Analysis of the Achievability and Influencing Factors of Internet First Diagnosis for Common Diseases from the Perspective of Doctors
- VernacularTitle:医生视角下常见病互联网首诊可实现度及影响因素分析
- Author:
Yanmei LIU
1
;
Yan ZHANG
;
Xiaoyun ZHANG
Author Information
1. 华中科技大学同济医学院附属同济医院 湖北 武汉 430030
- Publication Type:Journal Article
- Keywords:
Internet first diagnosis;
common diseases;
achievability;
doctor
- From:
Chinese Hospital Management
2025;45(5):6-10,26
- CountryChina
- Language:Chinese
-
Abstract:
Objective Based on the characteristics of common diseases in primary care,it explores the achievabili-ty of internet first diagnosis from the perspective of clinical doctors in large tertiary hospitals,providing a reference for promoting the policy of internet first diagnosis.Methods Stratified sampling was used to select about 10 attending physicians or above from each specialty.A total of 164 doctors were surveyed on the achievability of specific diseases.Chi-square test or Fisher's exact test were conducted to identify the influencing factors of the achievabili-ty of each disease.Results Among the common diseases in primary care,13 diseases(25.49％)had a low degree of achievability for diagnosis,18 diseases(35.29％)had a medium degree,and 20 diseases(39.22％)had a high de-gree.For treatment,19 diseases(37.25％)had a low degree of achievability,22 diseases(43.14％)had a medium degree,and 10 diseases(19.61％)had a high degree.The emergency level,severity,diagnostic complexity,ex-pected treatment outcome,information provided,and diagnostic technology matching degree all had significant impacts on the achievability of Internet first diagnosis(P＜0.05).Conclusion The feasibility of the first diagnosis of common diseases through online medical services varies greatly.It is suggested that a differentiated online first diagnosis ser-vice system for common diseases be established based on the differences in the feasibility of the first diagnosis through the Internet,and the feasibility of the first diagnosis through the Internet be enhanced by developing smart medical technologies.
