Thoughts on the construction of internet hospitals from the perspective of PDCA_West China Medical Journal

Authors：

LI Peiyi ^1,2 ,  LI Weimin ³

1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Weimin, Email: weimi003@scu.edu.cn

Keywords：

Internet hospitals; PDCA circle; Development strategies

DOI：

10.7507/1002-0179.202004274

Video：

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With the rapid development of information technology, medical reforms in various countries are moving towards informatization, and internet medical projects have been carried out gradually. Internet hospitals, as one of the manifestations of internet medical projects, have the advantages of improving the efficiency of medical services, revitalizing and effectively sinking high-quality medical resources, and therefore has become the focus of China’s next stage of medical reform. However, internet hospitals are innovative and local products of China, leading its practices lack of domestic and foreign theoretical research, as well as experience, which results in government policies and hospital management strategies are both moving forward in groping, and the construction outcomes vary. Therefore, this article aims to analyze the comprehensive dilemmas currently confronted by internet hospitals in China in different stages of construction, operation and management based on PDCA cycle, and thus, puts forward corresponding construction thinking and analysis in a targeted manner, and proposes guidance for the further development of internet hospitals.

Citation： LI Peiyi, LI Weimin. Thoughts on the construction of internet hospitals from the perspective of PDCA. West China Medical Journal, 2021, 36(12): 1716-1720. doi: 10.7507/1002-0179.202004274 Copy

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13.	于保荣, 杨瑾, 宫习飞, 等. 中国互联网医疗的发展历程、商业模式及宏观影响因素. 山东大学学报(医学版), 2019, 57(8): 39-52.
14.	郑曦, 何晖雄, 黄少伟, 等. 互联网医疗研究综述: 回顾、现状与监管. 中国卫生法制, 2018, 26(4): 28-33.
15.	国务院办公厅. 国务院办公厅关于促进“互联网+医疗健康”发展的意见. (2018-04-28)[2020-04-17]. http://www.gov.cn/zhengce/content/2018-04/28/content_5286645.htm.
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17.	凌子平, 翟理祥, 林羽, 等. 基于移动互联网的医疗服务创新模式构建. 中国卫生信息管理杂志, 2016, 13(3): 295-298.
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20.	寇建秋, 严正仲, 张维芯, 等. 基于实体医院的互联网医院的设计与实现. 中国医疗设备, 2018, 33(11): 135-139.
21.	王晶. 互联网医疗改善医疗资源配置和整合. 互联网经济, 2016(7): 38-43.
22.	Illiger K, Hupka M, von Jan U, et al. Mobile technologies: expectancy, usage, and acceptance of clinical staff and patients at a university medical center. JMIR Mhealth Uhealth, 2014, 2(4): e42.
23.	Yellowlees P. Successful development of telemedicine systems-seven core principles. J Telemed Telecare, 1997, 3(4): 215-222.
24.	王雨, 李巍, 冯磊. 供需匹配框架下的互联网医院生成逻辑、运行困境及路径优化. 中国卫生经济, 2019, 38(8): 24-26.
25.	Labrique AB, Vasudevan L, Kochi E, et al. mHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Glob Health Sci Pract, 2013, 1(2): 160-171.
26.	熊婕, 尹爱宁, 杨燕, 等. 基于 PESTEL 模型分析我国医养结合存在的问题. 中医药管理杂志, 2018, 26(19): 1-6.
27.	Labrique AB, Wadhwani C, Williams KA, et al. Best practices in scaling digital health in low and middle income countries. Global Health, 2018, 14(1): 103.
28.	Huckvale K, Wang CJ, Majeed A, et al. Digital health at fifteen: more human (more needed). BMC Med, 2019, 17(1): 62.
29.	Jalali MS, Rahmandad H, Bullock SL, et al. Dynamics of intervention adoption, implementation, and maintenance inside organizations: the case of an obesity prevention initiative. Soc Sci Med, 2019, 224: 67-76.
30.	吕晓娟, 张麟, 王月娟, 等. “互联网+”时代医疗服务热点研究. 中国数字医学, 2016, 11(1): 29-30,37.
31.	韩倩, 姜冬梅, 韩传恩. 平衡计分卡: 使绩效考核化战略为行动. 中国医院院长, 2018(8): 71-73.
32.	Fadahunsi KP, Akinlua JT, O’Connor S, et al. Protocol for a systematic review and qualitative synthesis of information quality frameworks in eHealth. BMJ Open, 2019, 9(3): e024722.
33.	唐成海, 杨佐森, 薛杰. 构筑互联网+公立医院改革效果评价平台的研究. 中国卫生信息管理杂志, 2016, 13(6): 553-556.
34.	葛梅. 移动互联网环境下医疗服务质量评价方法的创新应用. 中国医院管理, 2018, 38(3): 37-39.

1. Mehl G, Labrique A. Prioritizing integrated mHealth strategies for universal health coverage. Science, 2014, 345(6202): 1284-1287.
2. Khoja S, Scott R, Gilani S. E-health readiness assessment: promoting “hope” in the health-care institutions of Pakistan. World Hosp Health Serv, 2008, 44(1): 36-38.
3. 国家卫生健康委员会, 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. (2018-09-14)[2020-04-17]. http://www.cac.gov.cn/2018-09/14/c_1123431844.htm.
4. 朱劲松. 互联网+医疗模式: 内涵与系统架构. 中国医院管理, 2016, 36(1): 38-40.
5. Wyatt JC, Sullivan F. eHealth and the future: promise or peril?. BMJ, 2005, 331(7529): 1391-1393.
6. 国务院办公厅. 国务院关于积极推进“互联网+”行动的指导意见. (2015-07-04)[2020-04-17]. http://www.gov.cn/zhengce/content/2015-07/04/content_10002.htm.
7. Tu J, Wang C, Wu S. The internet hospital: an emerging innovation in China. Lancet Glob Health, 2015, 3(8): e445-e446.
8. Xie X, Zhou W, Lin L, et al. Internet hospitals in China: cross-sectional survey. J Med Internet Res, 2017, 19(7): e239.
9. Cousson PY, Decerle N, Munoz-Sanchez ML, et al. The “plan” phase of a Deming cycle: measurement of quality and outcome of root canal treatments in a university hospital. Eur J Dent Educ, 2019, 23(1): e1-e11.
10. Ueda A, Saito T, Ueda M, et al. Introduction and PDCA-management of a liaison-clinical pathway with cancer patients after a curative operation. Gan To Kagaku Ryoho, 2015, 42(10): 1197-1201.
11. Ando Y, Yoshida Y, Mukai M, et al. Development and practice of ISMS at a radiotherapy hospital by using IHE integration profiles. Stud Health Technol Inform, 2015, 216: 911.
12. 吴昕霞, 王晓添, 李慧先, 等. 不同类型互联网医院运营情况的调查分析. 中国数字医学, 2021, 16(4): 18-21.
13. 于保荣, 杨瑾, 宫习飞, 等. 中国互联网医疗的发展历程、商业模式及宏观影响因素. 山东大学学报(医学版), 2019, 57(8): 39-52.
14. 郑曦, 何晖雄, 黄少伟, 等. 互联网医疗研究综述: 回顾、现状与监管. 中国卫生法制, 2018, 26(4): 28-33.
15. 国务院办公厅. 国务院办公厅关于促进“互联网+医疗健康”发展的意见. (2018-04-28)[2020-04-17]. http://www.gov.cn/zhengce/content/2018-04/28/content_5286645.htm.
16. 张梦倩, 王艳翚, 钱珍光, 等. 我国互联网医院发展模式分析. 卫生经济研究, 2019, 36(5): 23-26.
17. 凌子平, 翟理祥, 林羽, 等. 基于移动互联网的医疗服务创新模式构建. 中国卫生信息管理杂志, 2016, 13(3): 295-298.
18. 李长林, 杨逸晖. 医联体内互联网医院建设. 解放军医院管理杂志, 2018, 25(11): 1029-1031,1037.
19. 国务院办公厅. 国务院办公厅关于城市公立医院综合改革试点的指导意见. (2015-05-17)[2020-04-17]. http://www.gov.cn/zhengce/content/2015-05/17/content_9776.htm.
20. 寇建秋, 严正仲, 张维芯, 等. 基于实体医院的互联网医院的设计与实现. 中国医疗设备, 2018, 33(11): 135-139.
21. 王晶. 互联网医疗改善医疗资源配置和整合. 互联网经济, 2016(7): 38-43.
22. Illiger K, Hupka M, von Jan U, et al. Mobile technologies: expectancy, usage, and acceptance of clinical staff and patients at a university medical center. JMIR Mhealth Uhealth, 2014, 2(4): e42.
23. Yellowlees P. Successful development of telemedicine systems-seven core principles. J Telemed Telecare, 1997, 3(4): 215-222.
24. 王雨, 李巍, 冯磊. 供需匹配框架下的互联网医院生成逻辑、运行困境及路径优化. 中国卫生经济, 2019, 38(8): 24-26.
25. Labrique AB, Vasudevan L, Kochi E, et al. mHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Glob Health Sci Pract, 2013, 1(2): 160-171.
26. 熊婕, 尹爱宁, 杨燕, 等. 基于 PESTEL 模型分析我国医养结合存在的问题. 中医药管理杂志, 2018, 26(19): 1-6.
27. Labrique AB, Wadhwani C, Williams KA, et al. Best practices in scaling digital health in low and middle income countries. Global Health, 2018, 14(1): 103.
28. Huckvale K, Wang CJ, Majeed A, et al. Digital health at fifteen: more human (more needed). BMC Med, 2019, 17(1): 62.
29. Jalali MS, Rahmandad H, Bullock SL, et al. Dynamics of intervention adoption, implementation, and maintenance inside organizations: the case of an obesity prevention initiative. Soc Sci Med, 2019, 224: 67-76.
30. 吕晓娟, 张麟, 王月娟, 等. “互联网+”时代医疗服务热点研究. 中国数字医学, 2016, 11(1): 29-30,37.
31. 韩倩, 姜冬梅, 韩传恩. 平衡计分卡: 使绩效考核化战略为行动. 中国医院院长, 2018(8): 71-73.
32. Fadahunsi KP, Akinlua JT, O’Connor S, et al. Protocol for a systematic review and qualitative synthesis of information quality frameworks in eHealth. BMJ Open, 2019, 9(3): e024722.
33. 唐成海, 杨佐森, 薛杰. 构筑互联网+公立医院改革效果评价平台的研究. 中国卫生信息管理杂志, 2016, 13(6): 553-556.
34. 葛梅. 移动互联网环境下医疗服务质量评价方法的创新应用. 中国医院管理, 2018, 38(3): 37-39.

West China Medical Journal

Thoughts on the construction of internet hospitals from the perspective of PDCA

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