| 引用本文：戚淼杰, 韩优莉.医院就诊患者在线医疗使用现状及其相关因素研究——基于北京市三级医院门诊患者的调查[J].中国卫生政策研究,2019,12(7):70-74 |
|
| 医院就诊患者在线医疗使用现状及其相关因素研究——基于北京市三级医院门诊患者的调查 |
| 投稿时间：2019-03-28 修订日期：2019-05-10 PDF全文浏览 HTML全文浏览 |
| 戚淼杰, 韩优莉 |
| 首都医科大学公共卫生学院 北京 100069 |
| 摘要:目的：探究现阶段医院门诊患者在线医疗的使用现状及其相关因素。方法：问卷调查北京市6家三级医院的门诊患者，共收集1 212份有效问卷，使用EPIDATA、SPSS软件进行数据统计和分析。结果：门诊患者在线咨询使用率为28.57%，44.58%的患者认为网上咨询有帮助。其中39.58%的患者使用过在线问诊，67.69%的患者认为网上诊断疾病缺乏有效检查，不能放心诊断结果，所以选择再次来到医院就诊。41~60岁（OR=0.355，P=0.028）和60岁以上的患者（OR=0.191，P=0.003）在线咨询使用率较低；北京患者在线咨询使用率更低（OR=0.703，P=0.043）；疾病紧急程度为一般的患者在线咨询使用率更高（OR=2.03，P=0.049）；41~60岁（OR=0.163，P=0.005）和60岁以上的患者（OR=0.180，P=0.025）在线问诊使用率更低，月可支配收入为2 000~5 000元的患者在线问诊使用率更低（OR=0.285，P=0.003）。结论：在线医疗功能与患者需求都会影响在线医疗的使用，技术较为成熟的在线医疗使用率更高，年轻、收入低、疾病紧急程度一般或者外地的患者更倾向于使用在线医疗。 |
| 关键词:门诊患者 在线医疗 现状 相关因素 |
| 基金项目:北京市社会科学基金研究基地项目（17JDGLA032）；国家自然科学基金项目（71403177） |
|
| Study on the status and factors of the internet health use among outpatient: Based on the investigation of outpatients in Beijing tertiary hospitals |
| QI Miao-jie, HAN You-li |
| School of Public Health, Capital Medical University, Beijing 100069, China |
| Abstract:Objective:To explore the current status and influencing factors of internet health use for outpatients in Beijing tertiary hospitals. Methods:A questionnaire survey was conducted among outpatients from 6 hospitals in Beijing, and 1 212 valid questionnaires were collected. The EpiData and SPSS software were used for statistics and data analysis. Results:The rate of e-Healthcare use was 28.57%, and 44.58% of patients mentioned that online consultation was helpful. Among survey outpatients, 39.58% have got diagnosis or medical advice through online consultation service (internet health), and 67.69% thought that they could go to the hospital again for physical diagnosis because they couldn't believe in the online diagnosis without effective examination. Patients who were aged 41 to 60 (OR=0.355, P=0.028) and those aged over 60 (OR=0.191, P=0.003) used more online consultation, while Beijing patients had a lower online consultation rate (OR=0.703, P=0.043). Patients with common urgency disease used higher online consultation rate (OR=2.03, P=0.049), while those aged 41 to 60 (OR=0.163, P=0.005) and over 60 (OR=0.180, P=0.025) used less online diagnostic. In addition, patients with 2000 to 5000RMB of monthly disposable income showed lower online diagnostic rate (OR=0.285, P=0.003). Conclusion:The functions of internet health and patient needs will affect the use of internet health, and the usage of internet health was higher among mature people, and young people, lower income people or common emergency disease patients were more likely to use internet health. |
| Key words:Outpatient Internet health Status Relevant factor |
| 摘要点击次数: 1501 全文下载次数: 816 |
|
|
|
|
|
