Abstract:Objective To develop and apply the chronic disease surveillance system (CDSS) based on the hospital information system (HIS) of various hospitals so as to improve the quality and efficiency of surveillance of chronic diseases in Jiangyin City. Methods The suitable computer operating systems were Windows XP, Windows 2003 or Windows 7. The development tools were PowerBuilder 9.0 and PowerDesigner 15.0. The database was established based on Microsoft SQL Server 2005. The construction of the system was C/S. The developed CDSS was embedded in the HIS system of various hospitals in Jiangyin City. The system would automatically recognize chronic diseases, check duplicate content, trigger the electric report of chronic diseases, and compel the clinician to fill in the form. Results The rates of reporting, integrity, accuracy and promptness in Jiangyin City in 2015 were significantly improved as compared with the rates in 2014 (95.06% vs. 69.36%, 99.66% vs. 98.30%, 99.35% vs. 81.12%, 98.67% vs. 97.27%), and were further improved in 2016 (98.28%, 99.93%, 99.38%, 99.11%). The rate of duplicated reporting in 2015 was remarkably decreased compared with that in 2014 (1.93% vs. 6.57%),and further decreased in 2016 (1.70%). The rates of reporting, integrity, accuracy and promptness showed statistically significant differences (χ2=300.87, χ2=346.63, χ2=472.36, χ2=326.09, χ2=1,293.26, all P<0.001). Conclusions Implementing the CDSS based on the HIS system in Jiangyin City significantly improves the quality and efficiency of surveillance of chronic diseases, and the achievements are outstanding. The CDSS is worth popularizing.
朱爱萍, 洪淇, 曹恒富, 章剑, 刘娟. 基于医院信息系统的慢性病监测系统的开发和应用[J]. 实用预防医学, 2018, 25(9): 1054-1056.
ZHU Ai-ping, HONG Qi, CAO Heng-fu, ZHANG Jian, LIU Juan. Development and application of chronic disease surveillance system based on hospital information system. , 2018, 25(9): 1054-1056.