Analysis of influencing factors of telemedicine system operation / 中华医院管理杂志

ABSTRACT

Objective:To explore the influencing factors of telemedicine system operation and identify the relationship among them, so as to provide policy suggestions for promoting the healthy operation of telemedicine service system.Methods:The published literatures from January 2009 to December 2019 were searched, and the factors influencing the operation of telemedicine service system were preliminarily screened out. The influencing factors were evaluated and scored by expert consultation method(0-5 points). Then the influencing factors and their relationship were analyzed by decision-making trial and evaluation laboratory method.Results:A total of 16 influencing factors, including 6 cause factors and 10 result factors, were selected. In the cause factors, leadership support, supervision mechanism and incentive compatibility mechanism were in the top three; among the outcome factors, disease information communication, patient participation and medical service quality were more susceptible to other factors.Conclusions:It is helpful to promote the healthy and sustainable operation of telemedicine service system by enhancing the attention of the leaders of medical institutions, building a perfect regulatory mechanism and incentive compatible mechanism, ensuring the effective communication of disease information by doctors of upper and lower medical institutions, and improving the participation of patients and the quality of medical services.