北京市妇幼保健机构互联网诊疗服务影响因素的质性研究

A Qualitative Study of the Influence Factors of Internet Medical Service in Beijing Maternity and Child Health Care Institutions

目的针对北京市妇幼保健机构互联网诊疗服务存在问题,提出针对性建议,为促进妇幼保健机构“互联网+”医疗服务发展提供参考。方法对来自北京市10家公立妇幼保健机构的58名职能部门管理人员进行半结构化访谈与焦点小组访谈,采用Colaizzi七步法对访谈内容进行分析。结果妇幼保健机构开展互联网诊疗服务受到制度要求、组织管理、患者特征三方面因素影响。结论妇幼保健机构开展互联网诊疗服务需加大政策支持和财政投入,加强医疗服务质量控制,规范互联网诊疗流程,提高医生线上诊疗服务能力,拓展线上服务内容,培养患者线上就医意识等。

Objective Aiming at the problems existing in Internet medical service of maternal and child health care institutions in Beijing,this paper puts forward targeted suggestions to provide reference for promoting the development of"Internet+"medical service in maternal and child health care institutions.Methods Semi-structured interviews and focus group interviews were conducted with 58 functional department managers from 10 public maternal and child health care institutions in Beijing,and the contents of the interviews were analyzed using the seven-step Colaizzi method.Results Internet medical service carried out by maternal and child health care institutions were affected by three factors:institutional requirements,organization and management,and patient characteristics.Conclusion Maternal and child health care institutions need to increase policy support and financial investment to carry out Internet diagnosis and treatment services,strengthen the quality control of medical services,standardize the Internet diagnosis and treatment process,improve doctors'online diagnosis and treatment service capabilities,expand online service content,and cultivate patients'online medical awareness.