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目的分析深圳市宝安区居民电子健康档案相关数据,了解目前建档现状,为进一步完善健康档案提供依据。方法汇总区内各社区健康服务中心的健康档案数据库,排除了有严重缺失登记项目、存在逻辑错误、或长期没使用的废档,对2009年1月至2010年12月有效的1 088 773份档案资料数据进行统计学分析。结果共汇总1 088 773份档案资料,男性491 324份,女性597 449份,比例为1∶1.22;年龄分组:<15岁组37 902份,15～岁组587 039份,30～岁组386 980份,45～岁组53 938份,>60岁组22 914份,15～45岁组的人口最多;暂住和流动人口比例大,占全人口比例的97.25%(1 058 854/1 088 773);居民的医疗费用的支付以职工医疗保险(680 053份,占62.46%)和自费(312 097份,占28.67%)为主;疾病谱分类中,糖尿病、高血压、肺结核的患病人数分别为4176、16 588、3217例。结论宝安区居民电子健康档案结构完整,建档数量大,但健康档案里的疾病信息录入有缺失或者不够详尽,准确性和完整性有待进一步提高及完善。
Objective To analyze the data of electronic health records of residents in Bao’an District of Shenzhen City, understand the current status quo of files, and provide basis for further improvement of health records. Methods Summarizing the health archives database of community health centers in the district, excluding serious missing registration items, logical errors or long-term unused scrap files, 1 088 773 valid from January 2009 to December 2010 File data for statistical analysis. Results A total of 1 088 773 files were collected, including 491 324 males and 597 449 females, with a ratio of 1: 1.22. The age groups were 37 902 in the <15 year old group, 587 039 in the 15 ~ year old group, and 386 in the 30 ~ 980, 459, 53 938, and 22 914 in the group of> 60 years old, with the largest population in the age group of 15-45 years; the large proportion of temporary floating population and floating population accounted for 97.25% of the total population (1 058 854/1 088 773). The medical expenses of residents were mainly medical insurance (680,053, accounting for 62.46%) and self-financing (312,097, accounting for 28.67%). In the spectrum of diseases, the prevalence of diabetes, hypertension and tuberculosis The numbers were 4176, 16 588 and 3217 respectively. Conclusion The electronic health records of residents in Bao’an District are complete in structure and have a large number of files. However, the input of disease information in the health records is either missing or exhaustive, and its accuracy and completeness need to be further improved and improved.