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目的了解中国(未包括香港、澳门特别行政区和台湾地区,下同)乡(镇、苏木、街道,下同)级儿童预防接种信息管理系统(Childhood Immunization Information Management System,CIIMS)建设现状,为全面实施CIIMS提供依据。方法2007年4月对全国乡级预防接种报告单位工作人员、计算机软硬件、网络等基本信息进行普查。结果共调查了50 469个乡级预防接种报告单位,37.47%(18 913/50 469)的单位有计算机。东、中、西部地区分别为61.14%(7 793/12 747)、31.27%(5937/18 984)、27.66%(5183/18 738)。仅16.46%(8309/50 469)的单位计算机主频、内存、上网方式、杀病毒软件均符合要求。调查的112 132名工作人员中,能较为熟练使用计算机的占30%,20.13%不会使用计算机打汉字。全国共有113家公司开发的CIIMS客户端软件。东、中、西部地区预防接种报告单位信息设备拥有量、工作人员计算机操作水平、网络覆盖率、信息化管理覆盖率等方面,均为东部地区好于中、西部地区。有近17%的乡实施了预防接种信息化管理,各地现有信息系统数据标准不统一,数据不能共享。结论乡级预防接种报告单位应尽快配备计算机等硬件设备,加强计算机操作培训,加大中、西部地区CIIMS建设经费投入。
Objective To understand the status quo of the construction of Childhood Immunization Information Management System (CIIMS) in China (excluding Hong Kong, Macau Special Administrative Region and Taiwan) The full implementation of CIIMS provide the basis. Methods In April 2007, we conducted a general survey of the basic information of the township-level vaccination reporting units, computer software and hardware, and the network. Results A total of 50 469 township vaccination reporting units were surveyed, and 37.47% (18 913/50 469) units had computers. The eastern, central and western regions were 61.14% (7 793/12 747), 31.27% (5937/18 984) and 27.66% (5183/18 738), respectively. Only 16.46% (8309/50 469) of the unit computer clock speed, memory, Internet access, kill the virus software to meet the requirements. Of the 112 132 staff surveyed, 30% were able to use computers more skillfully and 20.13% did not use computers to type Chinese characters. CIIMS client software developed by 113 companies nationwide. Eastern, Central and Western vaccination reporting unit information and equipment ownership, staff computer operation level, network coverage, information management coverage and so on, are better than the eastern region in central and western regions. Nearly 17% of the townships have implemented vaccination information management, and the data standards of existing information systems in various places are not uniform and the data can not be shared. Conclusion Township vaccination reporting units should be equipped with hardware such as computers as soon as possible to strengthen computer operation training and increase investment in CIIMS in central and western regions.