COVID-19 and Internet Hospital Development in China

Li, Yushan; Hu, Huimin; Rozanova, Liudmila; Fabre, Guilhem

doi:10.3390/epidemiologia3020021

Cited by 15 publications

(4 citation statements)

References 16 publications

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“…However, the capability of primary care institutions has been weakening during the past decade and the service quality of high-level healthcare institutions was better than that of primary care institutions in the traditional medical cognition of patients in China [30], Chinese patients have formed the habit of seeking medical treatment in high-level healthcare institutions. Additionally, internet use facilitated the promotion of disciplinary advantages and advanced medical technology of high-level healthcare institutions [31], which further enhanced patients' willingness to seek medical treatment in higher-level healthcare institutions.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Internet Use on Patients’ Health-seeking Behavior and Health Expenditure: an Empirical Study Based on CFPS Data

Cui,

Ma,

Chen

et al. 2023

Preprint

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Background: The issue of “limited access to healthcare services and high health expenditure” has consistently been a common phenomenon in Chinese society. Therefore, guiding residents to choose appropriate healthcare institutions and controlling the rapidly increasing health expenditures have become extremely challenges for the Chinese government. The objective of this study was to explore the impact of internet use on health-seeking behavior and health expenditure. Methods: The data for this study were derived from the 2018 survey of China Family Panel Studies (CFPS), which included 18,233 valid samples.Logistic regression analysis and linear regression analysis were conducted to estimate the influence of internet use on health-seeking behavior and health expenditure. Results: Participants who used the internet to access information were approximately 1.20 times (95% CI, 1.10-1.32; P<0.001) more likely to choose general/specialized hospitals compared to those who did not use the internet for information access. Internet use significantly contributed to reducing health expenditure (P<0.05) Conclusions: Internet use exacerbated the likelihood of participants visiting to higher-level healthcare institutions for seeking health treatment, which will be detrimental to the implementation of hierarchical diagnosis and treatment. Moreover, internet use has played an important role in reducing health expenditure, which was in line with the government’s expectations. These findings of this study were valuable for informing government’ internet policies aimed at guiding patients in selecting appropriate healthcare institutions and reducing health expenditure.

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Section: Discussionmentioning

confidence: 99%

The Impact of Internet Use on Patients’ Health-seeking Behavior and Health Expenditure: an Empirical Study Based on CFPS Data

Cui,

Ma,

Chen

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…The development of "Internet plus medical and health" should be promoted, and it is proposed to gradually include eligible internet diagnosis and treatment services into the scope of medical insurance and carry out pilot projects for provincial-level institutions 28 . Since the outbreak of COVID-19, due to the rapid increase in the demand for Internet diagnosis and treatment in special periods, relevant policies also require medical institutions at all levels to actively organize online voluntary consultation, home medical observation and guidance and other services for COVID-19 with the help of "Internet plus", expand online medical service space, guide patients to seek medical treatment in an orderly manner, and relieve the pressure of offline outpatient services [29][30][31] . It encourages online follow-up and drug delivery services for some common and chronic diseases, to reduce the risk of cross infection for other patients during offline visits [32][33][34][35] .…”

Section: Policy Support For Online Diagnosis and Treatmentmentioning

confidence: 99%

The Application of online medicine in the diagnosis and treatment of pulmonary nodules in thoracic surgery (Preprint)

shen,

yu,

et al. 2023

Preprint

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UNSTRUCTURED In recent years, with the continuous progress of medical imaging technology and the gradual popularization of low-dose computed tomography, the clinical detection rate of pulmonary nodules has significantly increased, and patients have an increasing demand for the diagnosis and treatment of pulmonary nodules. Online diagnosis and treatment services are a rapidly developing type of diagnosis and treatment model in recent years. While greatly improving clinical diagnosis and treatment efficiency, they also provide significant satisfaction to the needs of patients. At the same time, influenced by various factors, especially the increasing demand for patient diagnosis and treatment, the continuous improvement of online diagnosis and treatment functions and the continuous expansion of service scope have become research focuses. This article reviews the application and research progress of online diagnosis and treatment in patients with pulmonary nodules in thoracic surgery.

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“…For example, in 2019, the Shanghai municipal government invested CNY 163 million in the establishment, renovation, and expansion of children's medical institutions [77][78][79]. The relevant policies issued by the Shanghai Municipal Government in recent years have provided positive support and guarantees for improving the medical service level of the pediatric outpatient department of the hospital [12,[80][81][82]. However, the promulgation of these policies only serves to improve the level of children's outpatient medical services in theory, and it is difficult to really improve service quality based on people's personal experience.…”

Section: Current Situation Of Pediatric Outpatient Clinics In Shangha...mentioning

confidence: 99%

“…According to the data released by Xinhua Hospital (as of September 2021), the average daily outpatient volume of pediatric outpatient clinics is around 400, and the average monthly outpatient volume is about 10,000 [88,89]. Especially in some specific periods, the number of patients increased dramatically, such as during the summer vacation and winter vacation [63,81,[90][91][92][93][94][95]. In addition, understaffing in the hospital is also an objective reason for the long consultation times [16,[96][97][98][99].…”

Section: Current Situation Of Pediatric Outpatient Clinic In Shanghaf...mentioning

confidence: 99%

Research on the Experience of Influencing Elements and the Strategy Model of Children’s Outpatient Medical Services under the Guidance of Design Thinking

2023

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Faced with the generally poor experience in pediatric outpatient in China, under the guidance of design thinking, based on the analysis and research of the main elements affecting child outpatients’ medical service experiences, this study proposes a set of strategic models that can improve child outpatients’ medical service experiences. Specifically, this study takes Shanghai Xinhua Hospital as a research case, combined with SPSS data statistics software, and comprehensively uses preliminary field research methods, questionnaire descriptive analysis methods, questionnaire satisfaction analysis methods, and questionnaire principal component analysis (PCA) methods as well as the structured interview method; thus, the main elements affecting child outpatients’ medical service experiences were obtained. Then, according to the main elements, a set of child outpatient medical service strategy models is proposed to improve child outpatients’ medical service experiences. Finally, the effectiveness of the strategy model is tested through satisfaction analysis and simulation case verification. The model is a people-centered, sustainable strategic model. With the support of design thinking, the strategic model takes the experience of children as the core improvement point, which is able to fully protect the rights and demands of child patients. At the same time, this strategy model can also reduce the workload of doctors, improve the operational efficiency of hospitals, promote a more equal distribution of medical resources, and reduce medical service costs. More importantly, it also encourages patients and their families to communicate and express their opinions to medical professionals, which can greatly reduce the tension between doctors and patients and effectively avoid doctor–patient conflicts. This has important implications for the sustainability of healthcare. However, this strategy model is only a guiding strategy for improving outpatient care for children. It does not provide detailed solutions around certain specific issues and specific implementations. At the same time, it is not a complex engineering design system but only provides a reference for improving children’s medical services in terms of strategic logic.

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COVID-19 and Internet Hospital Development in China

Cited by 15 publications

References 16 publications

The Impact of Internet Use on Patients’ Health-seeking Behavior and Health Expenditure: an Empirical Study Based on CFPS Data

The Impact of Internet Use on Patients’ Health-seeking Behavior and Health Expenditure: an Empirical Study Based on CFPS Data

The Application of online medicine in the diagnosis and treatment of pulmonary nodules in thoracic surgery (Preprint)

Research on the Experience of Influencing Elements and the Strategy Model of Children’s Outpatient Medical Services under the Guidance of Design Thinking

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