Health informatisation is an effective means to enhance the service capacity of primary healthcare institutions. Since the 12th Five-Year Plan, Sichuan Province has attached great importance to the construction of primary health informatisation, with a view to realising the enhancement of the management level and service capacity of primary healthcare institutions empowered by health information. However, there is a lack of research on the current status of health informatisation construction and application in the province.

Summarise the current situation and effectiveness of information technology construction in primary healthcare institutions in Sichuan Province.

From May to June 2023, a questionnaire survey was conducted on 143 district and county health administrative departments and 1 028 primary healthcare organisations in 21 cities and states in Sichuan Province using stratified random sampling method. The questionnaires were developed in terms of information personnel, information infrastructure, information systems, and IT applications. The questionnaires were deployed in the unified primary healthcare platform at the provincial level and were filled in by personnel familiar with information technology construction in each primary healthcare institution.

In terms of personnel, 40.95 per cent (421/1 028) of the institutions had information staff, with an average of (0.48±1.12) part-time staff and (0.25±1.08) full-time staff per institution. Information standardisation has been completed in primary healthcare institutions, forming a pattern of coordinated construction at the provincial level. In terms of system construction, 98.83 per cent (1 016/1 028), 99.61 per cent (1 024/1 028) and 99.32 percent (1 021/1 028) were equipped with the HIS, the basic public health service system, and the contracted management system for family doctors, respectively, an average of (2.28±2.63) clinical service systems, (2.56±1.97) medical management systems, and (10.00±20.81) out-of-hospital/supervisory bar systems were used. In terms of technology application, the rate of electronic health records reached 94.93% (2 021/2 129), the total use of electronic medical records reached 77.43% (796/1 028), and 32.60% (1 091/3 347) of the institutions' TCM centres were connected to the Sichuan Provincial TCM Center Health Information Platform, which realized health record access, consultation contracting, consultation follow-up, and configuration of terminals for basic public health services accounted for 83.46% (858/1 028), 56.91% (585/1 028), 68.77% (707/1 028), and 81.91% (842/1 028), respectively, and 74.12% (762/1 028) of the institutions at the upper and lower levels of the healthcare consortium carried out business synergies.

Since the 'Twelfth Five-Year Plan', the overall construction of information technology in primary healthcare institutions in Sichuan Province has been better, showing the development trend of comprehensive consolidation of infrastructure, diversified development of basic medical service functions, integrated integration of basic public health service functions, gradual adaptation of information technology to the development of integrated healthcare service system, and continued expansion of the application of new technologies. Eco-application scenarios of primary healthcare informatisation.

卫生信息化是提升基层医疗卫生机构服务能力的有效手段，"十二五"以来，四川省高度重视基层卫生信息化建设，以期实现卫生信息赋能基层管理水平与服务能力提升。然而，目前还缺乏对全省卫生信息化建设与应用现况研究。

总结四川省基层医疗卫生机构信息化建设现状与成效。

2023年5—6月，采用分层随机抽样法，对四川省21个市/州的143个县/区/县级市卫生行政部门、1 028个基层医疗卫生机构开展问卷调查。问卷内容从信息人员、信息基础设施、信息系统、信息技术应用等方面展开。调查问卷发布在省级统一的基层卫生健康平台中，由各基层医疗卫生机构熟悉信息化建设的人员填写。

人员方面，40.95%（421/1 028）的机构有信息人员，平均每家机构有（0.48±1.12）个兼职人员，有（0.25±1.08）个专职人员。基层医疗卫生机构已完成信息标准化建设，形成省级统筹建设格局。系统建设上，配置医院管理系统（HIS）、基本公共卫生服务系统、家庭医生签约管理系统的分别占98.83%（1 016/1 028）、99.61%（1 024/1 028）、99.32%（10 21/1 028）；平均使用了（2.28±2.63）个临床服务类系统、（2.56±1.97）个医疗管理类系统、（10.00±20.81）个院外/上级条块系统。技术应用上，健康档案电子化率达94.93%（2 021/2 129），电子病历总使用率达77.43%（796/1 028），32.60%（1 091/3 347）的机构中医馆接入四川省中医馆健康信息平台，实现健康档案调阅、诊间签约、诊间随访、配置基本公卫服务终端的机构分别占83.46%（858/1 028）、56.91%（585/1 028）、68.77%（707/1 028）、81.91%（842/1 028），医联体上下级机构间开展业务协同的占74.12%（762/1 028）。

"十二五"以来，四川省基层医疗卫生机构信息化建设整体较好，呈现出基础设施全面夯实、基本医疗服务功能多样化发展、基本公共卫生服务功能统筹融合的发展趋势，信息化逐步适应整合型医疗卫生服务体系发展，新技术应用持续扩展基层卫生信息化生态应用场景。