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In the context of the digital economy， the operational relationship between traditional Chinese medicine （TCM） and Internet healthcare organizations as well as related governance institutions has attracted much attention. As the market scale of the Internet healthcare has continued to grow in recent years， the quality of Internet TCM healthcare has also been improved. By analyzing the development status of Internet TCM healthcare， it is proposed that Internet TCM health service should seize the opportunities and challenges in future， promote the growth of market scale from varied aspects， enhance patient-centered care awareness， and strengthen the promotion and popularization of digital services， thereby promoting the high-quality development of Internet TCM health service in the context of the digital economy.
ABSTRACT
Medical homogenization in multi-campus hospital plays an essential role in leveraging the advantages of public hospitals, promoting the expansion of high-quality medical resources and balancing regional layout. The Second Affiliated Hospital Zhejiang University School of Medicine deeply used digital intelligence technology to build a new integrated mobile health service system consisting of internet hospital and 5G intelligent applications, which empowered medical efficiency in multi-campus hospital. This system broke the limitations of inconsistent medical resources, unbalanced discipline layout, and insufficient information connectivity in the construction of multi-campus hospitals, and achieved remarkable results in practice. It could provide reference for the multi-campus construction of other large public hospitals.
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Under the background of "Internet+Healthcare", the iterative development and large-scale application of new technologies have brought great impact on doctor-patient relationship, and promoted the harmonious development of doctor-patient relationship to a certain extent. By analyzing the impact of "Internet+Healthcare" on doctor-patient relationship, this paper proposed to deepen the patient-centered doctor-patient relationship model, enhance the efficiency of doctor-patient communication and improve communication channels between doctors and patients, strengthen the supervision of internet medical information, and call on new media to actively promote the development of doctor-patient relationship.
ABSTRACT
Objective:To investigate the effect of “Internet+Healthcare” combined with traditional education on the quality of bowel preparation for colonoscopy.Methods:A double-blind randomized parallel controlled trial was conducted. A total of 660 patients who underwent colonoscopy from August 2020 to August 2021 were enrolled. The patients were randomly assigned to receive “Internet+Healthcare” education combined with traditional education (study group, n=330 cases) or the traditional education alone (control group, n=330).The Boston bowel preparation scale, the qualified rate of bowel preparation and the adenoma detection rate of the two groups were compared. The factors affecting bowel preparation were determined by multivariate logistic regression analysis. Results:The Boston bowel preparation scale (6.1±1.1 vs. 5.3±1.2, t=-9.18, P<0.001), the qualified rate of bowel preparation [93.5% (300/321) vs. 75.8% (244/322), χ2=38.58, P<0.001], and the adenoma detection rate [39.3%(126/321) vs. 30.4%(98/322), χ2=5.51, P=0.019] in the study group were significantly higher than those in the control group. The factors related to qualified bowel preparation were female gender ( OR=2.19, 95 %CI:1.33-3.59, P=0.002), no hypertension ( OR=1.91, 95 %CI:1.17-3.12, P=0.010), diarrhea ( OR=4.84, 95 %CI:1.22-19.24, P=0.025), and “Internet+Healthcare” combined with traditional education ( OR=4.79, 95 %CI:2.81-8.16, P<0.001).The factors related to unqualified bowel preparation were no colonoscopy history ( OR=0.34, 95 %CI:0.20-0.56, P<0.001) and no diabetes ( OR=0.44, 95 %CI:0.24-0.80, P=0.008). Conclusions:Compared with traditional education, patients who received “Internet+Healthcare” education combined with traditional education have high quality of bowel preparation and high adenoma detection rate in colonoscopy. To obtain qualified bowel preparation for colonoscopy attention should be paid to factors affecting bowel preparation quality.
ABSTRACT
Introduction: Self-diagnosis usually starts with searchengines like Google, Bing, or Yahoo, which can lead users toconfusing unsubstantiated information and people with urgentsymptoms may not be directed to emergency care. It can alsocreate anxiety and a situation where there is questioning of thetreating physician. In this paper we focus on understandingand evaluating how Internet based search results have affectedpeople’s health opinions and behaviour.Material and methods: An online cross-sectional pilot studywas conducted among 336 individuals. The statistical toolsused to analyse the data was by using Microsoft Excel. Chisquare test was used and p value <0.05 was taken as significant.Results: A significant number of respondents have triedto self-diagnose a perceived illness with a greater averageamongst the medical group and a significant value amongpeople who believed their online diagnosis to be accurate.Searching for health related advice online did make theparticipants feel more anxious with this trend being greater inthe medical population and more polarised within them.Conclusion: Cyberchondria, an adverse effect of thedigital revolution, also has affected the medical system byinterrupting the line of treatment, elevating anxiety levels of theparticipants, undermining the need for emergency care whennecessary and most importantly, taking assistance of symptomchecker sites in lieu of a physician’s advice. In view of this,symptom checker sites should have more accountability byincreasing the involvement of medical professionals.
ABSTRACT
Yinchuan is designated as a pilot for " Internet + healthcare " trials. Based on the classification and definition of Internet-based healthcare, the authors introduced the practical exploration of" Internet+healthcare" in Yinchuan, including making policies on the first try, inviting Internet medical enterprises, setting up Internet-based hospitals, providing telemedicine services, adding Internet health services to the insurance list, and establishing an administration platform, among others. Despite the difficulties and challenges such as health information security risks, service quality administration, interests sharing and responsibility attribution, Yinchuan took " Internet+healthcare" as a breakthrough of improving the medical conditions in an underdeveloped area, showing the courage in innovation, and exploring the functions and limits of Internet-based medical enterprises.In conclusion, Yinchuan provided a good reference of " Internet+healthcare" to other parts of our country.