基于互联网和移动设备的全科医疗:横断面调查

Internet-Based and Mobile-Based General Practice: Cross-Sectional Survey.

作者信息

Qiu Yan, Liu Ying, Ren Wen, Qiu Yunqing, Ren Jingjing

机构信息

The First Affiliated Hospital, Zhejiang University, Hangzhou, China.

出版信息

J Med Internet Res. 2018 Sep 25;20(9):e266. doi: 10.2196/jmir.8378.

Abstract

BACKGROUND

Globally, mHealth is increasing as a promising technology for promoting the quality of health care. Thus, a growing number of internet hospitals have been established in China to avail all its advantages. However, no study has investigated the service scope and patient satisfaction of the internet hospital to date.

OBJECTIVE

The objective of our study was to explore the features of outpatients in general practice, the disease information, and the satisfaction through an internet rating site.

METHODS

We collected data from the internet hospital of the First Affiliated Hospital, Zhejiang University between February 2016 and February 2017. Patients visited Web-based clinic via a computer or smartphone. The data included patients' demographic characteristics, disease information, and patients' comments.

RESULTS

We enrolled 715 patients with 365 health-related problems. All health conditions involved diseases ranging from internal medicine, surgery, gynecology and obstetrics, pediatrics, dermatology, ophthalmology, stomatology to emergency. Among them, 63.1% patients (451/715) visited traditional hospitals for further management, 25.3% (181/715) had prescriptions, laboratory, or imaging examination appointment, 1% (9/715) used emergency service, and 10% (74/715) needed routine follow-up. All patients received health education. Almost all patients gave positive feedback and 4-5-star rating.

CONCLUSIONS

The internet hospital is suitable for all health conditions with high satisfaction only when patients have the access to internet via a computer or smartphone.

摘要

背景

在全球范围内,移动健康作为一种提升医疗保健质量的有前景的技术正在不断发展。因此,中国已建立了越来越多的互联网医院以利用其所有优势。然而,迄今为止尚无研究调查过互联网医院的服务范围和患者满意度。

目的

我们研究的目的是通过一个互联网评级网站探索全科门诊患者的特征、疾病信息以及满意度。

方法

我们收集了浙江大学医学院附属第一医院互联网医院在2016年2月至2017年2月期间的数据。患者通过电脑或智能手机访问网络诊所。数据包括患者的人口统计学特征、疾病信息以及患者评论。

结果

我们纳入了715例患者,他们有365个与健康相关的问题。所有健康状况涉及的疾病范围从内科、外科、妇产科、儿科、皮肤科、眼科、口腔科到急诊科。其中,63.1%的患者(451/715)前往传统医院进行进一步治疗,25.3%(181/715)有处方、实验室或影像检查预约,1%(9/715)使用了急诊服务,10%(74/715)需要定期随访。所有患者均接受了健康教育。几乎所有患者都给出了积极反馈并给予了4至5星评级。

结论

仅当患者能够通过电脑或智能手机访问互联网时,互联网医院适用于所有健康状况且满意度较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab58/6300040/603ae549b065/jmir_v20i9e266_fig1.jpg

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