口腔专科互联网医院的初步探索

Preliminary exploration of Internet-based practice of stomatology hospitals

互联网医院对于推进分级诊疗,缓解"看病贵、看病难"问题有重要作用。作者介绍了某三级甲等口腔医院在新型冠状病毒肺炎疫情期间通过口腔专科互联网医院开展免费在线咨询的实践,并分析医生应答率、医生接诊反应时间、患者咨询的专科分布和时段分布等特点。医院依托广东云医院平台,采用两种模式开展在线咨询服务。其中,普通咨询模式采用"多对多"方式,接诊医生团队由主治医师和任职3年以下的副主任医师组成,非工作时间患者也可在线提问。专家咨询模式由任职3年及以上的副主任医师和主任医师采用一对一方式解答患者在工作时间的提问。2020年2月10日至3月22日,普通咨询模式下接受咨询2156人次,专家咨询模式下接受咨询1043人次;后者的接诊反应时间(16.19 min)明显短于前者(27.10 min);各二级专科中,口腔内科咨询量最大(69.30%);普通咨询模式工作时段的咨询量仅占总量的73.47%。今后应优化资源配置、增加人工智能问诊功能、拓展线上线下相结合的口腔诊疗服务模式、完善绩效管理等,以促进口腔专科互联网医院可持续发展。

Internet-based practice of stomatology hospitals plays an important role in promoting hierarchical medical system and overcoming the social problems of"high costs and difficulties of medical services".The authors introduced the practice of free online consultations at a tertiary stomatology hospital during this period.They also analyzed such characteristics of the practice as the doctors′response rate,doctors′response timeliness,as well as the specialties and timeframe distribution of patient consultations.The hospital provides online consultations on Guangdong cloud-based hospital platform in two modes.For example,the normal consultation mode operates in a many-many manner,with services provided by attendings and associate chief physicians appointed less than three years.In off hours,patients can also raise questions online.The expert consultation mode offers consultations during business hours in a one-to-one manner,with services provided by associate chief physicians appointed over three years and chief physicians.From February 10 to March 222020,2156 persons/times of consultations were served in the normal mode,and 1043 persons/times received in the expert mode.The response timelines of the latter(16.19 min)was much better than the former(27.10 min).In terms of consultation workload of sub-specialties,oral medicine ranked the top(69.30%),while the consultations of the normal mode in work hours accounted for only 73.47%of total consultation workload.It is recommended to optimize resources deployment,introduce artificial intelligent inquiry service,explore an online-offline combined stomatological service,and improve performance management.These measures,when in place,can promote sustainable development of Internet-based stomatology hospitals.