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目的:了解福州市某区社区健康档案的规范化管理现状,为其未来发展提供建议;方法:对福州市某区10家社区卫生服务中心的电子健康档案进行抽样调查,对档案的完整性与动态使用情况进行描述性统计分析;结果:居民健康档案完整性较好,但档案的动态使用率低,高血压、糖尿病患者规范化管理情况不甚理想;结论:群众不配合、管理不到位等多方面原因造成社区健康档案管理不够规范,建议保证建档数量的同时,要更加注重档案的质量和使用效率,让健康档案更好的为居民服务。
OBJECTIVE: To understand the status quo of standardized management of community health records in a district of Fuzhou and to provide suggestions for its future development. Methods: A sample survey was conducted on the electronic health records of 10 community health service centers in a certain district of Fuzhou City. The completeness and dynamics of the files Descriptive statistical analysis was carried out. Results: Residents health records integrity is good, but the dynamic utilization of files is low, the standardized management of hypertension and diabetes patients is not ideal; Conclusion: The masses do not cooperate, management is not in place and many other aspects The reasons for the community health records management is not standardized, it is recommended to ensure that the number of documents at the same time, we must pay more attention to the quality of the files and the use of efficiency, health records better for residents.