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

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.
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6.	國務院辦公廳. 國務院關于積極推進“互聯網+”行動的指導意見. (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.	吳昕霞, 王曉添, 李慧先, 等. 不同類型互聯網醫院運營情況的調查分析. 中國數字醫學, 2021, 16(4): 18-21.
13.	于保榮, 楊瑾, 宮習飛, 等. 中國互聯網醫療的發展歷程、商業模式及宏觀影響因素. 山東大學學報(醫學版), 2019, 57(8): 39-52.
14.	鄭曦, 何暉雄, 黃少偉, 等. 互聯網醫療研究綜述: 回顧、現狀與監管. 中國衛生法制, 2018, 26(4): 28-33.
15.	國務院辦公廳. 國務院辦公廳關于促進“互聯網+醫療健康”發展的意見. (2018-04-28)[2020-04-17]. http://www.gov.cn/zhengce/content/2018-04/28/content_5286645.htm.
16.	張夢倩, 王艷翚, 錢珍光, 等. 我國互聯網醫院發展模式分析. 衛生經濟研究, 2019, 36(5): 23-26.
17.	凌子平, 翟理祥, 林羽, 等. 基于移動互聯網的醫療服務創新模式構建. 中國衛生信息管理雜志, 2016, 13(3): 295-298.
18.	李長林, 楊逸暉. 醫聯體內互聯網醫院建設. 解放軍醫院管理雜志, 2018, 25(11): 1029-1031,1037.
19.	國務院辦公廳. 國務院辦公廳關于城市公立醫院綜合改革試點的指導意見. (2015-05-17)[2020-04-17]. http://www.gov.cn/zhengce/content/2015-05/17/content_9776.htm.
20.	寇建秋, 嚴正仲, 張維芯, 等. 基于實體醫院的互聯網醫院的設計與實現. 中國醫療設備, 2018, 33(11): 135-139.
21.	王晶. 互聯網醫療改善醫療資源配置和整合. 互聯網經濟, 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, 馮磊. 供需匹配框架下的互聯網醫院生成邏輯、運行困境及路徑優化. 中國衛生經濟, 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, 尹愛寧, 楊燕, 等. 基于 PESTEL 模型分析我國醫養結合存在的問題. 中醫藥管理雜志, 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.	呂曉娟, 張麟, 王月娟, 等. “互聯網+”時代醫療服務熱點研究. 中國數字醫學, 2016, 11(1): 29-30,37.
31.	韓倩, 姜冬梅, 韓傳恩. 平衡計分卡: 使績效考核化戰略為行動. 中國醫院院長, 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, 楊佐森, 薛杰. 構筑互聯網+公立醫院改革效果評價平臺的研究. 中國衛生信息管理雜志, 2016, 13(6): 553-556.
34.	葛梅. 移動互聯網環境下醫療服務質量評價方法的創新應用. 中國醫院管理, 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. 國家衛生健康委員會, 國家中醫藥管理局. 關于印發互聯網診療管理辦法(試行)等 3 個文件的通知. (2018-09-14)[2020-04-17]. http://www.cac.gov.cn/2018-09/14/c_1123431844.htm.
4. 朱勁松. 互聯網+醫療模式: 內涵與系統架構. 中國醫院管理, 2016, 36(1): 38-40.
5. Wyatt JC, Sullivan F. eHealth and the future: promise or peril?. BMJ, 2005, 331(7529): 1391-1393.
6. 國務院辦公廳. 國務院關于積極推進“互聯網+”行動的指導意見. (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. 吳昕霞, 王曉添, 李慧先, 等. 不同類型互聯網醫院運營情況的調查分析. 中國數字醫學, 2021, 16(4): 18-21.
13. 于保榮, 楊瑾, 宮習飛, 等. 中國互聯網醫療的發展歷程、商業模式及宏觀影響因素. 山東大學學報(醫學版), 2019, 57(8): 39-52.
14. 鄭曦, 何暉雄, 黃少偉, 等. 互聯網醫療研究綜述: 回顧、現狀與監管. 中國衛生法制, 2018, 26(4): 28-33.
15. 國務院辦公廳. 國務院辦公廳關于促進“互聯網+醫療健康”發展的意見. (2018-04-28)[2020-04-17]. http://www.gov.cn/zhengce/content/2018-04/28/content_5286645.htm.
16. 張夢倩, 王艷翚, 錢珍光, 等. 我國互聯網醫院發展模式分析. 衛生經濟研究, 2019, 36(5): 23-26.
17. 凌子平, 翟理祥, 林羽, 等. 基于移動互聯網的醫療服務創新模式構建. 中國衛生信息管理雜志, 2016, 13(3): 295-298.
18. 李長林, 楊逸暉. 醫聯體內互聯網醫院建設. 解放軍醫院管理雜志, 2018, 25(11): 1029-1031,1037.
19. 國務院辦公廳. 國務院辦公廳關于城市公立醫院綜合改革試點的指導意見. (2015-05-17)[2020-04-17]. http://www.gov.cn/zhengce/content/2015-05/17/content_9776.htm.
20. 寇建秋, 嚴正仲, 張維芯, 等. 基于實體醫院的互聯網醫院的設計與實現. 中國醫療設備, 2018, 33(11): 135-139.
21. 王晶. 互聯網醫療改善醫療資源配置和整合. 互聯網經濟, 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, 馮磊. 供需匹配框架下的互聯網醫院生成邏輯、運行困境及路徑優化. 中國衛生經濟, 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, 尹愛寧, 楊燕, 等. 基于 PESTEL 模型分析我國醫養結合存在的問題. 中醫藥管理雜志, 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. 呂曉娟, 張麟, 王月娟, 等. “互聯網+”時代醫療服務熱點研究. 中國數字醫學, 2016, 11(1): 29-30,37.
31. 韓倩, 姜冬梅, 韓傳恩. 平衡計分卡: 使績效考核化戰略為行動. 中國醫院院長, 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, 楊佐森, 薛杰. 構筑互聯網+公立醫院改革效果評價平臺的研究. 中國衛生信息管理雜志, 2016, 13(6): 553-556.
34. 葛梅. 移動互聯網環境下醫療服務質量評價方法的創新應用. 中國醫院管理, 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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