互联网医疗对武汉市某三甲医院线下就医模式的影响  

Influence of Internet Healthcare on Offline Medical Treatment Mode of a Grade-A Tertiary Hospital in Wuhan

作　　者：傅新巧[1] 李程洪 万杰 李疆 李曼琪 胡梦含 袁莉[1] 夏家红[1] FU Xinqiao(Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《医学与社会》2022年第9期133-137,共5页Medicine and Society

基　　金：湖北省卫生健康委员会项目,编号WJ2021M237。

摘　　要：目的:分析互联网医疗开展前后武汉市某三甲医院线下就诊人群结构及专科病种构成的差异,评估互联网医疗对线下就医模式的影响。方法:采用对比分析法,厘清调研医院在开展互联网医疗后的线下就诊人群结构和病种构成情况,并与开展互联网医疗前进行同期对比。结果:与开展互联网医疗前同期比较,开展互联网医疗后线下就诊患者平均年龄增长了3岁,居住地为本市内的患者比例增加了15.24个百分点,初诊患者比例升高了1.83个百分点,接诊病种数量增加了287种,因同一疾病30天内平均就诊次数减少了0.11次,心内科和神经内科线下复诊取药患者比例分别下降0.98和0.67个百分点。结论:互联网医疗对于三甲医院的线下就医人群结构具有调节作用,开展互联网医疗有利于优化三甲医院初诊患者和疑难病例比例,对推进三甲医院在分级诊疗体系中的正确定位具有积极意义。Objective:To analyze the differences of the structure of the offline visit population and the composition of specialized diseases in a grade-A tertiary hospital in Wuhan before and after the development of Internet healthcare,and evaluate the impact of Internet healthcare on offline medical treatment mode.Methods:The comparative analysis was used to clarify the structure of the offline visit population and composition of diseases of the researched hospital after the development of Internet healthcare and compare the result with those before the launch of Internet healthcare.Results:Compared with the same period before launching Internet healthcare,the average age of offline patients increased by 3 years.The proportion of native patients increased by 15.24 percentage points,the proportion of newly diagnosed patients increased by 1.83 percentage points,and the types of diseases in the patient population increased by 287.The average number of visits within 30 days for the same disease decreased by 0.11,and for the departments of cardiology and neurology,the proportion of offline patients taking medicines decreased by 0.98 and 0.67 percentage points respectively.Conclusion:Internet healthcare has a regulatory effect on the structure of the offline medical treatment population in grade-A tertiary hospitals.The development of Internet healthcare is beneficial to optimize the proportion of first diagnosed patients and intractable cases in grade-A tertiary hospitals and plays a positive role in promoting the correct positioning of grade-A tertiary hospitals in the hierarchical diagnosis and treatment system.

关 键 词：互联网医疗 就医模式 线下诊疗 三甲医院 

分 类 号：R197[医药卫生—卫生事业管理]