Keywords: residents? Electronic health record? Public health informatization
At present, China is actively promoting the development of public health care system. According to the requirements of the State Council's "Thirteenth Five-Year Plan", a public health care management system with resources and services has been established, including public health, family planning and comprehensive management. Among them, residents' electronic health records are an important part of public medical management system. Establishing a perfect medical management file for residents with the help of information technology can provide necessary information and data for medical staff, thus providing reference for optimizing medical resources, adjusting medical services and promoting the development of public medical undertakings.
1? Application progress of public health informatization
1. 1 electronic health records of residents
Take the establishment of electronic health records of residents in a community as an example. The electronic health records of residents in this community include many key information, such as personal health information and medical information. According to the contents of electronic health records, medical staff can accurately grasp the health status of residents, and at the same time intuitively and clearly understand the treatment process, treatment effect and rehabilitation of residents' diseases, so that medical staff can comprehensively analyze the health status of residents from both dynamic and static perspectives. In daily medical treatment, residents can use electronic cards to complete identity authentication. After that, medical staff can formulate scientific and reasonable treatment methods according to the residents' conditions, and at the same time, they can record the relevant information generated during the treatment. By establishing electronic health records for residents, residents can enjoy high-quality services and learn relevant health knowledge, so as to standardize residents' daily treatment and rehabilitation behavior, enable residents to complete treatment conveniently and with high quality, improve treatment compliance, and thus improve treatment efficiency.
1.2 chronic disease management by combining medical treatment with prevention
With the continuous increase of the elderly population in China, the proportion of elderly patients in chronic diseases is increasing. When establishing residents' electronic health records, it is necessary for the community to undertake tasks such as screening, diagnosis and follow-up to build a chronic disease management system combining medical treatment with prevention and provide management services for the medical treatment and prevention of chronic diseases. According to the preliminary diagnosis results, residents can take electronic health records to the general hospital for further diagnosis and treatment. China is actively promoting the construction of the trinity medical system. Professional departments will formulate residents' health medical plans, community public medical systems will establish electronic records of residents' health, and then establish information exchange relations with general hospitals to reflect residents' health status to general hospitals in time, so that hospitals can implement treatment measures for residents in the shortest time and avoid delaying residents' disease treatment because of too long time.
1.3 combination of medical education and student management
In order to establish electronic health records of students in the community, China has implemented the mode of combining medical education, built a student monitoring and management mode with schools as the unit, and issued a doctor performance card to general practitioners, requiring doctors to implement effective management measures for students' health according to health electronic records. General practitioners, as the main body of health management model, need to keep track of students' health status at all times and implement active intervention measures for emerging diseases. When establishing electronic health records, students take health cards as the main body, bind student medical insurance cards and student registration cards into health cards, and require students to have an annual physical examination. According to the physical examination, analyze the health status of students to ensure that students' health is in the best state.
1.4 supervision and management of the whole process of planned immunization
In the process of establishing a whole-course supervision plan immunization management system, based on residents' electronic health records, it is incorporated into the doctor's work system and vaccine cold chain supervision system, and the immunization status of residents in the community is effectively managed through community health service centers. In the daily work, the community public health management department, according to the requirements of immunization planning, uses computer network technology to establish a characteristic immunization management and evaluation model. Residents only need to use mobile devices to complete the vaccine reservation and vaccination within the specified time, which can not only improve the vaccination efficiency, shorten the time for residents to see a doctor and improve the satisfaction of residents' medical services, but also establish a perfect immune management system around the immune system of community residents, so that people suitable for vaccination can
1.5 Interface between infectious disease management site and laboratory
With the help of information technology, general hospitals and community public health service centers can build information systems, implement scientific and reasonable management measures for patients with infectious diseases in the community, establish an infectious disease management information system and community health service department that are connected with the field and the laboratory, establish an integrated disease management operation mechanism for the obtained information, comprehensively manage information such as disease development and the number of patients in the operation process, and formulate a scientific and effective early warning plan. Moreover, through the established information system, medical staff can complete the work of sample collection, sample delivery and detection according to the process, implement comprehensive and scientific management measures for the epidemic situation in the community, avoid uncontrollable situations such as the epidemic situation in the community, effectively control the spread of the epidemic situation, and create a safe and stable living environment for the community residents.
2? Challenges of public health informatization
2. 1 The application of data standards needs to be unified.
To build a standardized health information system, it is necessary to build a communication bridge for different information systems and platforms, so that information sharing and exchange can be completed in an information environment, which requires the application of data standards to remain unified. However, in the process of establishing community public health information management system, due to the failure to establish an effective communication platform for data standardization and business needs, the information health management system failed to play its due role. The main reasons are: first, there is a time difference between the construction time of community public health information system and CDC, and the data standards cannot be unified; Second, community general hospitals and software research and development enterprises have established information-based public health systems, but due to technical differences, they have failed to form a unified information application standard.
2.2 Information security protection needs to be strengthened.
Information technology can quickly and effectively complete information management and other work. With the help of advanced management means, users' information security can be guaranteed, and mistakes caused by manual operation can be avoided. However, with the increasing number of electronic health records established by residents in this community, due to the lack of necessary security protection measures, residents' personal information was leaked, which affected residents' information security.
3? Prospect of public health informatization
3. 1 Accelerate the application of health information standards
In the process of establishing residents' electronic health records, if the community applies standardized health information management measures to different information and different types of residents' health information according to the standard interface business, and gradually completes the upgrade and conversion, it can provide the necessary guarantee for the standardization of health information in this city. According to the relevant business content and application standards, it can establish a docking relationship with the municipal health system, thus laying a solid foundation for the general hospital to carry out health information transformation and establish an interconnected information platform.
3.2 Promote the construction of information security system
In the process of building community information security system, it is required that in the process of building community information management system, network security and management must be strengthened in strict accordance with the relevant provisions of national information security, at the same time, clear instructions should be given to information exchange and information sharing, and the information management workflow should be standardized to avoid the normal operation of the system being affected by information confusion or staff mistakes.
3.3 Promote public health big data mining
In the process of community health informatization construction, community public health service departments should promote the application of public health big data and tap the potential of big data contained in public health services. With the help of information technology, according to the changes of big data, they should build a * * * enjoyment space for the epidemic situation and disease development of the community through information exchange and other means, so that all departments can implement effective countermeasures according to the public health situation of the community.
4? label
To sum up, in the process of establishing residents' electronic health records, communities all over China build public health information management systems by means of information technology, establish electronic health records for each resident in the community, provide high-quality public health services for residents, promote the development of public health informatization in China, and help improve the level of public health care and service quality in China.