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目的了解成都市居民健康档案真实性,为制定防控政策提供科学依据。方法采用分层随机抽样方法,调查成都市42家社区卫生服务中心和乡镇卫生院居民健康档案真实性。结果共调查2 371人,应答率54.5%。建档知晓率为44.9%,不同地区、机构、人群间差异有统计学意义(P<0.05),城区最高,郊区次之,郊县最低;社区卫生服务中心显著高于乡镇卫生院;重点人群显著高于非重点人群。基本信息真实率为95.1%,不同地区、机构、人群间差异无统计学意义(P>0.05)。重点人群服务信息真实率为76.1%,不同机构间差异有统计学意义(P<0.05),社区卫生服务中心显著高于乡镇卫生院。结论成都市居民健康档案基本信息真实率较高。应加强健康档案宣传,增加电话填写率和服务信息真实率的考核指标,提高基本公共卫生服务质量。
Objective To understand the authenticity of health records of residents in Chengdu and to provide a scientific basis for making prevention and control policies. Methods A stratified random sampling method was used to investigate the authenticity of health records of residents in 42 community health service centers and township hospitals in Chengdu. Results A total of 2 371 people were surveyed, with a response rate of 54.5%. The awareness of archives establishment was 44.9%, with significant differences among different regions, institutions and populations (P <0.05), with the highest in urban areas, the lowest in suburban areas and the lowest in suburban counties; that of community health centers was significantly higher than that of township hospitals; Significantly higher than non-key population. The real rate of basic information was 95.1%, there was no significant difference among different regions, institutions and populations (P> 0.05). The true rate of service information of key population was 76.1%, with significant differences between different agencies (P <0.05). Community health service centers were significantly higher than township hospitals. Conclusion The actual information of Chengdu residents’ health records is higher. Publicity of health records should be strengthened to increase the evaluation index of telephone filling rate and real rate of service information so as to improve the quality of basic public health services.