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[1]孙洁段佳辉黄谛阳谭枫刘英.北京市妇幼保健机构互联网诊疗服务影响因素的质性研究[J].中国卫生质量管理,2024,31(07):59-62.[doi:10.13912/j.cnki.chqm.2024.31.7.13]
　SUN Jie,DUAN Jiahui,HUANG Diyang.A Qualitative Study of the Influence Factors of Internet Medical Service in Beijing Maternity and Child Health Care Institutions[J].Chinese Health Quality Management,2024,31(07):59-62.[doi:10.13912/j.cnki.chqm.2024.31.7.13]

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北京市妇幼保健机构互联网诊疗服务影响因素的质性研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第31卷期数: 2024年07期页码: 59-62 栏目: 服务质量出版日期: 2024-07-15

Title:: A Qualitative Study of the Influence Factors of Internet Medical Service in Beijing Maternity and Child Health Care Institutions

作者:: 孙洁段佳辉黄谛阳谭枫刘英; 北京市海淀区妇幼保健院

Author(s):: SUN Jie; DUAN Jiahui; HUANG Diyang; Haidian District Maternal and Child Health Care Hospital

关键词:: 互联网诊疗; 妇幼保健机构; 北京市; 诊疗服务

Keywords:: Internet Medical Service; Maternal and Child Health Care Institution; Beijing; Diagnosis and Treatment Service

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2024.31.7.13

文献标志码:: A

摘要:: 目的针对北京市妇幼保健机构互联网诊疗服务存在问题，提出针对性建议，为促进妇幼保健机构“互联网+”医疗服务发展提供参考。方法对来自北京市10家公立妇幼保健机构的58名职能部门管理人员进行半结构化访谈与焦点小组访谈，采用Colaizzi七步法对访谈内容进行分析。结果妇幼保健机构开展互联网诊疗服务受到制度要求、组织管理、患者特征三方面因素影响。结论妇幼保健机构开展互联网诊疗服务需加大政策支持和财政投入，加强医疗服务质量控制，规范互联网诊疗流程，提高医生线上诊疗服务能力，拓展线上服务内容，培养患者线上就医意识等。

Abstract:: ObjectiveAiming at the problems existing in Internet medical service of maternal and child health care institutions in Beijing, this paper puts forward targeted suggestions to provide reference for promoting the development of "Internet +" medical service in maternal and child health care institutions.MethodsSemi-structured interviews and focus group interviews were conducted with 58 functional department managers from 10 public maternal and child health care institutions in Beijing, and the contents of the interviews were analyzed using the seven-step Colaizzi method.ResultsInternet medical service carried out by maternal and child health care institutions were affected by three factors: institutional requirements, organization and management, and patient characteristics.Conclusion Maternal and child health care institutions need to increase policy support and financial investment to carry out Internet diagnosis and treatment services, strengthen the quality control of medical services, standardize the Internet diagnosis and treatment process, improve doctors’ online diagnosis and treatment service capabilities, expand online service content, and cultivate patients’ online medical awareness.

参考文献/References:

［1］国务院办公厅.关于促进“互联网+医疗健康”发展的意见［EB/OL］.(2018-04-25)［2024-02-19］.https://www.gov.cn/gongbao/content/2018/content_529 136 5.htm. ［2］国家卫生健康委，国家中医药管理局.关于印发互联网诊疗管理办法（试行）等3个文件的通知：国卫医发〔2018〕25号［EB/OL］.(2018-07-17)［2024-02-19］.https://www.gov.cn/gongbao/content/2019/content_5358684.htm.［3］国家医疗保障局.关于完善“互联网 + ”医疗服务价格和医保支付政策的指导意见：医保发〔2019〕47号［EB/OL］.(2019-08-17)［2024-02-19］.https://www.gov.cn/zhengce/zhengceku/2019-08/30/content_5456428.htm. ［4］颜穆丹,支梦佳,胡琳琳,等.我国三级妇幼医院住院患者护理服务满意度及影响因素分析［J］.中国卫生质量管理,2022,29(8):63-67.［5］COLAIZZI PF. Psychological research as the phenomenologist views it［M］.New York: Oxford University Press, 1978:48-71.［6］HAMILTON AB, FINLEY EP. Qualitative methods in implementation research: an introduction［J］. Psychiatry Research, 2019, 280: 112516.［7］董梁,王晓宁,杨屹嵘,等.基于医护人员视角的国家区域医疗中心建设模式质性研究［J］.中国卫生质量管理,2024,31(1):21-25.［8］刘博,齐玥,郭幽燕，等.某三甲医院就诊者互联网医疗接受认可程度及服务使用维度分析［J］.中国医院管理,2021,41(9):69-73.［9］姚克勤,姚建森,伍丽群，等.基于深圳市某医疗集团医生视角的互联网医院门诊在线诊疗推广障碍的定性分析［J］.医学与社会,2022,35(9):127-132.［10］宣天惠,李瑞锋,郑秋莹,等.“互联网+医疗”政策量化研究［J］.中国卫生资源,2022,25(3):385-391.［11］中共中央国务院.“健康中国2030”规划纲要［EB/OL］.(2016-10-25)［2024-02-19］.https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.

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更新日期/Last Update: 2024-07-15