我国乡镇卫生院信息化建设模式研究

摘要

Objective:Through retrieving related database and the government's official websites, collect data or literature about mode and performance of information construction of rural three-level healthcare network. Provide policy recommendations for information construction of village and township hospitals in the less developed area. Method:Literature retrieval method is used to collect data or literature about mode and performance of information construction of rural three-level healthcare network. Results: 127 articles are initially retrieved. After screening, 7 articles are obtained, including 4 articles about model construction, and 3 articles about survey on current situation of information construction. Combined with information on official website, the results show that information model of village and township hospitals mainly includes centralized village and township hospital information management system (RCHIS) and SaaS (Software-as-a-Service) model. Financing method mainly includes company research and development, independent research and development of the government, government subsidies, self-raising of villages and townships, and counterpart support. In terms of supporting service construction, information construction of village clinics is still blank in most provinces. Published data shows that most information management staffs are part-time. Conclusion:Progress of information construction of provinces, villages and towns is different, and there is a lack of investigation into the present situation of information of village and township hospitals.%　　目的：通过检索相关数据库和政府官网，搜集各省关于农村三级卫生保健网信息化建设的模式、绩效方面的数据或文献，为欠发达地区基本型乡镇卫生院的信息化建设提供政策建议。方法：采用文献检索方法搜集各省份农村卫生网信息化建设模式、绩效方面的数据或文献。结果：初检127篇文献，经筛选后得到7篇文献，其中模式建设4篇，信息化建设现况调查3篇。结合官网信息，结果显示：乡镇卫生院信息化模式主要有集中式乡镇卫生院信息管理系统（RCHIS）和SaaS （Software-as-a-Service）模式；筹资方式主要有公司研发、政府自主研发、政府补助与乡院自筹、对口支援；配套服务建设方面，村卫生室信息化建设在大多省份仍属空白，已发表数据显示信管人员多为兼职。结论：全国各省乡镇卫生院信息化建设进度不一，且缺乏对乡镇卫生院信息化的现状调查。