Department of Pain Management, West China Hospital, Sichuan University, Chengdu, China.
J Med Internet Res. 2023 Sep 11;25:e44759. doi: 10.2196/44759.
The national "Internet +" policies and the emergence of internet hospitals have created a new direction for the management of pain outside of the hospital. Nevertheless, there are no consolidated studies conducted by pain physicians on the current state of internet hospital-based online medical services used by patients with pain outside of a hospital setting.
In this retrospective study, we aimed to examine the status of the use of internet hospitals by patients who experience pain. Moreover, we identified the factors that influenced patients' decisions to make an online visit through the internet hospital.
Detailed information was collected online and offline from outpatients with pain at the information technology center of West China Hospital of Sichuan University from February 2020 to April 2022. Binary logistic regression analysis was conducted to identify the determinants that influenced patients' decisions to make an online visit to the internet hospital.
Over a 2-year period, 85,266 pain-related clinic visits were recorded. Ultimately, 39,260 patients were enrolled for the analysis, with 12.9% (5088/39,260) having online visits. Both online and offline clinics had a greater number of visits by women than men. The average age of patients attending the online clinic was 46.85 (SD 16.56) years, whereas the average age of patients attending the offline clinic was 51.48 (SD 16.12) years. The majority of online clinic visitors (3059/5088, 60.1%) were employed, and one of the most common occupations was farming (721/5088, 14.2%). In addition, 51.8% (2635/5088) of patients who participated in the online clinics lived outside the hospital vicinity. Young (odds ratio [OR] 1.35, 95% CI 1.01-1.81; P=.045) and middle-aged (OR 1.98, 95% CI 1.81-2.16; P<.001) patients, employed patients (OR 1.11, 95% CI 1.04-1.18; P=.002), nonlocal patients (OR 1.57, 95% CI 1.48-1.67; P<.001), and the ordinary staff (OR 1.19, 95%CI 1.01-1.39; P=.03) were more likely to have the intention to choose online visits through the internet hospitals.
Internet hospitals are flourishing as a more efficient and promising method of pain management and follow-up for patients with pain outside the hospital. People with pain who are young, working, and not in the vicinity of hospitals are more likely to visit internet hospitals.
国家“互联网+”政策和互联网医院的出现为医院外疼痛管理开辟了新方向。然而，疼痛医师尚未对患者在院外使用互联网医院的在线医疗服务现状进行综合研究。
本回顾性研究旨在调查疼痛患者使用互联网医院的现状。此外，我们还确定了影响患者通过互联网医院进行在线就诊决策的因素。
2020 年 2 月至 2022 年 4 月，我们在四川大学华西医院信息技术中心从门诊疼痛患者中在线和线下收集详细信息。采用二项逻辑回归分析确定影响患者选择互联网医院在线就诊的决定因素。
在 2 年期间，共记录了 85266 次疼痛相关门诊就诊。最终，纳入 39260 名患者进行分析，其中 12.9%（5088/39260）进行了在线就诊。在线和线下门诊就诊的女性患者均多于男性患者。在线门诊就诊患者的平均年龄为 46.85（SD 16.56）岁，而线下门诊就诊患者的平均年龄为 51.48（SD 16.12）岁。大多数在线门诊就诊患者（3059/5088，60.1%）有工作，最常见的职业是务农（721/5088，14.2%）。此外，51.8%（2635/5088）的在线门诊就诊患者居住在医院附近以外的地方。年轻（比值比[OR] 1.35，95%CI 1.01-1.81；P=.045）和中年（OR 1.98，95%CI 1.81-2.16；P<.001）患者、有工作的患者（OR 1.11，95%CI 1.04-1.18；P=.002）、非本地患者（OR 1.57，95%CI 1.48-1.67；P<.001）和普通员工（OR 1.19，95%CI 1.01-1.39；P=.03）更倾向于选择通过互联网医院进行在线就诊。
互联网医院作为一种更高效、更有前景的医院外疼痛管理和随访方法正在蓬勃发展。年轻、有工作且不在医院附近的疼痛患者更倾向于选择互联网医院。
