北京中医医院互联网诊疗服务现状浅析

Online medical services by Beijing hospital of traditional Chinese medicine

目的分析北京中医医院互联网诊疗运营服务情况,为更好地发展互联网中医院提供借鉴参考。方法后台获取2022年1月1日—2023年2月北京中医医院互联网诊疗的挂号情况、服务量、医患信息、支付项目等数据,运用描述性统计方法开展分析。结果视频诊疗的使用量为44186人次,图文咨询为3231人次,退号率分别为28.3%和13.0%。视频诊疗中副高职称及以上医生的人数和总服务量占比分别为66%和75.4%,心身医学科、皮肤科、肿瘤科、消化科、呼吸科、儿科、妇科、肾病科等科室的服务量相对更高,在线开具中草药的患者人次明显高于西药和中成药。结论互联网诊疗一定程度上满足了患者的在线医疗需求,但整体应用水平有限且缺乏中医特色,与线下医疗衔接程度不高。应通过强化宣教、优化功能和服务、深度应用数据和发展优质专病门诊等手段来促进互联网中医院的发展。

Objective To analyze the medical services by Beijing Hospital of Traditional Chinese Medicine(TCM)and provide references for TCM hospitals to promote Internet-based medical services.Methods The data of Internet-based diagnosis and treatment,including registration,service volume,patient-doctor information,and payment items were collected from the Beijing Hospital of TCM from January 1,2022,to February 2023 for descriptive analysis.Results The cases of online video diagnosis and treatment totaled 44186,while graphic and textual consultations reached 3231 times/person,with the registration cancellation rates of 28.3%and 13.0%,respectively.In video diagnosis and treatment,doctors holding the professional title of Associate Senior Doctor or higher accounted for 66%of the total number of doctors providing online services,and they completed 75.4%of the total service volume.The service volume in the fields of psychology,dermatology,oncology,gastroenterology,respiratory,pediatrics,gynecology,and nephrology was higher.The number of patients taking Chinese herbal medicine was significantly higher than those taking western medicine and traditional Chinese patent medicines.Conclusion Online diagnosis and treatment partially meets patients’online medical needs but lacks TCM characteristics and integration with offline services.Therefore,more online TCM hospitals should be developed by strengthening popularization and education,optimizing functions and services,applying data in-depth,and developing high-quality online specialized clinics.