There are many difficulties in self-construction and integration.
The initial orientation of the health system of 3A hospitals is community service, which trains general practitioners. With the country's attention to community health work, these hospitals have made corresponding adjustments in compensation mechanism, service content and venue, and many first-class hospitals have become important sources of community health stations. The informatization construction of these community health stations has inherited the informatization characteristics of the original 3A hospitals:
(1). The system is relatively independent. Because the original first-class hospitals are basically fragmented and lack contact with each other, each system basically only considers the needs of the hospital and does not consider external contact.
(2) The function is relatively simple, especially there is no regional information. The original 3A hospitals are relatively small in scale, and the main functions of the system are registration, charging and pharmacy management, with only a small part of statistical functions, which are mainly used in hospitals.
(3) System providers are generally small in scale. Due to the limited investment in informatization of 3A hospitals, it is not attractive to large HIS manufacturers, and many companies that provide products for 3A hospitals are small-scale companies.
Because of the above characteristics, it is very difficult to integrate the information of these community health stations. If system integration is to be adopted, whether these small-scale system developers have enough strength is a problem that needs serious consideration. In addition, standardization and other work are needed, and their workload may be even greater than building a new system. However, if the scheme of completely redeveloping a system is adopted, system switching, personnel training and conflict of original users will all be difficult problems.
It is difficult to communicate between affiliated hospitals.
Community health stations in some areas are attached to tertiary hospitals. Generally, tertiary hospitals will send doctors to be responsible for the work of community health stations, and patients can refer each other between community health stations and tertiary hospitals. However, due to the limitations of tertiary hospitals in terms of manpower, material resources and financial resources, the number of such community health stations is limited, and because of the location of tertiary hospitals on which they depend, these community health stations rarely cover a natural area.
The informatization construction of these community health stations is partly completed by relying on large hospitals, using simplified version of HIS or one of its modules. Therefore, the information exchange between these community health stations and the tertiary hospitals they rely on can be guaranteed.
However, it also has a negative impact on the future information construction of these community health stations, mainly because it can't communicate with other community health stations and other tertiary hospitals and can't provide health information of the whole region. If these information systems are reformed, it will be very difficult to reform because the information systems of these health stations are closely integrated with the information systems of the tertiary hospitals that originally relied on.
Regional planning unfavorable referral
Since the reform and opening up, people's living standards have improved rapidly, and some local governments have gradually become rich. Therefore, some local governments funded the re-integration of community health resources, clarified the compensation mechanism, and promoted the development of community health stations. On the basis of the integration of venues, equipment, materials and personnel, local governments have not forgotten the integration of systems. The system used by community health stations generally adopts the way of government-funded bidding and procurement, which can not only meet the needs of various health stations, but also make unified planning and management of community health information in the whole region.
The implementation of regional health planning ensures the unified exchange of information and the unified allocation of resources among health stations, which is of great help to the construction and development of health stations in the region. The unified information system needs to communicate with large hospitals to realize two-way referral and mutual inquiry of examination results, which is also a very complicated system engineering. It is necessary to establish a complete system, optimize resource allocation, and integrate business and information at the same time to achieve the best results.