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目的:了解中国妇幼卫生监测数据网络直报系统(包括中国妇幼卫生监测网站)的应用效果,为进一步完善国家级妇幼卫生监测体系提供参考。方法:采用自填式问卷调查540个妇幼卫生监测机构对直报系统的使用效果、信息安全现状的意见和改进建议,按照监测机构的行政级别(省、地市和区县)和所处地区(东、中、西部)分类分析资料。结果:接受调查的单位中,认为直报系统对日常工作和决策有支持作用,能提高工作效率,降低人力成本和物资成本的单位分别占95.5%、90.1%、85.5%和84.9%;直报系统提高工作效率的作用在不同级别的单位间存在差别;降低物资成本的作用则有地区差别;降低人力成本的作用同时存在明显的地区差别和级别差别。认为系统安全性较好的单位占58.5%。结论:现有妇幼卫生监测数据直报系统对规范监测、提高工作效率有积极作用,需要增加投入,完善系统功能,提高系统的可靠性、易操作性和安全性,最终提高系统的实际应用效果。
Objectives: To understand the application effects of China MCH reporting network (including MCH monitoring websites) and to provide reference for further improving the national MCH monitoring system. Methods: Self-administered questionnaires were used to survey 540 maternal and child health monitoring agencies on the use of direct reporting system, the status quo of information security and suggestions for improvement, according to the monitoring agency’s administrative level (province, prefecture and district) and the region (East, Central and Western) classification analysis of information. Results: Among the units surveyed, the direct reporting system is considered to be supportive of routine work and decision-making. Units that can improve work efficiency, reduce labor costs and material costs account for 95.5%, 90.1%, 85.5% and 84.9% respectively. Direct reports System to improve the efficiency of the role in different levels of different units; reduce the role of material costs are the regional differences; reduce the role of labor costs while there are significant differences between regions and levels. 58.5% think that the system safety is better. Conclusion: The existing direct reporting system for MCH monitoring data has a positive effect on standardizing monitoring and improving work efficiency. It needs to increase investment, improve system functions, improve system reliability, ease of operation and safety, and ultimately improve the practical application effect of the system .