“互联网+医疗”背景下2020—2022年儿科中医门诊线上与线下就诊人群特征比较研究

Comparative study on the characteristics of online and offline patients in pediatric traditional Chinese medicine outpatient department in the context of“Internet+Medical”from 2020 to 2022

目的 为比较儿科中医门诊线上线下就诊模式的人群特征,以提高医疗服务质量和医院管理效率。方法 收集2020年1月至2022年12月,首都医科大学附属北京儿童医院中医科门诊院内信息系统的全数据就诊记录,设置人口学、时间、地区等观察指标。结果 线上诊疗组与线下诊疗组的人口学特征(性别、年龄、民族、就诊时的主要诊断)、时间特征(时间序列分析、就诊日期、就诊班次)、地区特征(人类发展指数分区、地理分区)比较,差异有统计学意义(P<0.01)。少数民族患儿(7.29%vs. 4.04%)、血液及造血器官疾病(48.55%vs. 10.90%)、肌肉和骨骼系统的结缔组织病(1.84%vs. 0.84%)、工作日就诊(96.95%vs. 79.29%)、上午就诊(86.41%vs. 54.80%)、极低人类发展指数地区(0.57%vs. 0.24%)的线上患儿比例更高(P<0.01)。结论“互联网+”医疗模式在儿科中医门诊具备推广意义;线上诊疗方式有效提高医疗服务公平性,有效促进优质医疗资源的下沉;同时两种诊疗方式存在就医倾向性、响应度、诊断内容的差异,医疗机构应因势利导,发挥两种模式的优势,不断完善新时代中医药的发展与转型。

Objective To compared the population characteristics of online and offline treatment mode of pediatric traditional Chinese medicine outpatient department,in order to improve the quality of medical service and the efficiency of hospital management.Methods From January 2020 to December 2022,the outpatient information system of Traditional Chinese Medicine Department of Outpatient of Beijing Children’s Hospital Affiliated to Capital Medical University was collected,and demographic,time,region,and other observation indicators were set.Results There were statistically significant differences in demographic characteristics(gender,age,ethnicity,main diagnosis at the time of visit),time characteristics(time series analysis,date of visit,frequency of visit),and regional characteristics(human development index region,geographical region)between the online and offline treatment groups.Ethnic minority children(7.29%vs.4.04%),diseases of blood and hematopoietic organs(48.55%vs.10.90%),connective tissue diseases of musculoskeletal system(1.84%vs.0.84%),working days(96.95%vs.79.29%),morning(86.41%vs.54.80%)and very low human development index areas(0.57%vs.0.24%)had a higher proportion of online children(P<0.01).Conclusion“Internet+medical”model has the promotion significance in pediatric traditional Chinese medicine outpatient department.Online diagnosis and treatment can effectively improve the fairness of medical services and effectively promote the sinking of high-quality medical resources.At the same time,the two diagnosis and treatment methods have differences in medical inclination,responsiveness,and diagnostic content.Medical institutions should take advantage of the situation,give full play to the advantages of the two models,and constantly improve the development and transformation of traditional Chinese medicine in the new era.