中国医疗管理科学2024,Vol.14Issue(5) :63-68.DOI:10.3969/j.issn.2095-7432.2024.05.011

大型公立中医互联网医院服务现状研究与实践探讨

Service and practice of an Internet hospital established in a large public Traditional Chinese Medicine hospital

韩扬阳 袁梦 姜虹 于洁 唐武军
中国医疗管理科学2024,Vol.14Issue(5) :63-68.DOI:10.3969/j.issn.2095-7432.2024.05.011

大型公立中医互联网医院服务现状研究与实践探讨

Service and practice of an Internet hospital established in a large public Traditional Chinese Medicine hospital

韩扬阳 1袁梦 1姜虹 1于洁 1唐武军1
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作者信息

  • 1. 100010 北京,首都医科大学附属北京中医医院门诊部,互联网医院办公室
  • 折叠

摘要

目的 以北京市某三级甲等中医医院为例,探讨互联网医院在中医医疗服务中的应用情况,为中医互联网医院建设提供参考依据.方法 回顾分析该中医医院互联网医院建设部署情况以及2023年的服务情况.结果 线上线下一体化服务体系在该医院得到有效实施,视频问诊和图文咨询服务量逐年增长,自2020年3月建成以来,截至2023年12月服务量达129 614人次.2023年,线上复诊的患者以女性居多,平均年龄为41岁,自费患者占比70.56%,药品邮寄占比58.22%,内科患者占比72.65%;参与互联网诊疗的卫生技术人员(医、药、护)中,高级职称占比6成以上,其看诊患者人次占比高达77.08%;用药情况23.72%为继开,76.28%为调整和新开;从诊疗患者人次的线上与线下比来看,心身医学科、肿瘤科、乳腺外科、妇科、儿科居前列;线上退号原因中,患者因素占71.97%,患者整体满意度为4.95分.结论 中医互联网医院具有广阔应用前景,可通过增加中医特色诊疗、拓展服务功能和优化服务体验,解决运行难题,以更好地满足患者对"云端中医"的需求,并有力推动"互联网+中医药"领域的创新与发展.

Abstract

Objective To explore the application of Internet hospitals in Traditional Chinese Medicine(TCM)services,taking a tertiary TCM hospital in Beijing as an example.Methods The construction and deployment of the Internet hospital of a TCM hospital and the services it delivered in 2023 were retrospectively analyzed.Results An online-offline integrated service system was effectively implemented in the hospital.There has been a steady growth in the volume of video consultations and graphic diagnosis services,reaching 129,614 person-times since 2020.In 2023,most patients undergoing online follow-up were females,and the mean age was 41 years.Self-paying patients made up 70.56%.Additionally,58.22%of medications were delivered by mail.Patients from internal medicine departments accounted for 72.65%.More than 60%of healthcare workers(doctors,pharmacists,and nurses)involved in the Internet-based consultations had a senior academic title,serving up to 77.08%of patients.In terms of medications prescribed,23.72%were prescriptions continued from previous visits,while 76.28%were adjustments or new prescriptions.The departments of psychosomatic medicine,oncology,breast surgery,gynecology,and pediatrics had the highest online-to-offline consultation rates.Among the reasons for cancellation of online appointments,patient factors accounted for 71.97%.The overall satisfaction score among the patients was 4.95 on the 5-point scale.Conclusion TCM Internet hospitals have broad development prospects.By adding featured diagnosis and treatment services,expanding service functions,and optimizing service experience,these hospitals can better satisfy patients'demands on"Cloud TCM"and promote the sustainable innovations and development of"Internet+TCM".

关键词

中医医院/互联网医院/服务现状

Key words

Traditional Chinese Medicine hospital/Internet hospital/Services

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基金项目

国家自然科学基金(72174131)

国家中医药管理局监测统计中心2024年度深化医改中医药政策研究自选课题(YGZXKT2024029)

出版年

2024
中国医疗管理科学

中国医疗管理科学

ISSN:
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