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WANG Oiangfen ,LU Xuewei

(College of Marxism, Guilin Medical University, Guilin 541199,China)

Abstract Objective 'To survey and aralysis of the current situation plan for eleetronic health record ( eHR ) serviceby investigating eHR service for community residents based on group consensus, and propose optimization plans foleHR service. Methods Medical stalf and residents of community health service centers in Shenzhen City wereselected as survey respondents, and the data were analyzed using ofline questionnaire sampling and SPSS statisticalsoftware. Results At the level of data collection , the top three items that the medical staff group focused on updatingtheir records were chronie disease management( 76.1 %), clinical diagnosis and treatment( 72.6%), and personal eycle physical examination ( 64.2%). And the top three items that the resident group focused on were preventivevaccination(72.9 % ), personal cycle physical examination( 34.3 % ), and health promotion( 28.6% ). At the level ofrecord use, medical staff believed that the main factor in inereasing the use of residents¡¯ health records was theestablishment of an inforation platform for residents¡¯ health records(88.06%), while residents ( 45. 28 % )believed that the ability to receive timely feedback and health guidance from doctors was a key factor in the frequencyof use of their health records. At the level of information sharing, more than 60% of medical staff and more than70 % of residents indicated that privacy protection issues would afeet their health data collection. Conclusion Theoptimization of eHR services for residents can be achieved by promoting experiential services to strengthen thecooperation and standardization of residents¡¯data collection, enhaneing privacy protection while intelligently miningresidents' health data, and reducing disagreements and enhancing consensus through coordination and communicationmechanisis.

Keywords : group consensus; electronic health record for community residents; service optimization

DOI:10.19296/j.cnki.1008-2409.2024-02-019

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