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为了建立一份高质量的居民健康档案 ,入户调查是至关重要的一环。嘉定区方泰镇作为上海市卫生局全民健康计划的试点镇已经完成全镇 144 6 2名 16岁以上居民 ,健康档案的建档工作。为了有效地控制档案质量 ,采取了如下几点措施 :1、规范档案格式 ;2、严格岗前培训 ;3、加强责任心教育 ;4、系统抽样复核。健康档案每人一档 ,以家庭为单位成册。档案采用问卷式设计。为了保证入户调查的质量对所有参与调查和复核的工作人员都必须进行严格的上岗前培训。培训内容包括学习该档案的填写方法、注意事项以及入户调查时对每一项目进行提问的示例。档案调查原则上由 2名调查人员完成 ,一人进行询问 ,一人进行记录。严格的岗前培训比较好地控制了档案中具有标准答案项目的调查质量 ,但是未能有效地控制一些没有标准答案项目的调查质量。根据设计要求对已建成的居民健康档案的抽样复核率应不低于 5 %。复核的内容包括 :调查人员是否入户、信息采集有没有缺项、有标准答案项目的答案代码填写是否准确、无标准答案项目的答案填写内容是否完整 ,逻辑上有无不合理现象。复核结果调查质量完全符合要求 ,10 0 %通过验收。
In order to build a high quality resident health record, the household survey is a crucial part. The Fangtai Town of Jiading District, as the pilot town of the Shanghai Municipal Health Bureau’s National Health Plan, has completed the construction of 144 62 residents of the town and over 16 years old with health records. In order to effectively control the quality of archives, the following measures have been taken: 1. Specification of file formats; 2. Strict pre-post training; 3. Reinforced responsible education; 4. Systematic sampling review. One file for each person in the health record, with a family as a unit. The file uses a questionnaire design. In order to ensure the quality of the household survey, all staff involved in the investigation and review must be trained strictly before the job. The training content includes examples of how to fill out the file, notes, and questions that are asked about each item during the household survey. The investigation of archives is in principle completed by two investigators, one for questioning and one for recording. Strict pre-employment training controls the quality of surveys with standard answer items in the archives, but it fails to effectively control the quality of surveys without standard answer items. According to the design requirements, the sampling review rate of the built residents’ health records shall not be less than 5%. The review includes: whether the investigators entered the home, whether there was a missing item in the information collection, whether the answer code of the standard answer item was accurate, and whether the answer content of the answer item without the standard answer was complete, and whether there was any logic in the logic. The quality of the review results fully meets the requirements and 100% passes the acceptance.