中国互联网医院的建设和运营模式:基于医院的调查研究
Xuejiao Chen1, Xinxia Wu2, Qihang Zhang3
1Institute for Healthcare Artificial Intelligence Application, Guangdong Second Provincial General Hospital, Haizhu District, No.466 Xingangzhong Road, Guangzhou, Guangdong, 510317, China.
BMC health services research
|June 21, 2023
概括
在中国的互联网医院中,自我构建和自我管理的模式是最常见的,但不同的运营模式会影响在线医疗保健服务的数量和质量. 这项研究为远程医疗管理提供了政策见解.
科学领域:
- 数字健康数字健康
- 医疗保健管理的管理
- 远程医疗远程医疗
背景情况:
- 中国的互联网医院在COVID-19大流行期间激增,以对抗病毒.
- 关键的构建和运营模式包括自建/自管理,自建/企业运营,合资和第三方托管的平台.
- 互联网医院的建设和运营模式存在有限的系统审查.
研究的目的:
- 系统地分析中国互联网医院的建设和运营模式.
- 了解不同互联网医院模型的流行程度和特征.
主要方法:
- 对39家互联网医院和356名医务人员的调查 (2020年9月至2021年4月).
- 使用t测试和Chi平方测试进行变量比较的统计分析.
- 对缺陷的根本原因分析和对16个服务方面进行利克尔特尺度评估.
主要成果:
- 自主构建和自主管理的模型是最普遍的 (56.4%).
- 该模型显示,与其他模型相比,在线专业人员的百分比较低,在线护士与离线医生的比例较低.
- 医务人员评价费用透明度,合理性,旅行费用,耐心和咨询行为很高;缺陷的根本原因包括人类因素,道,价格,服务和时间.
结论:
- 自主构建和自主管理的模型虽然普遍存在,但影响了在线医疗保健服务的数量和质量.
- 调查结果为远程医疗服务的有效管理提供了关键的政策影响.
- 了解这些模型对于优化互联网医院运营和医疗保健服务至关重要.
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