资质准入对公立医院互联网诊疗业务的影响分析  

Analysis of Impact of Qualification Approval on Online Medical Services of Public Hospitals

作　　者：王旖旆 吴昕霞[1] 张珂[1] 吕艳丽 侯征[1] 李慧先 金昌晓[1] WANG Yi-pei;WU Xin-xia;ZHANG Ke;LV Yan-li;HOU Zheng;LI Hui-xian;JIN Chang-xiao(Peking University Third Hospital)

机构地区：[1]北京大学第三医院

出　　处：《医院管理论坛》2024年第7期51-55,80,共6页Hospital Management Forum

基　　金：国家自然科学基金项目,编号:72204005,72342032。

摘　　要：目的分析医院取得互联网诊疗资质前后线上业务变化,为科学管理提供参考。方法以获批资质为节点,将2018年2月至2022年11月分为三个阶段,结合管理举措,以间断时间序列法分析业务变化。以回归系数t检验分析线上工作量变化。以卡方检验比较线上业务完成率。结果取得互联网诊疗资质后,实际发起需求的患者占比由30.14%提升到41.75%(p<0.001)。取得互联网医院资质后,实际发起需求的患者占比下降到32.97%(p<0.001);咨询需求量由逐月增长131人次变为下降62人次(p<0.05);复诊需求及完成量每月分别上升108及102人次(p<0.001)。该阶段采取了严格医师资质管理及调整绩效方案等措施。结论互联网诊疗资质准入为线上业务的发展创造了政策条件,管理举措可将政策机遇转化为业务实质发展。Objective To analyze the changes of online medical services before and after the hospital obtains the qualification of online diagnosis and treatment,and to provide reference for scientific management.Methods The business changes were analyzed by interrupted time series method by dividing the period from February 2018 to November 2022 into three phases combined with management initiatives using the approved qualification as a node.Analyzed online workload changes with regression coefficient t-test.Compared online business completion rates with chi-square test.Results After obtaining the qualification of online diagnosis and treatment,the proportion of patients who actually initiated the demand increased from 30.14%to 41.75%(p<0.001).After obtaining the qualification of Internet hospital,the proportion of patients who actually initiated demand decreased to 32.97%(p<0.001).The demand for consultation changed from a monthly increase of 131 to a decrease of 62(p<0.05).The demand for and completion of follow-up consultations increased by 108 and 102 per month,respectively(p<0.001).Measures such as strict physician qualification management and adjusting the performance program were taken at this stage.Conclusion Internet diagnosis and treatment qualification approval creates policy conditions for the development of online service,and management initiatives can turn policy opportunities into substantial business development.

关 键 词：公立医院 互联网诊疗 资质准入 线上业务 

分 类 号：R197.3[医药卫生—卫生事业管理]