Zhang Ye, Zhang Ye, Huang Jie, Dong Liang
Department of General Medicine, Affiliated Hospital of Jiaxing University, Jiaxing, China.
Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Jiaxing, China.
Eur J Public Health. 2023 Oct 10;33(5):789-795. doi: 10.1093/eurpub/ckad138.
There has been controversy over whether to carry out online medical inquiries and electronic prescription for first-visit patients. While Internet hospitals have become crucial to ensure providing online diagnosis and prescription needs for first-visit COVID-positive patients.
We describe the results and advantages of online medical treatment during the coronavirus disease 2019 (COVID-19) outbreak and analyse the results and advantages of online medical treatment.
Data were collected from the patients who received online medical inquiry services through the COVID-19 Special Section of our Internet hospital. The user demographic characteristics, user behaviour, clinical symptoms and medical records were collected. Baseline data of offline outpatient patients were also collected.
A total of 16 173 online medical inquiries were included. The daily online outpatient service volume reached a peak of 2446 person-times. The median age was 29.92 years (SD 15.59), ranging from 20-39 years (n = 8870, 54.84%). A total of 89.20% (n = 14 426/16 173) patients had epidemic-related symptoms. Moreover, 23.35% of the people were diagnosed as COVID-19-positive through antigen or nucleic acid testing. Furthermore, 86.61% (14 008/16 173) of the patients visited our hospital for the first time or had no offline physical outpatient service record within the past 3 months. The demand for medical inquiries was mainly for drug dispensing, followed by medication guidance and disease diagnosis. And 2.07% (334/16 173) of the patients needed to go to the offline hospital for further treatment.
The service model of the COVID-19 Special Section based on Internet hospitals provided the public with the necessary medical support during the COVID-19 outbreak. It provides a reference for future pandemics or public health emergencies.
对于初诊患者是否开展在线医疗咨询和电子处方存在争议。而互联网医院对于确保为新冠病毒检测呈阳性的初诊患者提供在线诊断和处方需求至关重要。
我们描述了2019年冠状病毒病（COVID-19）疫情期间在线医疗的结果和优势，并分析在线医疗的结果和优势。
收集通过我院互联网医院新冠专区接受在线医疗咨询服务的患者的数据。收集用户人口统计学特征、用户行为、临床症状和病历。还收集了线下门诊患者的基线数据。
共纳入16173例在线医疗咨询。每日在线门诊服务量达到峰值2446人次。中位年龄为29.92岁（标准差15.59），年龄范围为20至39岁（n = 8870，54.84%）。共有89.20%（n = 14426/16173）的患者有与疫情相关的症状。此外，23.35%的人通过抗原或核酸检测被诊断为COVID-19阳性。此外，86.61%（14008/16173）的患者是首次来我院就诊或在过去3个月内没有线下实体门诊服务记录。医疗咨询需求主要是配药，其次是用药指导和疾病诊断。2.07%（334/16173）的患者需要到线下医院进一步治疗。
基于互联网医院的新冠专区服务模式在COVID-19疫情期间为公众提供了必要的医疗支持。它为未来的大流行或突发公共卫生事件提供了参考。
