基于地理信息系统的家庭医生信息服务平台应用  

Application of GIS-based Information Service Platform for Family Doctors

作　　者：杨旦红 李俊 李锋 李俊磊 何芳 鲁叶花 王金震 江雁 YANG Danhong;LI Jun;LI Feng;LI Junlei;HE Fang;LU Yehua;WANG Jinzhen;JIANG Yan(Shanghai Jinshan District Zhujing Community Health Service Center,Shanghai 201599,China)

机构地区：[1]上海市金山区朱泾社区卫生服务中心,201599

出　　处：《中国全科医学》2025年第10期1243-1248,共6页Chinese General Practice

基　　金：2022年上海市金山区卫健委科研课题立项项目(JSKJ-KTMS-2021-10)。

摘　　要：背景随着社会的发展和人口老龄化的加剧,社区医疗服务的需求日益增加。家庭医生作为社区医疗服务的重要组成部分,其信息化水平和信息服务能力对提高社区医疗服务的质量和效率具有重要意义。目的探讨基于地理信息系统(GIS)的“智能GIS家庭医生信息平台”微信小程序在家庭医生签约服务中的应用效果。方法2023年3—4月在上海市金山区朱泾镇27个家庭医生团队中,采用分层随机抽样方法抽取2个居委家庭医生团队和2个乡村家庭医生团队服务的185名居民作为对照组,同样抽取2个居委家庭医生团队和2个乡村家庭医生团队服务的186名居民为干预组;对照组采用现有的家庭医生签约管理模式,干预组在现有管理模式的基础上开展基于“智能GIS家庭医生信息平台”微信小程序的签约服务管理模式。采用回顾性资料收集方法,比较干预组“智能GIS家庭医生信息平台”微信小程序使用前后家庭医生签约服务工作情况,以及对照组与干预组居民对家庭医生签约服务知信行情况,以分析“智能GIS家庭医生信息平台”微信小程序的应用效果。结果干预组使用“智能GIS家庭医生信息平台”微信小程序后的市级签约服务考核分数[(87.76±4.60)分]高于使用前[(63.65±4.53)分](P<0.05);对照组的签约率、社区就诊率、家庭医生就诊率、签约65岁以上体检率分别为41.70%、26.67%、3.30%、71.43%,“智能GIS家庭医生信息平台”微信小程序使用干预组的签约率、社区就诊率、家庭医生就诊率、签约65岁以上体检率分别为44.48%、28.89%、6.15%、74.02%,干预组使用“智能GIS家庭医生信息平台”微信小程序后各指标均高于使用前(P<0.05)。对照组对家庭医生签约服务知识、态度、行为得分分别为(8.14±1.46)(22.47±2.78)(4.57±1.35)分,干预组对家庭医生签约服务知识、态度、行为得分分别为(8.77±1.28)(23.54±1.98)Background With the development of society and the aging of the population,the demand for community medical services is increasing.As an important part of community medical service,the informationization level and information service ability of family doctors are of great significance to improve the quality and efficiency of community medical service.Objective To investigate the effect of the WeChat applet"Intelligent geographic information system(GIS)Family Doctor Information Platform"based on GIS in the application of family doctor contracting service.Methods from March to April 2023,among 27 family doctor teams in Zhujing Town,Jinshan District,Shanghai,185 residents served by two neighbourhood family doctor teams and two rural family doctor teams were selected as the control group using stratified random sampling method,and 186 residents served by the same two neighbourhood family doctor teams and two rural family doctor teams were selected as the intervention group;the control group adopted the existing family doctor contracting management mode,and the intervention group adopted the existing family doctor contracting management mode.The control group adopts the existing family doctor contracting management model,while the intervention group develops a contracting service management model based on the"Intelligent GIS Family Doctor Information Platform"WeChat app on the basis of the existing management model.A retrospective data collection method was used to compare the family doctor contracting service before and after the use of the"Smart GIS Family Doctor Information Platform"WeChat app in the intervention group,as well as the knowledge,belief and behaviour of the residents in the control group and the intervention group,in order to analyse the"Smart GIS Family Doctor Information Platform"WeChat app to analyse the application effect of"Intelligent GIS Family Doctor Information Platform".Results The municipal contracting service assessment score of the intervention group was higher after using the"Smart GIS F

关 键 词：全科医学 家庭医生签约服务 微信小程序 地理信息系统 依从性 

分 类 号：R-05[医药卫生] R-056