The current situation of teleophthalmology on national telemedicine center from 2015 to 2021_Chinese Journal of Ocular Fundus Diseases

Authors：

Liang Shenzhi ¹ , He Xianying ² , Chu Yuntian ² , Lu Yaoen ² ,  Wan Guangming ¹

1. Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China;
2. National Telemedicine Center of China, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China;
Liang Shenzhi and He Xianying are contributed equally to the article;

Corresponding?author：

Wan Guangming, Email: wgm6608@163.com

Keywords：

Diagnostic techniques, ophthalmological; Remote consultation; Disease constitution; Waiting time

DOI：

10.3760/cma.j.cn511434-20220104-00004

Video：

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Objective To observe the demographic data, disease composition and convenience of remote consultation in ophthalmology. Methods A retrospective study. From 2015 to 2021, the demographic data, changing trends, disease classification of teleconsultation patients, and hospitals participating in teleconsultation, and the waiting time of patients for teleconsultation was analyzed retrospectively; remote consultation physician level composition and other data was analyzed. Results During the 7-year period, 1 216 patients with remote consultation were obtained through the platform of the telemedicine center. Among them, there were 680 males and 536 females; the average age was 50.8 years. In 2016 and 2017, the number of patients participating in telemedicine consultations reached a peak of 260 and 221 cases, respectively. Among the ophthalmic diseases, there were 490 cases (40.30%, 490/1 216) of retinal and optic nerve-related diseases, 212 cases (17.43%, 212/1 216) of ocular trauma. 678 cases (56.27%, 678/1 205) of remote consultation waiting time were less than 24 hours, 991 cases (82.24%, 991/1 205) were less than 48 hours. Among the physicians who participated in the remote consultation, there were 733 chief physicians (60.3%, 733/1 216) and 466 deputy chief physicians (38.3%, 466/1 216). Conclusions During the seven-year period from 2015 to 2021, there are relatively few patients with ophthalmology teleconsultation; retinal and optic nerve-related diseases accounted for a high proportion. Remote consultation has high convenience.

Citation： Liang Shenzhi, He Xianying, Chu Yuntian, Lu Yaoen, Wan Guangming. The current situation of teleophthalmology on national telemedicine center from 2015 to 2021. Chinese Journal of Ocular Fundus Diseases, 2022, 38(2): 153-158. doi: 10.3760/cma.j.cn511434-20220104-00004 Copy

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1. 韓光曙, 崔楠, 李志光. 發展中國家遠程醫療發展模式及對我國的啟示[J]. 中國衛生事業管理, 2018, 35(9): 641-643.Han GS, Cui L, Li ZG. The development model of telemedicine in developing countries and the enlightenment for China[J]. Chinese Health Service Management, 2018, 35(9): 641-643.
2. 張瀟, 陳有信. 眼科遠程醫療發展現狀與前景[J]. 協和醫學雜志, 2021, 12(5): 755-760. DOI: 10.12290/xhyxzz.2021-0198.Zhang X, Chen YX. Current situation and prospect of teleophthalmology[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(5): 755-760. DOI: 10.12290/xhyxzz.2021-0198.
3. 國家衛生計生委. 國家衛生計生委辦公廳關于印發遠程醫療信息系統建設技術指南的通知[EB/OL]. (2022-01-04)[2014-12-10]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s8555/201501/120c912de1c4474c95b345d001271368.shtml.National Health and Family Planning Commission. Notice of the General Office of the National Health and Family Planning Commission on printing and distributing the technical guidelines for the construction of telemedicine information system[EB/OL]. (2022-01-04)[2014-12-10]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s8555/201501/120c912de1c4474c95b345d001271368.shtml.
4. 馬倩倩, 崔芳芳, 孫東旭, 等. 遠程醫療會診服務就診人群分布以及就診需求分析[J]. 中國醫院管理, 2019, 39(9): 20-23.Ma QQ, Cui FF, Sun DX, et al. Analysis of the patients’ distribution and demand of telemedicine[J]. Chinese Hospital Management, 2019, 39(9): 20-23.
5. 湯之明, 彭勝修, 張少華, 等. 基于互聯網即時通訊工具微信構建心電圖遠程會診系統[J]. 中國急診醫學, 2018, 38(3): 260-262. DOI: 10.3969/j.issn.1002-1949.2018.03.019.Tang ZM, Peng SX, Zhang SH, et al. Framing of electrocardiogram remote consultation system based on internet instant messaging tool WeChat[J]. Chin J Crit Care Mar, 2018, 38(3): 260-262. DOI: 10.3969/j.issn.1002-1949.2018.03.019.
6. 鄭匯嫻, 熊巨洋. 疫情防控常態化下公立醫院線上診療服務流程、問題及應對策略[J]. 中國社會醫學雜志, 2021, 38(4): 371-374. DOI: 10.3969/j.issn.1673-5625.2021.04.004.Zheng HX, Xiong JY. Procedures, problems and measurements of online medical services in public hospitals under the context of the normalization of COVID-19 pandemic prevention and control[J]. Chinese Journal of Social Medicine, 2021, 38(4): 371-374. DOI: 10.3969/j.issn.1673-5625.2021.04.004.
7. 顧海, 吳迪, 韓光曙, 等. 我國區域遠程會診服務平臺構建研究[J]. 中國衛生政策研究, 2019, 12(7): 65-69. DOI: 10.3969/j.issn.1674-2982.2019.07.010.Gu H, Wu D, Han GS, et al. Study on the construction of regional remote consultation service platform in China[J]. Chinese Journal of Health Policy, 2019, 12(7): 65-69. DOI: 10.3969/j.issn.1674-2982.2019.07.010.
8. 張然. 申請方醫生持續參與遠程會診意愿影響因素研究[D]. 鄭州大學, 2021.Zhang R. Research on the factors influencing applicant's doctors' continuous using intention of teleconsulting[D]. Zhengzhou University, 2021.
9. He X, Wang L, Wang L, et al. Effectiveness of a cloud-based telepathology system in China: large-sample observational study[J/OL]. J Med Internet Res, 2021, 23(7): e23799[2021-07-29]. https://pubmed.ncbi.nlm.nih.gov/34326037/. DOI: 10.2196/23799.
10. Cui F, He X, Zhai Y, et al. Application of telemedicine services based on a regional telemedicine platform in China from 2014 to 2020: longitudinal trend analysis[J/OL]. J Med Internet Res, 2021, 23(7): e28009[2021-07-12]. https://pubmed.ncbi.nlm.nih.gov/34255686/. DOI: 10.2196/ 28009.
11. Maresova P, Javanmardi E, Barakovic S, et al. Consequences of chronic diseases and other limitations associated with old age-a scoping review[J/OL]. BMC Public Health, 2019, 19(1): 1431[2019-11-01]. https://pubmed.ncbi.nlm.nih.gov/31675997/. DOI: 10.1186/s12889-019-7762-5.
12. Lyu J, Zhang W, Li W, et al. Epidemic of chronic diseases and the related healthy lifestyle interventions in rural areas of Shandong Province, China[J]. BMC Public Health, 2020, 20(1): 606. DOI: 10.1186/s12889-020-08729-y.
13. 魏世輝, 趙家良. 積極推進我國神經眼科學的發展[J]. 中華眼科雜志, 2010, 46(12): 1059-1061. DOI: 10.3760/cma.j.issn.0412-4081.2010.12.002.Wei SH, Zhao JL. Actively promote the development of neuro-ophthalmology in China[J]. Chin J Ophthalmol, 2010, 46(12): 1059-1061. DOI: 10.3760/cma.j.issn.0412-4081.2010.12.002.
14. 國務院辦公廳. 《關于促進"互聯網+醫療健康"發展的意見》印發[EB/OL]. (2022-01-04)[2018 -04-28]. http://www.gov.cn/gongbao/content/2018/content_5291365.htm.General Office of the State Council. "Opinions on Promoting the Development of ‘Internet+Medical Health’" issued[EB/OL]. (2022-01-04)[2018 -04-28]. http://www.gov.cn/gongbao/content/2018/content_5291365.htm.
15. 徐建. 遠程醫療應用現狀、挑戰及思考[J]. 醫學信息學雜志, 2021, 42(9): 59-62. DOI: 10.3969/j.issn.1673-6036.2021.09.011.Xu J. The current status, challenges and considerations on the application of telemedicine[J]. Journal of Medical Intelligence, 2021, 42(9): 59-62. DOI: 10.3969/j.issn.1673-6036.2021.09.011.
16. 翟運開, 趙端端, 高景宏, 等. 遠程會診服務下醫-醫知識轉移影響因素研究[J]. 中國醫院管理, 2019, 39(9): 27-29.Zhai YK, Zhao DD, Gao JH, et al. Analysis of influence factors of doctor-doctor knowledge transfer under teleconsultation service[J]. Chinese Hospital Management, 2019, 39(9): 27-29.

Chinese Journal of Ocular Fundus Diseases

The current situation of teleophthalmology on national telemedicine center from 2015 to 2021

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