互联网医院诊疗背景下复诊新模式构建与应用  

Construction and application of a new follow-up visit model based on the Internet hospital consultation

作　　者：雷玉倩 武宇翔 李蓉梅 曾钟月[1] 武永康 LEI Yuqian;WU Yuxiang;LI Rongmei;ZENG Zhongyue;WU Yongkang(Operations Management Department,Jintang First People’s Hospital,Chengdu,Sichuan 610499,P.R.China;UWE College of Hainan Medical University,Haikou,Hainan 571199,P.R.China;Internet Hospital Management Office,Operations Management Department,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]金堂县第一人民医院运营管理部,成都610499 [2]海南医科大学西英格兰学院,海口571199 [3]四川大学华西医院互联网医院管理办公室、运营管理部,成都610041

出　　处：《华西医学》2024年第12期1933-1937,共5页West China Medical Journal

基　　金：国家卫生健康委医院管理研究所项目(NIHA23JXH061)。

摘　　要：目的探索互联网医院诊疗背景下复诊新模式的构建与应用,打造精准识别复诊患者、复诊提醒消息推送、线上免费复诊和宣传推广为一体的新型复诊模式。方法选取金堂县第一人民医院2023年7月—2024年6月门诊患者和医生进行满意度调查。将线上免费复诊项目实施前后的患者和医生分为互联网医院免费复诊功能上线前组(2023年7月—12月)和互联网医院免费复诊功能上线后组(2024年1月—6月)。比较分析实施前后患者和医生的满意度。结果共纳入患者17831人次,医生801人次。运行以来,已对所有门诊患者都进行微信消息推送,并对手术科室患者进行微信和短信消息双推送。2024年1月—6月门诊平均候诊时间较去年同期(2023年1月—6月)缩短2 min。医院病例组合指数值提高了3.7%,手术量增长7.5%。互联网医院上线后,患者和医生满意度均提高。结论互联网医院复诊新模式是医院数字化转型的一个重要举措,具有在更多县级医疗机构中推广的价值和意义。Objective To explore the construction and application of a new follow-up visit model in the context of Internet hospital consultation,aiming to create a novel follow-up visit model that integrates precise identification of follow-up patients,messages of follow-up reminders,online free follow-up visits,and promotional activities.Methods Satisfaction surveys were conducted among outpatient patients and doctors at Jintang County First People’s Hospital from July 2023 to June 2024.Patients and doctors were divided into two groups based on whether the online free follow-up visit program had been implemented:the pre-implementation group(July to December 2023)and the post-implementation group(January to June 2024).The satisfaction levels of patients and doctors before and after the implementation were compared and analyzed.Results A total of 17831 patient visits and 801 doctor visits were included.Since its launch,WeChat messages had been pushed to all outpatient patients,and both WeChat and SMS messages had been pushed to patients in surgical departments.The average waiting time for outpatient visits in January-June 2024 was shortened by 2 minutes compared with the same period last year(January-June 2023).The hospital’s Case Mix Index increased by 3.7%,and the surgical volume increased by 7.5%.After the launch of the Internet hospital,both patient and doctor satisfaction improved.Conclusion The new follow-up visit model of the Internet hospital represents an important initiative in the digital transformation of hospitals and holds value and significance for promotion in more county-level medical institutions.

关 键 词：互联网医院 复诊新模式 就医体验 医疗资源利用 

分 类 号：R197.3[医药卫生—卫生事业管理]