Abstract:

Objective To understand the utility of health records in community health services stations in Beijing and to investigate the existing problems, so as to provide some referring evidences for improving health records management. Methods Field survey was conducted in the clinic of community health services centers. Results The utilization ratio of paper-based personal health records, family health records, health records in outpatient in community health service stations is 38.3%,58.7% and 41.8% respectively. The record form indicating specific service feature of general practice is relatively less than the common outpatient form. The utilization rates of health records of the four chronic diseases including high blood pressure, coronary heart disease, diabetes and stroke are higher than other cases,and the difference between the utilization rate of the four chronic diseases and other cases is statistically significant(P<0.001). The utilization of out-patient electronic health records is 94.9%. Among out-patient electronic health records, 56.3% are recorded systematically. Conclusion The majority of health records are used in community. The using rate is higher in health records of chronic diseases than that of other diseases. In electronic health records, many health records are recorded systematically, which indicates that management in health records should be strengthened furtherly.

Key words: general practice, community health services, health records