|
|
Meta-analysis of the number of teleconsultations, the purpose of teleconsultations and the satisfaction in Chinese hospitals |
Cui Fangfang1,2 , He Xianying1,2 ,Zhao Jie1,2 |
1 The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China;
2 National Engineering Laboratory for Internet Medical Systerm and Applications, Zhengzhou 450052, China
|
|
|
Abstract Objective comprehensively evaluate the distribution of teleconsultations, the teleconsultation purpose, and the teleconsultation satisfaction in different disciplines in China with the method of meta-analysis.Methods We systemically searched the literatures about teleconsultations published from 2000 to 2021 in different data resources. Meta-analysis was conducted by Stata 16.0 software to assess the constituent ratios of teleconsultations in different disciplines with the screened literatures, as well as the constituent ratio of purpose and satisfaction of teleconsultations.Results Twenty-six qualified literatures were enrolled in our research. The constituent ratios of teleconsultations for internal medicine department, surgery department and medical technological department were 41.3%, 54.3% and 4.2%, respectively. The teleconsultations of internal medicine were mainly distributed in respiratory medicine department, neurology department and oncology department, with the constituent ratio 8.6%, 12.6%, and 8.9%, respectively. Whereas the teleconsultations of surgery were chiefly distributed in neurosurgery department and orthopedics department, with the constituent ratio 5.5% and 7.6%, respectively. The purpose of applying for teleconsultations was mainly to provide diagnosis and treatment opinions, accounting for 52.9%. The satisfaction of patients and doctors with teleconsultations was 86.9% and 92.6%, respectively.Conclusion The main disciplines of teleconsultations in China are neurology, oncology, and orthopedics. Seeking advice for diagnosis and treatment is the main purpose of applying for teleconsultations. Patients′ satisfaction with teleconsultations is lower comparing with doctors′. Therefore, resources should be invested in disciplines that account for a high proportion of teleconsultations. Furthermore, in order to improve the satisfaction of teleconsultations, and better play the role of teleconsultations in disease diagnosis and treatment, more work should be done to strengthen the promotion of teleconsultations, and optimize the consultation process.
|
Received: 27 October 2021
|
|
|
|
[1]赵杰,蔡艳岭,孙东旭,等.远程医疗的发展现状与未来趋势[J].中国卫生事业管理,2014,31(10):739-740.
[2]ZHAO J, ZHANG Z, GUO H, et al. Development and recent achievements of telemedicine in China[J]. Telemed J E Health, 2010, 16(5):634-638.
[3]翟运开.基于远程医疗的分级诊疗体系建设研究[J].中国卫生事业管理,2016,33(8):564-567.
[4]刘婉姮,王琳瑞,张蕾,等.中国人民解放军总医院2015年远程会诊病例统计分析[J].中国数字医学,2016,11(8):104-106.
[5]翟运开.协同视角下的远程医疗系统建设项目组织架构设计研究:以河南省远程医疗系统建设为例[J].中国软科学,2016(9):125-134.
[6]任宇飞,张晓祥,汪火明.构建远程医疗省级平台的探讨[J].中国数字医学,2012,7(8):71-74.
[7]王凯.远程医疗的技术实现[J].医学信息学杂志,2012,33(10):6-11.
[8]ZHAI Y K, ZHU W J, HOU H L, et al. Efficacy of telemedicine for thrombolytic therapy in acute ischemic stroke: A metaanalysis[J]. J Telemed Telecare, 2015, 21(3):123-130.
[9]闫镝,武爱文.北京某肿瘤专科医院远程会诊病例分布及效率分析[J].中国卫生信息管理杂志,2016,13(3):275-279.
[10]李佩丽,焦建鹏,徐静,等.整合医学模式下远程视频会诊服务体系的成效及价值[J].河南医学研究,2021,30(4):588-591.
[11]MUNN Z, MOOLA S, LISY K, et al. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data[J]. Int J Evid Based Healthc, 2015, 13(3):147-153.
[12]王楠,武爱文,於卉,等.远程医学在北京大学肿瘤医院的实践与思考[J].中国医院管理,2014,34(10):77-78.
[13]汪晓珊,罗建章,邹小广,等.2010年2013年6928例远程会诊病例统计分析[J].中国病案,2014,15(3):66-68.
[14]侯兆红,郑刚,刘国伟,等.远程医学会诊病例统计分析[J].医学信息学杂志,2010,31(4):44-46.
[15]李光.基层医院网络远程会诊的应用[J].世界最新医学信息文摘,2015,15(6):157.
[16]张康莉,侯兆红,刘国伟,等.163例远程医学会诊病例统计分析[J].中国医院统计,2008,15(2):120-121.
[17]李勇,修燕,温浩.5.6万余例远程医疗咨询临床资料分析[J].中国数字医学,2015,10(6):19-21.
[18]刘婉姮,王琳瑞,鲍玉荣,等.2014—2015年16384例远程会诊病例统计分析[J].海南医学,2016,27(22):3768-3769.
[19]马倩倩,崔芳芳,孙东旭,等.远程医疗会诊服务就诊人群分布以及就诊需求分析[J].中国医院管理,2019,39(9):20-23.
[20]鄢莹.S医院远程医疗服务运营模式研究[D].石家庄:河北地质大学,2019.
[21]陈宏,张金柱,庄雪梅,等.远程医疗在临床工作中的特殊作用[J].世界最新医学信息文摘,2015,15(50):50.
[22]路阳,汪晓珊,邹小广,等.新疆地区远程会诊系统应用的经济效益案例分析[J].中国卫生经济,2015,34(4):71-73.
[23]冯玉英,沈亚婷.远程会诊在基层医院的运用[J].中国乡村医药,2013,20(17):69-70.
[24]疏金平.六安地区端对端项目远程会诊系统应用的效果评价[D].合肥:安徽医科大学,2017.
[25]李春莲.远程医疗会诊系统在基层医院产科中的应用[J].中国数字医学,2019,14(9):71-73.
[26]骆书秀,吴显儒,凌政,等.患者对县级公立医院远程会诊效果满意服务状况分析[J].中国卫生产业,2020,17(14):177-180.
[27]陈红,杨杰,李宁,等.军人心理疾病远程会诊与面对面诊治的对比分析[J].解放军预防医学杂志,2013,31(1):58-59.
[28]郑蓉,郑定容.压缩传输技术模式在医学影像实时远程会诊中的应用效果[J].中国当代医药,2016,23(4):111-113.
[29]帕丽旦·艾尔肯.远程会诊在急危重症病诊治中的问题与对策[J].中国保健营养, 2017, 27(33):119.
[30]薛启勋,李福平,杨国柱.远程会诊210例回顾性分析[J].医学信息,2001,14(9):546-548.
[31]袁玉堂.远程医疗服务质量评估模型研究[D].武汉:华中科技大学,2019.
[32]CAI H, WANG H J, GUO T K, et al. Application of telemedicine in Gansu Province of China[J]. PLoS One, 2016, 11(6):e0158026. DOI:10.1371/journal.pone.0158026.
[33]GBD 2015 MORTALITY AND CAUSES OF DEATH COLLABORATORS. Global, regional, and national life expectancy, allcause mortality, and causespecific mortality for 249 causes of death, 1980-2015:A systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet, 2016, 388(10053):1459-1544.
[34]GBD 2013 MORTALITY AND CAUSES OF DEATH COLLABORATORS. Global, regional, and national agesex specific allcause and causespecific mortality for 240 causes of death, 1990-2013:A systematic analysis for the Global Burden of Disease Study 2013[J]. Lancet, 2015, 385(9963):117-171.
[35]翟运开,路薇,孙东旭,等.远程医疗背景下政府、医院和患者三方博弈分析[J].中国卫生经济,2018,37(7):54-57.
[36]翟运开,路薇,赵杰,等.基于结构方程模型的远程会诊患者满意度研究[J].中国卫生政策研究,2018,11(9):64-70.
[37]罗扬,刘征,赵文龙.贫困地区医务人员远程医疗使用意愿及影响因素分析[J].实用预防医学,2021,28(3):299-303. |
[1] |
Liu Zhen, Zhang Ning, Shi Xinye, Liu Jingyang, Dong Wenjing, Sun Jingwu. Meta analysis of sST2 and prognosis of acute heart failure[J]. journal1, 2021, 28(6): 508-512. |
[2] |
Liu Ni,Shan Li, Chu Guanghua. Meta analysis of the effect of contraceptive intervention on postpartum women′s reproductive health[J]. journal1, 2021, 28(4): 298-304. |
[3] |
Xue Yan, Gao Dehai. Investigation and analysis of job satisfaction and influencing factors in a children′s hospital[J]. journal1, 2020, 27(6): 514-517. |
[4] |
Yan Bo, Liu Jinyuan, Huo Yongqi, Duan Wenjing, Liu Rujie, Lin Aihua. Meta-analysis of the effect of smartphone app on the intervention of post-traumatic stress disorder[J]. journal1, 2020, 27(5): 403-407. |
[5] |
Lei Taoying. . Effect of emergency classification on the treatment efficiency and nursing satisfaction of emergency patients[J]. journal1, 2020, 27(4): 345-348. |
[6] |
Zhu Guiming, Liu Haixia, Hu Naibao, Wang Jiu, Sun Hongwei. . Satisfaction survey and analysis of inpatients in internal medicine of a tertiary hospital[J]. journal1, 2020, 27(2): 170-174. |
|
|
|
|