运营管理部,成都610072 [2]四川省社会科学院哲学所,成都610071 [3]四川大学华西医院呼吸与危重症医学科,成都610041 [4]四川省人民医院医疗集团成都青城山医院康复科,成都611830 [5]四川大学华西第二医院护理部,成都610041

出　　处：《中华健康管理学杂志》2024年第10期768-776,共9页Chinese Journal of Health Management

基　　金：四川省区域创新合作项目(2022YFQ0094)。

摘　　要：目的调查分析“互联网+医疗”生态下川琼两地居民电子健康档案建档需求现状及影响因素。方法本研究为横断面研究,采用方便抽样法选取2022年6—12月四川、海南两地1200名居民,自行设计调查问卷,通过问卷星在线调查,调查内容主要包括一般人口学资料及电子健康档案基本需求。共发放问卷1200份,收回问卷1200份,收回有效问卷1170份(97.5%),其中四川409份,海南761份。采用χ^(2)检验比较两地人口学特征、基本需求情况以及愿意应用程序建档和体检建档需求中二分类变量的组间差异,采用Kruskal-Wallis检验比较多分类变量的组间差异,采用二元logistic回归分析电子健康档案建立需求的影响因素。结果四川居民本科及以上学历、家庭常住人数<3人比例均显著高于海南居民(55.3%比47.4%、38.4%比29.2%),平均月收入≤10000元、每年体检、有自我健康管理习惯、有子女比例均显著低于海南居民(82.2%比87.9%、67.2%比74.4%、78.5%比83.7%、67.2%比73.3%)(均P<0.05)。居住地为城市、平均月收入>10000元、每年体检、非独居、有自我健康管理习惯、知道电子健康档案、愿意自我管理电子健康档案、期望线上对健康档案进行管理、需要由专人协助管理健康档案、愿意为健康档案支付费用以获取额外服务的居民更愿意使用应用程序建档(68.7%比56.7%、82.4%比63.0%、72.2%比55.3%、68.8%比62.7%、69.0%比60.4%、73.2%比60.4%、71.9%比36.7%、71.5%比45.7%、76.6%比43.3%、80.1%比44.0%)(均P<0.05)。居住地为城市、每年体检、有子女、愿意自我管理健康档案的居民更愿意体检建档(46.0%比32.5%、47.9%比36.2%、47.1%比33.2%、45.9%比34.4%)(均P<0.05)。愿意自我管理电子健康档案(OR=3.803,95%CI:2.103~6.875)、线上管理电子健康档案(OR=1.942,95%CI:1.110~3.400)、专人管理电子健康档案(OR=3.277,95%CI:2.028~5.294)、支付电子健康档案费用(OR=3.557,95%CI:2.182~5.80Objective To investigate and analyze the current situation and influencing factors of the establishment demand for electronic health records(EHR)of residents in Sichuan and Hainan Province under the“Internet+healthcare”ecology.Methods It was a cross-sectional study.A total of 1200 residents in Sichuan and Hainan Province were selected with convenient sampling method from June to December 2022.A self-designed questionnaire was conducted through the Questionnaire Star online survey,and the survey mainly included general demographic data and basic establishment demands of electronic health records.A total of 1200 questionnaires were distributed and 1200 questionnaires returned with 1170 valid questionnaires(97.5%),including 409 from Sichuan and 761 from Hainan.Chi-square test was used to compare the differences between the two provinces in the demographic characteristics,basic needs,and binary variables of willingness to application file establishment and physical examination file establishment.Kruskal-Wallis test was used to compare the differences in multiple categorical variables between the two provinces.Binary logistic regression was used to analyze the influencing factors of the establishment needs of the electronic health records.Results The proportions of residents with bachelor degree or above and those with a family population of less than 3 people in Sichuan were both significantly higher than those in Hainan(55.3%vs 47.4%,38.4%vs 29.2%);but the proportions of mean monthly income≤10000 yuan,annual physical examination,self-health management habits,and having children were all significantly lower than those in Hainan(82.2%vs 87.9%,67.2%vs 74.4%,78.5%vs 83.7%,67.2%vs 73.3%)(all P<0.05).The people who were living in the city,having a mean monthly income>10000 yuan,receiving annual physical examination,not lived alone,having self-health management habits,knowing the electronic health record,willing to manage the electronic health record by themselves,expecting to manage the health record online,needing

关 键 词：电子健康档案 健康管理 健康促进 互联网+医疗 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理] G276[医药卫生—公共卫生与预防医学]