Research On The Construction Mode Of Primary Health Informatization

ObjectiveThis paper establishes the theoretical analysis framework of the construction model and sorts out the relevant policy documents of the primary medical informatization in the provincial administrative areas of China,clarifies the connotation of the construction model,summarizes the categories of construction models from the perspective of provincial level planning,and uses the information questionnaire form to select the areas with obvious effects of informatization construction,analyzes the characteristics of its construction mode with the purpose of providing policy recommendations for the steady development of primary health informationization.Methods1.Literature research method:To clarify the related concepts,policies,and theories and the practical experience and strategies of primary medical and health informatization in primary medical and health research at home and abroad,and try to construct a theoretical analysis framework for primary health informationization construction.2.Interview method:To analyze the rationality of the theoretical analysis framework and to understand the construction of primary health informationization in typical areas.3.Thematic framework analysis method:To establish a corresponding three-dimensional analysis framework to analyze the connotation of the construction model,and to summarize the characteristics of various construction modes.4.Questionnaire survey method:To collect relevant data that can reflect the current status of primary health informationization institutions.5.Statistical analysis method:To select the areas where the information construction effect is obvious,and to analyze the data application effects of different construction modes.Results1.Considering the basic medical and health informatization as an information-based medical and health service system,this paper uses the six-module framework theory of the medical and health service system proposed by the WHO to construct a theoretical analysis framework for the primary health informationization construction model,and establish the components of the construction model as technical elements,financing elements,management elements,and effect factors.2.The four components of the theoretical research are used as the analysis theme to analyze the theme documents of the 31 provinces in the country,for elaborating the connotation of the four components and summarizing the construction model based on a provincial perspective.In this paper,the construction mode is divided into county-level construction mode,city-level construction mode and mixed construction mode.3.Using the results of the survey on the status of informationization of primary health informationization institutions in 2017,the 11 provinces that were studied in this paper were to summarize the characteristics of the three construction models.county-level construction mode has the characteristics of low technical requirements and good system stability,but high hardware cost,long construction period,low management efficiency,high management cost and low sharing degreecity-level construction mode has low hardware cost,short construction period,high management efficiency,low management cost,high server utilization,and high sharing degree.However,it has higher requirements on network transmission speed,system stability,information technology,and information security.mixed construction mode has a high degree of sharing,but requires the provincial platform to have the computing and statistical computing power of all organizations in the province,and the network transmission speed and system stability are extremely high.ConclusionsThis paper attempts to construct a theoretical analysis framework of informationized medical and health service system by using the six-module framework theory proposed by WHO,and forms three construction modes based on the provincial perspective.Based on the comparative analysis of qualitative and quantitative,it is found that the city-level construction mode has a good promotion prospect based on the principle of "cost-benefit" maximization and the municipal administrative area will become the smallest administrative unit for primary health informationization construction.