CAJ | 학술논문

目的了解乡级预防接种单位实施信息化管理的成本投入，为制订信息化建设投入标准提供依据。方法通过现场查看和问卷调查的方式，随机对全省168个乡级预防接种单位的信息化投入情况进行调查。结果每个乡级预防接种单位实施信息化管理的实施成本和维持成本均以县疾控中心门诊最高(每单位分别为37487元和16519元)，乡镇卫生院门诊次之(14396元和5797元)，社区卫生服务中心门诊最低(13178元和5520元)。按每建卡1000名儿童信息化管理的实施成本和维持成本分别为21160元和9891元。开展使用免疫金卡、短信提醒和建设数字门诊等相关工作的，每单位分别需投入的成本为13318元、7638元和174194元。结论使用工作量来统计信息化工作成本的投入更符合实际，据推算每年需投入598.4万元用于全省乡级预防接种单位信息化工作的开展。数字化预防接种门诊建设的投入成本较大，仅适用于日门诊量较大的单位。
목적료해향급예방접충단위실시신식화관리적성본투입，위제정신식화건설투입표준제공의거。방법통과현장사간화문권조사적방식，수궤대전성168개향급예방접충단위적신식화투입정황진행조사。결과매개향급예방접충단위실시신식화관리적실시성본화유지성본균이현질공중심문진최고(매단위분별위37487원화16519원)，향진위생원문진차지(14396원화5797원)，사구위생복무중심문진최저(13178원화5520원)。안매건잡1000명인동신식화관리적실시성본화유지성본분별위21160원화9891원。개전사용면역금잡、단신제성화건설수자문진등상관공작적，매단위분별수투입적성본위13318원、7638원화174194원。결론사용공작량래통계신식화공작성본적투입경부합실제，거추산매년수투입598.4만원용우전성향급예방접충단위신식화공작적개전。수자화예방접충문진건설적투입성본교대，부괄용우일문진량교대적단위。
Objective Understand the cost of conduct the information management in immunization site, to provide the reference for formulation of the input standard of information. Methods Survey the 168 immunization sites of information investment through the methods of scene view and questionnaire investigation. Results The immunization site's implement cost of information management and maintenance costs in county Center for Disease Control and prevention(CDC) are highest, the township hospital outpatient services are second, the community health service center is the lowest, the county CDC is 37487 and 16519*, the township hospital outpatient services is 14396 and 5797, the community health service center is 13178 and 5520. The cost information and maintenance of every 1000 new born children were 21160 and 9891. The cost of using the immune gold cards, SMS alerts and construction of the digital outpatient service were 13318,7638 and 174194 respectively. Conclusion Use the workload statistics the cost of information are more in line with the actual, we must invest 5.984 mil ion for the informatizationto immunization sites every years. The construction of digital outpatient service are cost more, it only apply to the daily outpatient volume larger sites.