机构:[1]Peking Union Med Coll, Grad Sch, Beijing, Peoples R China;[2]Natl Res Inst Hlth & Family Planning, 12 Dahuisi Rd, Beijing, Peoples R China;[3]Jiangxi Canc Hosp, Dept Urol, Nanchang, Jiangxi, Peoples R China;[4]Fujian Jiangxia Univ, Coll Elect Informat Sci, Fuzhou, Peoples R China;[5]Nanchang Univ, Affiliated Hosp 2, Dept Obstet & Gynecol, Nanchang, Jiangxi, Peoples R China;[6]Sun Yat Sen Univ, Canc Ctr, State Key Lab Oncol South China, Guangzhou, Guangdong, Peoples R China;其他部门华南肿瘤学国家重点实验室中山大学肿瘤防治中心[7]Beijing Luhe Int Acad, Beijing, Peoples R China;[8]Sun Yat Sen Univ, Guangzhou, Guangdong, Peoples R China;[9]Washington Univ, Dept Comp Sci & Engn, St Louis, MO USA
Background: The Internet hospital, an innovative approach to providing health care, is rapidly developing in China because it has the potential to provide widely accessible outpatient service delivery via Internet technologies. To date, China's Internet hospitals have not been systematically investigated. Objective: The aim of this study was to describe the characteristics of China's Internet hospitals, and to assess their health service capacity. Methods: We searched Baidu, the popular Chinese search engine, to identify Internet hospitals, using search terms such as "Internet hospital," "web hospital," or "cloud hospital." All Internet hospitals in mainland China were eligible for inclusion if they were officially registered. Our search was carried out until March 31, 2017. Results: We identified 68 Internet hospitals, of which 43 have been put into use and 25 were under construction. Of the 43 established Internet hospitals, 13 (30%) were in the hospital informatization stage, 24 (56%) were in the Web ward stage, and 6 (14%) were in full Internet hospital stage. Patients accessed outpatient service delivery via website (74%, 32/43), app (42%, 18/43), or offline medical consultation facility (37%, 16/43) from the Internet hospital. Furthermore, 25 (58%) of the Internet hospitals asked doctors to deliver health services at a specific Web clinic, whereas 18 (42%) did not. The consulting methods included video chat (60%, 26/43), telephone (19%, 8/43), and graphic message (28%, 12/43); 13 (30%) Internet hospitals cannot be consulted online any more. Only 6 Internet hospitals were included in the coverage of health insurance. The median number of doctors available online was zero (interquartile range [IQR] 0 to 5; max 16,492). The median consultation fee per time was (sic)20 (approximately US $2.90, IQR (sic)0 to (sic)200). Conclusions: Internet hospitals provide convenient outpatient service delivery. However, many of the Internet hospitals are not yet mature and are faced with various issues such as online doctor scarcity and the unavailability of health insurance coverage. China's Internet hospitals are heading in the right direction to improve provision of health services, but much more remains to be done.
基金:
National Key Research and Development Program of China [2016YFC1000102, 2016YFC1000307]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81602854]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类|2 区医学
小类|1 区卫生保健与服务1 区医学:信息
最新[2023]版:
大类|2 区医学
小类|2 区卫生保健与服务2 区医学:信息
第一作者:
第一作者机构:[1]Peking Union Med Coll, Grad Sch, Beijing, Peoples R China;[2]Natl Res Inst Hlth & Family Planning, 12 Dahuisi Rd, Beijing, Peoples R China;
通讯作者:
通讯机构:[2]Natl Res Inst Hlth & Family Planning, 12 Dahuisi Rd, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Xie Xiaoxu,Zhou Weimin,Lin Lingyan,et al.Internet Hospitals in China: Cross-Sectional Survey[J].JOURNAL OF MEDICAL INTERNET RESEARCH.2017,19(7):-.doi:10.2196/jmir.7854.
APA:
Xie, Xiaoxu,Zhou, Weimin,Lin, Lingyan,Fan, Si,Lin, Fen...&Chen, Yixin.(2017).Internet Hospitals in China: Cross-Sectional Survey.JOURNAL OF MEDICAL INTERNET RESEARCH,19,(7)
MLA:
Xie, Xiaoxu,et al."Internet Hospitals in China: Cross-Sectional Survey".JOURNAL OF MEDICAL INTERNET RESEARCH 19..7(2017):-