探讨基层医疗卫生机构公共卫生信息化建设现状，并提出对策。

2021年7~8月，以江苏省246所基层医疗卫生机构为调查对象，进行电子问卷调查。了解包括居民电子健康档案（EHR），重点人群健康管理，中医药健康管理等基本公共卫生服务信息化现状及存在的问题。

调查机构居民EHR、慢性病、重点人群健康管理信息化建设较好，但仍然存在EHR共享和利用率低等现象。32.5%（80/246）调查机构开通院外查询EHR信息服务，47.2%（116/246）调查机构EHR融入到医院信息系统，52.4%（129/246）调查机构电子病历融入到健康档案系统。调查机构慢性病、重点人群健康管理信息化略高于全国水平，但信息纵向融合较差，与省（国）级公卫平台对接率仅为50.0%~67.9%。中医药健康管理信息化滞后，仅53.3%（131/246）调查机构实现中医药健康管理信息化。用户体验满意度不高，仅44.3%（109/246）对信息化表示十分满意。

基层公共卫生服务信息化整体发展较好，但仍有短板和不足。应完善顶层设计战略，推进基层中医药等项目的信息化进程，促进医防数据融合共用，全方位提高基层卫生信息化，共筑幸福健康中国。

To explore the informatization construction of public health in primary medical institutions and to provide countermeasures.

From July to August 2021, an electronic questionnaire survey was conducted in 246 primary medical and health institutions in Jiangsu Province. The status and the existing problems of basic public health service informatization including residents' health records, key population health management, and traditional Chinese medicine health management were ananlyzed.

The informatization construction in electronic health records (EHR) of the residents, chronic disease management and key population health management in the surveyed institutions were relatively good, but the EHR sharing rate and the utilization rate were relatively low. Out of all the surveyed institutions, 32.5% (80/246) opened the EHR information inquiry service out of the hospital, 47.2% (116/246) integrated the EHR into the hospital information system, and 52.4% (129/246) integrated the electronic medical records into the health record system. The informatization level of chronic disease and key population health management in the surveyed institutions was slightly higher than the the national level, but the information sharing rate was poor, and the rate of integrating with provincial (national) platforms was only 50.0%-67.9%. Approximately 53.3% (131/246) of the surveyed institutions constructed the informatization of traditional Chinese medicine health management, and 44.3% (109/246) were very satisfied with the public health informatization.

The overall development of the informatization of public health services in primary medical institutions is good, but there are still shortcomings and deficiencies. The top-level design strategy should be improved, the informatization process of grassroots Chinese medicine and other projects should be promoted, and the integration and sharing of medical and preventive data should be promoted, so as to improve the informatization construction in an all-round way, which is important for building a happy and healthy China.