文章摘要
叶 力,胡 杰,张竹繁.基于电子健康档案的慢性病管理模式研究[J].南京医科大学学报(社会科学版),2012,(6):452~455
基于电子健康档案的慢性病管理模式研究
A study on chronic diseases management mode based on electronic health records
投稿时间:2012-09-04  
DOI:10.7655/NYDXBSS20120610
中文关键词: 电子健康档案  慢性病  管理模式  区域卫生信息化
英文关键词: electronic health record  chronic diseases  management modes  information of regional health
基金项目:
作者单位
叶 力 南京医科大学公共卫生学院,江苏 南京 210029 
胡 杰 南京医科大学公共卫生学院,江苏 南京 210029 
张竹繁 南京医科大学公共卫生学院,江苏 南京 210029 
摘要点击次数: 1176
全文下载次数: 939
中文摘要:
      目的:研究电子信息档案在慢性病管理模式中的应用?方法:选取南京市鼓楼区2008年10月~2011年10月的社区慢性病中高血压?糖尿病和恶性肿瘤三种疾病的管理情况作为研究对象,按照不同时期分为2008年10月~2009年9月(A)?2009年10月~2010年9月(B)以及2010年10月~2011年9月(C)三个时段,比较三个时段的辖区人数?建档管理数?建档管理率?规范管理数以及规范管理率?结果:截至2011年9月底,全区完成规范性电子健康档案59.88万份,建档率达72.43%,其中规范管理数达33.34万份,规范管理率高达55.68%?数据间比较,B?C两时段均显著高于A时段(P < 0.05),建档管理数与建档管理率C时段显著高于B时段(P < 0.05),但B?C两时段在规范管理数与规范管理率上差异无统计学意义(P > 0.05)?结论:慢性病信息化管理模式可以有效整合医疗资源,实现慢性病防治的科学管理,可以动态观察个体和群体的相关健康问题,定时评估,及时发现问题并采取措施干预和控制,效果明显,可以有效提高慢性病管理工作效率?
英文摘要:
      Objective:To study the application of the electronic health information record in chronic disease management mode. Methods:Management conditions of three kinds of chronic disease that was hypertension,diabetes mellitus and malignant tumor in Gulou district of Nanjing city from October 2008 to October 2011 were studied,which were divided into three periods as Period A from October 2008 to September 2009,Period B from October 2009 to September 2010 and Period C from October 2010 to September 2011. The area number,filing management number,filing management rate,standardized management number and specification management rate at the three periods were investigated. Results:By the end of September 2011,598 800 regulative electronic health records had been completed with filing rate 72.43%,among which 333 400 were standard managed with standardized management rate 55.68%. Period C and Period B were significantly higher than Period A(P < 0.05),Period C in filing management number and filing menagement rate were statistically higher than Period B(P < 0.05),and the difference between Period B and Period C in standardized management number and specification management rate were statistically meaningless(P > 0.05). Conclusion:Chronic disease information management mode can effectively integrate medical resources and realize the scientific management of chronic diseases’ prevention and control. It can realize the dynamic observation of individuals and groups of related health problems,regularly evaluate,timely find problems and respond to intervene and control,and effectively improve the chronic disease management.
查看全文   查看/发表评论  下载PDF阅读器
关闭