摘要
目的对比分析边远地区与非边远地区基层医疗机构在信息化建设方面存在的差距,厘清区域间信息化鸿沟的成因与表现,为优化边远地区基层医疗资源配置、推动健康公平提供实证依据,同时为因地制宜推进“互联网+医疗健康”战略提供政策启示。方法:通过分层抽样调查四川省1255家基层医疗机构,系统对比边远地区与非边远地区信息化建设差异。结果与非边远地区相比,边远地区信息化基础设施覆盖情况、核心系统集成平台建设情况显著落后;临床服务类系统缺失率更高;机构信息化投入与专职信息化人才配备存在显著差距。但边远地区在健康一体机、智慧随访包及可穿戴设备等健康终端配备及院感/传染病管理系统、患者随访管理系统建设等方面表现突出。结论区域信息化鸿沟主要受财政投入、人才储备及技术适配性三重因素制约,需构建差异化政策支持体系。
Objective To comparatively analyze the disparities in informatization construction between primary healthcare institutions in remote and non-remote areas,clarify the causes and manifestations of regional digital divides,and provide empirical evidence for optimizing resource allocation in remote areas and promoting health equity.The study also offers policy insights for advancing the“Internet+Healthcare”strategy based on local conditions.Methods A stratified sampling survey was conducted among 1255 primary healthcare institutions in Sichuan Province to systematically compare informatization construction differences between remote and non-remote areas.Results Compared with non-remote areas,remote areas exhibited significant gaps in the coverage of informatization infrastructure and the construction of core system integration platforms.Remote areas also had higher absence rates of clinical service systems and notable disparities in institutional informatization investment and the allocation of dedicated IT personnel.However,remote areas demonstrated strengths in the deployment of health terminals(e.g.,integrated health devices,smart follow-up kits,and wearable devices)and the construction of systems for infection control/communicable disease management and patient follow-up management.Conclusion Regional digital divides are primarily constrained by three factors:fiscal investment,talent reserves,and technical adaptability.A differentiated policy support system is needed to address these challenges.
作者
龚静
杨娟
吴结凤
戴建峰
宁珂雪
李湘华
GONG Jing;YANG Juan;WU Jiefeng;DAI Jianfeng;NING Kexue;LI Xianghua(Sichuan Open University,Chengdu 610073,China)
出处
《现代医院》
2025年第7期1110-1115,共6页
Modern Hospitals
基金
四川省科技计划重点研发项目(2022YFS0055)
四川省教育科研项目(SCJG23A110)
四川省基层卫生事业发展研究中心课题(SWFZ25-Y-16)。
关键词
边远地区
基层医疗机构
信息化建设
数字鸿沟
Remote areas
Grassroots medical institutions
Information technology construction
Digital divide
