社区居民电子健康档案使用障碍研究

目的对国内外社区居民电子健康档案使用障碍进行分析，为推动我国电子健康档案建设提供参考。方法检索PubMed、Web of Science和中国生物医学文献数据库2013年1月1日-2021年2月1日相关文献，提取第一作者、年份、国家/地区、使用障碍等信息。结果共纳入17篇文献。社区居民电子健康档案使用障碍包括个人障碍、隐私和安全、技术障碍和外界障碍共4类，其中，隐私和安全问题是出现频数最高的障碍类型，个人障碍是我国纳入文献中出现频数最高的障碍类型。结论个人认知和一般社会人口学特征以及隐私和安全问题是阻碍我国社区居民使用电子健康档案的主要因素。建议我国相关部门多渠道、分人群宣传电子健康档案；完善居民隐私保护措施，提高居民隐私保护意识；建立统一的电子健康档案管理平台；健全“建档-管档-用档”体系。

Study on Obstacles to the Use of Electronic Health Records for Community Residents

ObjectiveTo review the barriers of using the Electronic Health Records (EHR) among domestic and foreign community residents, and to provide reference for promoting the construction of EHR in China.MethodsPubMed, Web of Science and Chinese Biomedical Literature Database were searched for relevant literatures from January 1, 2013 to February 1, 2021, and information such as first author, year, country/region, and use barrier were extracted.ResultsA total of 17 studies were included. The barriers to the use of EHR for community residents included personal barriers, privacy and security barriers, technical barriers and external barriers. Among them, privacy and security problems were the most frequently encountered barriers, and personal barriers were the most frequently encountered barriers in the included literature.Conclusion Personal cognition and general social demographic characteristics as well as privacy and security issues were the main factors hindering the use of EHR by Chinese community residents. It was suggested that relevant departments in China promote EHR through multiple channels and population segmentation; improve residents' privacy protection measures and improve their awareness of privacy protection; establish a unified EHR management platform; improve the system of "file building, file management and file use".