RESUMO
Objective:To introduce the reform and practice of diagnosis and treatment mode in a hospital, analyze the output results, and put forward the characteristics, advantages and disadvantages of online medical care.Methods:The hospital launched the " online consultation" service for the first time in July 2019, and continuously accelerated the function construction of the Internet hospital, gradually transforming the traditional offline diagnosis and treatment mode into a new full-cycle diagnosis and treatment mode integrating online inquiry, billing, self payment, drug mailing, inspection appointment, self admission and chronic disease follow-up. The operation data of hospital online outpatient service from January to June in 2020 were analyzed.Results:From January 1st to June 21st, 2020, the Internet hospital has received over 318 000 patients. Most of the online outpatients suffered from chronic diseases, while the diseases that needed further treatment were mainly in the offline outpatient department, such as the first diagnosis and acute diseases. Among the online outpatient expenses, the drug cost accounted for the highest proportion(80.52%), and the registration cost accounted for the least(4.04%).Conclusions:The change of medical treatment mode will force the continuous reform of public hospitals, but the current policy environment for Internet hospital development needs to be in place. In the future, we should further clarify the functional orientation of Internet hospitals and promote the rapid integration of online and offline services.