目的以西部某知名三甲医院为例,通过对其区域医疗协同医院医务工作者对区域医疗信息化知晓和使用情况的调查,探索其运行效果、影响因素及对策。方法采用问卷调查方法,对西部某知名三甲医院区域医疗体系3家协同医院的医院管理者、医护和医技人员进行分层抽样调查。结果共调查269名医务工作者,超过80%的受访者认为区域医疗信息化有助于提高诊疗/护理质量(82.65%)、提高工作效率(85.50%)以及有助于提升医院和科室管理工作(88.12%);80%以上的被调查者认为区域医疗信息化的瓶颈主要集中在政府及相关职能部门。结论医务工作者对区域医疗信息化的认知程度较高,但应用效果不理想。只有强化区域协同医疗中的政府主导性,加强国家层面相关政策、规范和标准的制定、基于制度和标准保障,结合各地实际情况,建立适宜的区域协同医疗模式、适应不同区域协同医疗模式的利益分配制度及医保体系,才能有效推动区域医疗信息化的实施进程。 Objective To take a well-known top three hospital in western China as an example to explore its operation effect, influencing factors and countermeasures by investigating the knowledge and use of medical informatization in regional medical cooperative hospitals. Methods A questionnaire survey was conducted to stratify sample survey of hospital managers, medical staff and medical technicians in three cooperative hospitals in a well-known top three western hospital in the region. Results A total of 269 medical workers were surveyed. More than 80% of respondents considered regional medical informatization to improve the quality of medical treatment and nursing (82.65%), improve work efficiency (85.50%) and help to improve hospital and departmental management (88.12%). More than 80% of respondents think the bottleneck of regional medical informatization mainly lies in the government and related functional departments. Conclusion Medical workers have a higher level of cognition of regional medical informatization, but the application effect is not satisfactory. Only by strengthening the government dominance in regional collaborative medical care, strengthening the formulation of relevant policies, norms and standards at the national level, establishing appropriate regional collaborative medical models based on the actual conditions in different regions and based on the actual conditions in different places, and adapting to the interests of coordinated medical models in different regions Distribution system and health insurance system in order to effectively promote the implementation of regional medical informatization.