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[1]黄红梅范一丁王觅也王颖游田甜朱昌先开金罗凯师庆科.互联网医院院内移动会诊模式应用效果分析[J].中国卫生质量管理,2025,32(10):17-21.[doi:10.13912/j.cnki.chqm.2025.32.10.04]
　HUANG Hongmei,FAN Yiding,WANG Miye.Analysis of the Application Effectiveness of the In-Hospital Mobile Consultation Model in Internet Hospitals[J].Chinese Health Quality Management,2025,32(10):17-21.[doi:10.13912/j.cnki.chqm.2025.32.10.04]

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互联网医院院内移动会诊模式应用效果分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年10期页码: 17-21 栏目: 特别关注出版日期: 2025-10-15

Title:: Analysis of the Application Effectiveness of the In-Hospital Mobile Consultation Model in Internet Hospitals

作者:: 黄红梅范一丁王觅也王颖游田甜朱昌先开金罗凯师庆科; 四川大学华西医院

Author(s):: HUANG Hongmei; FAN Yiding; WANG Miye; West China Hospital, Sichuan University

关键词:: 互联网医院; 移动会诊; 会诊科室; 会诊病种

Keywords:: Internet Hospital; Mobile Consultation; Consulting Departments; Consultation-Related Diseases

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.10.04

文献标志码:: A

摘要:: 目的分析互联网医院院内移动会诊模式下的科室需求和病种分布，为推广新型移动会诊模式提供支撑。方法纳入某三甲公立医院互联网医院2023年10月1日-2024 年9月30日的5 830例次院内单科会诊病例，回顾性分析会诊科室分布、会诊科室关联及病种分布情况。结果院内移动会诊发起次数较多的科室有老年医学科、神经内科、呼吸与危重症医学科、感染性疾病中心、消化内科，其中老年医学科发起会诊次数占比超过10%；接收会诊量占比超过10%的科室有风湿免疫科、心理卫生中心、呼吸与危重症医学科、中西医结合内科。风湿免疫科接收会诊对应发起科室共有42个，主要由呼吸与危重症医学科、神经内科等科室发起；心理卫生中心接收会诊对应发起科室共有41个，以神经内科为主；呼吸与危重症医学科接收会诊对应发起科室共有41个，各科室发起频次相对均衡；中西医结合内科接收会诊对应发起科室共有27个，主要由老年医学科和泌尿外科发起。申请会诊患者病种以肺部感染、2型糖尿病、高血压、脑梗死、冠性病等为主。结论互联网医院院内移动会诊模式在多科室、多类疾病中应用广泛，可为不同科室解决疑难共病问题提供平台。

Abstract:: ObjectiveTo analyze the departmental demands and disease distribution patterns under the in-hospital mobile consultation model in internet hospitals, providing evidence to support the promotion of this novel mobile consultation approach.MethodsA total of 5 830 cases of in-hospital single-specialty consultations conducted via an internet hospital at a grade A tertiary public hospital between October 1, 2023, and September 30, 2024, were included. A retrospective analysis was performed to examine consultation volumes across departments, interdepartmental collaboration intensity, and disease distribution characteristics.ResultsDepartments with high consultation initiation frequencies included geriatrics, neurology, respiratory and critical care medicine, infectious diseases center, and gastroenterology, with geriatrics accounting for over 10% of total consultations. Departments receiving more than 10% of mobile consultations were rheumatology and immunology, mental health center, respiratory and critical care medicine, and integrated traditional Chinese and western medicine. Rheumatology and immunology received consultations from 42 initiating departments, primarily from respiratory and critical care medicine and neurology; the mental health center received consultations from 41 initiating departments, mainly neurology; respiratory and critical care medicine received consultations from 41 initiating departments with relatively balanced distribution; integrated traditional Chinese and western medicine received consultations from 27 initiating departments, mainly geriatrics and urology. The most common diseases among patients requiring consultations were pulmonary infection, type 2 diabetes mellitus, hypertension, cerebral infarction, and coronary heart disease.Conclusion The in-hospital mobile consultation model in internet hospitals demonstrates broad applicability across multiple departments and disease categories, serving as an effective platform for addressing complex comorbidities across different specialties.

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更新日期/Last Update: 2025-10-15