Background:This study aimed to investigate physicians’preferences in relation to Internet hospital consultations and to explore the factors influencing their choices.The study also assessed physicians’willingness to...Background:This study aimed to investigate physicians’preferences in relation to Internet hospital consultations and to explore the factors influencing their choices.The study also assessed physicians’willingness to participate in Internet-based hospital consultation services and the demand among physicians to do so.Methods:A total of 119 physicians from two general hospitals and three specialized hospitals in Beijing were selected for a questionnaire survey using a discrete choice experiment design.Physician preferences were analyzed using conditional logit regression.Findings:In descending order of importance,physicians’willingness to engage in Internet hospital consultations was influenced by changes in doctors’share of online diagnosis and treatment performance compared with offline consultations,daily working hours,and response time.Physicians were more likely to choose Internet hospital consultations when there was a 20%increase in the proportion of online consultations compared to offline consultations,a 10%increase in the weight of online consultations in the annual assessment,a 1-hour reduction in offline working hours and a 1-hour increase in online working hours,and a response time of less than 24 h.The subgroup analysis revealed variations in physicians’preferences based on age,professional titles,working years,and department.Younger doctors,those with fewer professional titles,and those with less work experience had higher expectations.Compared to internal medicine and pediatric doctors,surgeons exhibited a greater willingness to work longer hours.Interpretation:Increasing the proportion of online consultations,including online consultations in the annual assessment,reducing offline working hours,extending online availability,and ensuring timely responses can incentivize physicians to choose online hospital consultations.This approach promotes the high-quality development of Internet hospitals by combining economic and noneconomic incentives and optimizing workload distribution.展开更多
The sustainable development of Internet hospitals and e-health platforms relies on the participation of patients and physicians,especially on the provision of health counseling services by physicians.The objective of ...The sustainable development of Internet hospitals and e-health platforms relies on the participation of patients and physicians,especially on the provision of health counseling services by physicians.The objective of our study is to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online and offline reputation.We collect the data of 141029 physicians from 6173 offline hospitals located in 350 cities in China.Based on the reputation theory and previous studies,we incorporate patients’feedback as physicians’online reputation and incorporate physicians’offline professional status as physicians’offline reputation.Results show that physicians’online reputation significantly and positively influence their online counseling behaviors,whereas physicians’offline reputation significantly and negatively influence their online counseling behaviors.We conclude that physician’s online and offline reputations show a competitive and substitute relationship rather than a complementary relationship in influencing physicians to provide online counseling services in Internet hospitals.One possible explanation for the substitute relationship could be the constraints of limited time and effort of physicians.展开更多
INTRODUCTION The application of atropine in the prevention and control of myopia was reported as early as the 1970s.1 In recent years,low-concentration atropine has drawn the attention of clinicians and parents of chi...INTRODUCTION The application of atropine in the prevention and control of myopia was reported as early as the 1970s.1 In recent years,low-concentration atropine has drawn the attention of clinicians and parents of children because of its excellent efficacy and safety.Currently,although the national drug regulatory authority has not officially sanctioned the application of low-concentration atropine eye drops in clinical myopia prevention and control,some provincial drug regulatory departments have permitted their use in the form of hospital preparations or obtained through a doctor’s prescription on Internet hospitals.展开更多
The outbreak of coronavirus disease 2019 (COVID-19;formally known as 2019-nCoV) has become a most challenging health emergency.Owing to rigorous quarantine and control measures taken in China,routine neonatal health s...The outbreak of coronavirus disease 2019 (COVID-19;formally known as 2019-nCoV) has become a most challenging health emergency.Owing to rigorous quarantine and control measures taken in China,routine neonatal health surveillance and follow-up have become challenging.Without follow-up surveillance,some rapid and progressive newborn diseases,such as bilirubin encephalopathy,may be ignored.The characteristics of onset age of kernicterus suggest that monitoring of bilirubin level at home provides a useful way to alert hospital visits and to prevent the development of extremely hyperbilirubinemia.Therefore,we developed an online follow-up program for convenient monitoring of bilirubin level of newborns that is based on our practical experiences.The aim is to make our management strategies of neonatal jaundice tailored to the infection prevention and control during the COVID-19 epidemic.展开更多
基金funded by the Natural Science Foundation of Beijing Municipality(grant number:9222003).
文摘Background:This study aimed to investigate physicians’preferences in relation to Internet hospital consultations and to explore the factors influencing their choices.The study also assessed physicians’willingness to participate in Internet-based hospital consultation services and the demand among physicians to do so.Methods:A total of 119 physicians from two general hospitals and three specialized hospitals in Beijing were selected for a questionnaire survey using a discrete choice experiment design.Physician preferences were analyzed using conditional logit regression.Findings:In descending order of importance,physicians’willingness to engage in Internet hospital consultations was influenced by changes in doctors’share of online diagnosis and treatment performance compared with offline consultations,daily working hours,and response time.Physicians were more likely to choose Internet hospital consultations when there was a 20%increase in the proportion of online consultations compared to offline consultations,a 10%increase in the weight of online consultations in the annual assessment,a 1-hour reduction in offline working hours and a 1-hour increase in online working hours,and a response time of less than 24 h.The subgroup analysis revealed variations in physicians’preferences based on age,professional titles,working years,and department.Younger doctors,those with fewer professional titles,and those with less work experience had higher expectations.Compared to internal medicine and pediatric doctors,surgeons exhibited a greater willingness to work longer hours.Interpretation:Increasing the proportion of online consultations,including online consultations in the annual assessment,reducing offline working hours,extending online availability,and ensuring timely responses can incentivize physicians to choose online hospital consultations.This approach promotes the high-quality development of Internet hospitals by combining economic and noneconomic incentives and optimizing workload distribution.
基金This study is partially funded by the National Natural Science Foundation of China(Grant No.71904174).
文摘The sustainable development of Internet hospitals and e-health platforms relies on the participation of patients and physicians,especially on the provision of health counseling services by physicians.The objective of our study is to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online and offline reputation.We collect the data of 141029 physicians from 6173 offline hospitals located in 350 cities in China.Based on the reputation theory and previous studies,we incorporate patients’feedback as physicians’online reputation and incorporate physicians’offline professional status as physicians’offline reputation.Results show that physicians’online reputation significantly and positively influence their online counseling behaviors,whereas physicians’offline reputation significantly and negatively influence their online counseling behaviors.We conclude that physician’s online and offline reputations show a competitive and substitute relationship rather than a complementary relationship in influencing physicians to provide online counseling services in Internet hospitals.One possible explanation for the substitute relationship could be the constraints of limited time and effort of physicians.
文摘INTRODUCTION The application of atropine in the prevention and control of myopia was reported as early as the 1970s.1 In recent years,low-concentration atropine has drawn the attention of clinicians and parents of children because of its excellent efficacy and safety.Currently,although the national drug regulatory authority has not officially sanctioned the application of low-concentration atropine eye drops in clinical myopia prevention and control,some provincial drug regulatory departments have permitted their use in the form of hospital preparations or obtained through a doctor’s prescription on Internet hospitals.
基金This paper was supported by Zhejiang University Special Scientific Research Fund for COVID-19 Prevention and Control.
文摘The outbreak of coronavirus disease 2019 (COVID-19;formally known as 2019-nCoV) has become a most challenging health emergency.Owing to rigorous quarantine and control measures taken in China,routine neonatal health surveillance and follow-up have become challenging.Without follow-up surveillance,some rapid and progressive newborn diseases,such as bilirubin encephalopathy,may be ignored.The characteristics of onset age of kernicterus suggest that monitoring of bilirubin level at home provides a useful way to alert hospital visits and to prevent the development of extremely hyperbilirubinemia.Therefore,we developed an online follow-up program for convenient monitoring of bilirubin level of newborns that is based on our practical experiences.The aim is to make our management strategies of neonatal jaundice tailored to the infection prevention and control during the COVID-19 epidemic.
