CAJ | 학술논문

目的了解管理人员对农村居民健康档案的认知和对档案管理工作的看法和意向.方法用分层抽样方法,对全国东、中、西3个试点县的部分基层管理人员进行问卷调查与访谈.结果 97.0%的农村基层管理者对开展农村居民健康档案工作是赞同的.县卫生局的管理人员多认为健康档案应存放在乡镇卫生院,而基层卫生服务机构的大多数管理人员认为档案应存放在村卫生室,两者差异有统计学意义(χ2=10.400,P=0.001).基层卫生服务机构的管理人员多数认同健康档案应由责任医生保管,而县卫生局管理人员对此认同度不高,差异有统计学意义(χ2=11.059,P=0.004).结论管理人员对健康档案工作基本持赞成态度,但对档案管理制度的认知存在较多分歧,认为不能实现信息化是目前健康档案工作中最突出的问题.健康档案工作可以有效推动农村卫生发展,但必须贯彻落实管理规范,逐步统一认知,并为健康档案信息化发展做好准备.
목적 료해관리인원대농촌거민건강당안적인지화대당안관리공작적간법화의향.방법 용분층추양방법,대전국동、중、서3개시점현적부분기층관리인원진행문권조사여방담.결과 97.0%적농촌기층관리자대개전농촌거민건강당안공작시찬동적.현위생국적관리인원다인위건강당안응존방재향진위생원,이기층위생복무궤구적대다수관리인원인위당안응존방재촌위생실,량자차이유통계학의의(χ2=10.400,P=0.001).기층위생복무궤구적관리인원다수인동건강당안응유책임의생보관,이현위생국관리인원대차인동도불고,차이유통계학의의(χ2=11.059,P=0.004).결론 관리인원대건강당안공작기본지찬성태도,단대당안관리제도적인지존재교다분기,인위불능실현신식화시목전건강당안공작중최돌출적문제.건강당안공작가이유효추동농촌위생발전,단필수관철락실관리규범,축보통일인지,병위건강당안신식화발전주호준비.
Objective To learn about the cognition and views of the administrators about health records of rural residents.Methods Stratified sampling was used in questionnaire survey and interview on some administrators at basic level from three pilot counties respectively in eastern,central and western parts of China.Results Some 97.0% of the administrators approved of the implementation of health records administration for rural residents.The majority of the administrators at county level held that the health records should be filed in the town hospital,but those at basic health service organizations believed that the health records should be filed in the village clinics,with a significant difference(χ2=10.400,P=0.001).The majority of the administrators at basic health service organizations held that the health records should be kept by responsible doctors,but nor did those at county level,with a significant difference (χ2=11.059,P=0.004).Conclusion The administrators generally assent on the implementation of health records.However,there are differences on recognition of administration system of health records.The most outstanding problem in health record implementation is that informatization cannot be now realized.The implementation of health record can effectively promote the rural health development,but it needs to carry out an administration norm,gradually unify the cognition and get ready for information development of health record.