Study on the perceived differences of medical staff in the hierarchical diagnosis and treatment effectiveness of telemedicine from the supply and demand perspective
10.3760/cma.j.cn111325-20231121-00325
- VernacularTitle:供需视角下医务人员对远程医疗分级诊疗效果的感知差异研究
- Author:
Jiuqing XIAO
1
;
Shengpeng GUO
;
Kun YANG
;
Linge NA
Author Information
1. 首都医科大学附属北京朝阳医院远程医学中心，北京 100020
- Keywords:
Telemedicine;
Hierarchical diagnosis and treatment;
Supply and demand perspective;
Medical staff;
Ordered probit
- From:
Chinese Journal of Hospital Administration
2024;40(4):281-285
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the perceived differences of medical staff in the hierarchical diagnosis and treatment effectiveness of telemedicine from the perspective of supply and demand, as well as the moderating effects in their respective regions, in order to provide reference for the integrated development of telemedicine services and hierarchical diagnosis and treatment.Methods:From June to September 2023, a survey was conducted on the current status and effectiveness of telemedicine services among medical staff from 245 hospitals in 27 provinces. Using non participants as the reference group, an ordered probit model was used to explore the differences in perception of the hierarchical diagnosis and treatment effectiveness of telemedicine services among medical staff who only served as suppliers, only as demanders, and simultaneously as suppliers/demanders; Using the region as a moderating variable, explore the perceived differences among medical staff in different regions.Results:A total of 997 valid questionnaires were obtained. Medical staff who only served as the demanders ( β=0.197, P<0.05) and simultaneously served as suppliers/demanders ( β=0.189, P<0.01) thought that the implementation of telemedicine could significantly improve the effectiveness of hierarchical diagnosis and treatment, while those who only served as the suppliers thought that the implementation of telemedicine did not significantly improve the effectiveness of hierarchical diagnosis and treatment ( β=-0.028, P>0.05). With the eastern region, medical staff in the central and western regions believed that providing telemedicine services simultaneously as suppliers/demanders could better improve the effectiveness of hierarchical diagnosis and treatment ( β=-0.324, P<0.05). Conclusions:The role and location of medical staff involved in telemedicine services could lead to differences in their perception of hierarchical diagnosis and treatment effectiveness.
