医患视角下视频问诊的经济性与生态价值分析  

Economic and Ecological Value Analysis of Video Consultations from the Perspectives of Physicians and Patients

作　　者：罗仁杰 郭力宁 黄彩娜 张研[1,2] Luo Renjie;Guo Lining;Huang Caina(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science&Technology,Wuhan,Hubei,430030,China;不详)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]湖北省人文社科重点研究基地农村健康服务研究中心,湖北武汉430030

出　　处：《中国医院管理》2025年第5期22-26,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(72274069);中央高校基本科研业务费专项资金资助项目(32400047)。

摘　　要：目的探究视频问诊对医院与患者的经济影响与生态价值,为视频问诊发展提供参考。方法收集2024年参与视频问诊实践的345名患者和31名医生的问卷、访谈资料,分析视频问诊对医院与患者产生的经济影响、社会效益与风险挑战,采用t检验比较医患对视频问诊评价的差异。结果视频问诊使医院不同科室在实验时间内至少损失18375元,使每名患者避免了不少于1000元的交通食宿费用与工资损失。患者对视频问诊的总体满意度、即时性评分明显高于医生(P<0.05),持续使用意愿评分明显低于医生(P<0.05),有效性评分与医生比较差异无统计学意义(P>0.05)。结论视频问诊减轻了患者的经济负担,提升了医疗服务的可及性。医院损失源于服务效率低下及药品、检查收入转移。疾病类型对问诊效率及经济收益有重大影响。建议引入智能分诊系统,建立线上、线下一体化服务模式,优化患者操作体验并完善监管措施,推动视频问诊高质量发展。Objective To explore the economic impact and ecological value of video consultations on hospitals and patients,providing a reference for the development of video consultation services.Methods A total of 345 patients and 31 physicians who participated in video consultation practices in 2024 were surveyed using questionnaires and interviews.The economic impacts,social benefits,and potential risks and challenges of video consultations for hospitals and patients were analyzed.Independent sample t-tests were conducted to compare the differences in video consultation evaluations between patients and physicians.Results During the experimental period,video consultations resulted in a minimum revenue loss of 18375 yuan for various hospital departments.However,each patient saved no less than 1000 yuan in transportation,accommodation,and wage loss expenses.Patients’overall satisfaction and timeliness ratings were significantly higher than those of physicians(P<0.05),while patients’willingness to continue using video consultations was significantly lower than that of physicians(P<0.05).There was no statistically significant difference between patients and physicians in terms of perceived effectiveness(P>0.05).Conclusion Video consultations effectively reduce patients’economic burden and improve the accessibility of healthcare services.The revenue loss for hospitals stems primarily from low service efficiency and the shift of income from pharmaceuticals and diagnostic services.Disease types play a critical role in influencing consultation efficiency and economic outcomes.It is recommended to introduce intelligent triage systems,establish an integrated online and offline service model,enhance patient operational experience,and improve regulatory mechanisms to promote the high-quality development of video consultations.

关 键 词：视频问诊 经济性 生态价值 互联网医疗 

分 类 号：R197.323.1[医药卫生—卫生事业管理]