Internet hospitals provide convenience to the public for medical treatment

What convenience does the Internet hospital bring to the public for medical treatment? How can Internet hospitals achieve high-quality development? Internet hospitals allow patients to enjoy medical services without leaving home by integrating follow-up, follow-up and consultation services”Hello, Dr. Chen! I want to prescribe medicine for the elderly.” Mr. Li, who lives in Beijing’s Chaoyang District, prescribed medicine to his father through the “Pocket Xuanwu Hospital” cell phone app of the Xuanwu Hospital Internet Hospital of Capital Medical University. His father, who is over 80 years old, suffers from cerebrovascular disease and needs to be prescribed medication regularly to prevent brain attacks. Chen Fei, an attending neurologist at Xuanwu Hospital, prescribed the medicine on the “Palm Xuanwu Hospital” APP (doctor side). Chen Fei said that Mr. Li is a regular patient of his and has been prescribed medication online for more than a dozen times.

“I used to go to the hospital to get the medicine, each time I have to take a morning off, both hard and delayed work.” Mr. Li said that after Xuanwu Hospital opened its Internet hospital, he could directly register and prescribe medication with his cell phone, and the medicine was delivered to his home by courier the next day, which was very convenient. Chen Fei’s specialty is cerebrovascular stenting surgery, and his number is often difficult to get in offline clinics. Because the Internet hospital is not restricted by number availability, patients are able to get his number. “Most of the patients I see need regular follow-ups and prescriptions, and patients can reach me on the Internet hospital at any time for easy post-operative management and follow-up.” Chen Fei said.

Chen Qiulin, deputy director of the Health Industry Development Research Center at the Academy of Social Sciences, believes that Internet hospitals allow patients to enjoy medical services without leaving home by integrating follow-up, follow-up and consultation services, which can enhance the accessibility of medical services and reduce the cost of medical care for patients. At lunchtime, a consultation message pops up on the Three Gorges Hospital cell phone app of Xu Wei, an attending physician in the Department of Endocrinology at Three Gorges Hospital of Chongqing University. Xu Wei skillfully adjusts the patient’s medication: “According to your blood count, you need to add one more pill.”

Xu Wei introduced that some patients with chronic diseases such as diabetes and hyperthyroidism need long-term treatment and adjust their medication doses on a weekly or monthly basis. Now, patients no longer need to come to the hospital regularly to register and stand in line, and they can ask for consultation online. Currently, Xu Wei receives more than 700 online consultations each month. “When I find abnormalities in a patient’s condition during the online consultation, I can help them book examinations and hospital appointments in time, which improves patient satisfaction.” Zeng Xia, director of the Three Gorges Hospital Internet Hospital Office, said that in May 2021, the Three Gorges Hospital Internet Hospital platform “Three Gorges Hospital” mobile app was officially launched, and the main users are patients with chronic diseases and those who need regular follow-ups. The staff of the Internet Hospital follow-up center will regularly schedule discharges, outpatient visits and medical checkups based on the follow-up paths and online clinic sessions set by doctors. Patients have online video follow-up or graphic follow-up with their doctors, who write prescriptions based on the patient’s condition, and the hospital mails the medication to the patient’s home.

To help patients who are always bedridden with regular care, Three Gorges Hospital Internet Hospital also has an online appointment for nurses to visit their homes. The on-site care includes changing gastric tubes, joint loosening training, catheter maintenance, medication changes for pressure injuries, oxygen saturation testing, and testing of trace blood sugar.

Primary patients benefit. The combination of teleconsultation and follow-up visits allows for timely detection and management of new conditions, making patients’ lives and health more secure “It’s really unexpected to be able to buy medicine and have a video link with experts from a tertiary hospital to consult on your condition!” Old Yan, a resident of Gao jai tang street district in Wanz hou District, Chongqing, had an old problem of leg pain and never found the cause. He came to Zhong xing Pharmacy Gao jan tang Store and sat in front of the computer to have a video follow-up consultation with a general practitioner from Three Gorges Hospital. “Since the installation of the Internet hospital terminal, many elderly people in the community come to the pharmacy for consultation with the ‘online doctor’.” Zhong xing Pharmacy staff Liu Xue mei told reporters that seeing a doctor at the pharmacy is not only free, but also very convenient, with some residents coming down from upstairs, which is more convenient than going to a community hospital. The reporter saw that the pharmacy opened a special area, both for the convenience of customers to see the doctor, but also to protect privacy. The remote access point is equipped with computers, cameras, headsets and consultation tables and chairs, and the walls are decorated with the Three Gorges Hospital remote access point logo and other patterns, which are simple, generous and eye-catching. It is understood that the Three Gorges Hospital has selected two of the larger pharmacy chains in Wan zhou District, Zhong xing and Hong da, as remote access points, and the first batch of 59 pharmacies have carried out online follow-up consultation services for customers. At present, the average number of online follow-up consultations at the pharmacy end is more than 300 per day.

How to further leverage the advantages of Internet hospitals to benefit more grassroots patients? Three Gorges Hospital has linked up with village doctors to deploy Internet hospital terminals in village health offices. At the health office of Guan ba Village in Long ju Town, Wan zhou District, village doctor Li Xiao jian is instructing villagers to use the Three Gorges Hospital Internet hospital terminal computer. “Sometimes when we encounter a condition that we are not sure about, we will also connect with the Three Gorges Hospital doctors to ask questions, which greatly facilitates the villagers’ access to medical care.” Li Xiao jian said.

The Internet hospital has effectively solved the problem of access to patients with difficult and critical and complex diseases in remote areas. Old Wang, who lives in Jin zhai County, Anhui Province, suffers from rheumatoid disease, and his condition worsened not long ago and was not under control after treatment at a local hospital. In less than two days, Lao Wang was already confused and did not cooperate with the medical examination. The local doctor sought help from Chen Xiaoping, deputy director of the endocrinology department of the China-Japan Friendship Hospital in Beijing, through an Internet telemedicine platform. Chen organized a joint remote consultation and review with experts from the Department of Rheumatology and Immunology, the Department of Endocrinology and the Department of Respiratory Medicine of the China-Japan Friendship Hospital, and diagnosed that Lao Wang had brain damage caused by severe hyponatremia with mild lung infection. After systematic and standardized treatment, Lao Wang recovered quickly and was able to work on the ground.

Cui Yong, vice president of China-Japan Friendship Hospital, introduced that one of the features of the hospital’s Internet hospital is the combination of telemedicine and Internet diagnosis, combining the enhancement of grassroots diagnosis and treatment capacity building with the convenience of the people. Telemedicine is aimed at patients with critical and complex diseases in primary institutions, while Internet diagnosis and treatment is geared toward repeat patients with confirmed cases. Some patients with repeat cases may experience deterioration during the follow-up period, and if they cannot reach a large hospital for treatment within a short period of time, it is likely to delay the treatment. Through the combination of remote consultation and follow-up consultation, with the assistance of local doctors, new conditions can be detected and dealt with in a timely manner, making patients’ lives and health more secure. At present, the Internet hospital system of China-Japan Friendship Hospital has connected to nearly 6,000 medical institutions nationwide, including more than 580 medical institutions, and implemented more than 13,000 cases of remote consultation. It has unblocked the difficult points and accelerated the landing of medical insurance settlement nationwide, so that patients who go to the Internet hospital for medical treatment can also enjoy medical insurance reimbursement.

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