互联网医疗促进诊疗模式变革的实践与分析

Practice and analysis of online medical care promoting the reform of diagnosis and treatment mode

目的介绍某院诊疗模式的变革与实践,分析产出结果,提出互联网医疗的特点、优势与不足。方法医院于2019年7月首次推出"在线问诊"服务,并不断加快互联网医院功能建设,将传统的线下诊疗模式逐步转变为集在线问诊、线上开单、自助缴费、药品邮寄、检查预约、自助入院和慢性病随访为一体的全周期诊疗新模式。对2020年1—6月医院线上门诊运行数据进行分析。结果2020年1月1日至6月21日,医院互联网医院共接诊31.8万人次。其中,线上门诊以药物治疗为主的慢性病患者居多,线下门诊以首诊、急性等需进一步处置的病种较多;线上门诊费用中,药品费用占比最高(80.52%),挂号费用占比最低(4.04%)。结论就医方式的变革将倒逼公立医院不断改革,但目前互联网医院发展政策环境亟需配套到位。未来应进一步明确互联网医院功能定位,促进线上线下快速融合。

Objective To introduce the reform and practice of diagnosis and treatment mode in a hospital,analyze the output results,and put forward the characteristics,advantages and disadvantages of online medical care.Methods The hospital launched the"online consultation"service for the first time in July 2019,and continuously accelerated the function construction of the Internet hospital,gradually transforming the traditional offline diagnosis and treatment mode into a new full-cycle diagnosis and treatment mode integrating online inquiry,billing,self payment,drug mailing,inspection appointment,self admission and chronic disease follow-up.The operation data of hospital online outpatient service from January to June in 2020 were analyzed.Results From January 1st to June 21st,2020,the Internet hospital has received over 318000 patients.Most of the online outpatients suffered from chronic diseases,while the diseases that needed further treatment were mainly in the offline outpatient department,such as the first diagnosis and acute diseases.Among the online outpatient expenses,the drug cost accounted for the highest proportion(80.52%),and the registration cost accounted for the least(4.04%).Conclusions The change of medical treatment mode will force the continuous reform of public hospitals,but the current policy environment for Internet hospital development needs to be in place.In the future,we should further clarify the functional orientation of Internet hospitals and promote the rapid integration of online and offline services.