The Construction and Operational Modes of Internet Hospital in China: A Hospital Based Survey Study (Preprint)

2021 ◽  
Author(s):  
Xuejiao Chen ◽  
Xinxia Wu ◽  
Qihang Zhang ◽  
Ran Jing ◽  
Weibin Cheng ◽  
...  
Keyword(s):  
Influencing Factors ◽  
Medical Staff ◽  
Policy Implications ◽  
Survey Study ◽  
Self Management ◽  
Hospital Services ◽  
Self Perception ◽  
Medical Institutions ◽  
Management Modes ◽  
Operational Modes

BACKGROUND China empowers internet hospitals to fight against COVID-19, of which embrace a booming development after the COVID-19 epidemic. Despite the increasing importance of internet hospitals, there has still been few systematic summaries of its construction and operational modes. OBJECTIVE The primary purpose of this study was to understand the construction and operational modes of internet hospitals in China. METHODS Data were collected from September 2020 to October 2020 on the hospital construction, operation, quality, evaluation, and medical staff’s self-perception of internet hospital services based on 39 medical institutions and 356 medical staff. The Likert five-subscale method was used to evaluate the innovative service modes of internet hospitals. The root cause analysis (fishbone diagram) was used to analyze the root causes and influencing factors of the current deficiencies faced by internet hospitals. RESULTS Among the 39 internet hospitals, the majority were self-constructed (26, 66.7%) and self-managed (22, 56.4%). Self-construction and self-management hospitals had lower levels in the ratio of online doctors to offline doctors (P=0.006), number of doctors in other medical institutions (P=0.006), number of online nurses (P=0.004), and the ratio of online nurses to offline doctors than other modes hospitals (P＜0.001). Moreover, self-construction and self-management hospitals accounted for a higher proportion of whether it was connecting with the provincial regulatory platform rather than other modes of hospitals (P=0.033). Among the 17 evaluation aspects on medical staff’s self-perception of internet hospital services, these five got the highest scores: transparency of various fees, reasonable fees, optimization of the space cost for patients, conscientious and responsible attitude of medical staff in the process of diagnosis and treatment, medical staff who were dignified in appearance, neatly dressed, properly behaved. The root causes and influencing factors of the current deficiencies faced by internet hospitals included 5 aspects: human, channels, prices, services and time. CONCLUSIONS There were differences between self-construction and self-management modes and other modes of internet hospitals. This study enriches the literature on construction and operational modes of internet hospitals and provides additional policy implications for tele-medicine management.

scholarly journals The Use of Communication Apps by Medical Staff in the Australian Health Care System: Survey Study on Prevalence and Use (Preprint)

2017 ◽  
Author(s):  
Amanda Nikolic ◽  
Nilmini Wickramasinghe ◽  
Damian Claydon-Platt ◽  
Vikram Balakrishnan ◽  
Philip Smart
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Patient Information ◽  
Medical Staff ◽  
Ethical Issues ◽  
Medical Personnel ◽  
Patient Data ◽  
Policy Implications ◽  
Survey Study ◽  
Multidisciplinary Teams

BACKGROUND The use of communication apps on mobile phones offers an efficient, unobtrusive, and portable mode of communication for medical staff. The potential enhancements in patient care and education appear significant, with clinical details able to be shared quickly within multidisciplinary teams, supporting rapid integration of disparate information, and more efficient patient care. However, sharing patient data in this way also raises legal and ethical issues. No data is currently available demonstrating how widespread the use of these apps are, doctor’s attitudes towards them, or what guides clinician choice of app. OBJECTIVE The objective of this study was to quantify and qualify the use of communication apps among medical staff in clinical situations, their role in patient care, and knowledge and attitudes towards safety, key benefits, potential disadvantages, and policy implications. METHODS Medical staff in hospitals across Victoria (Australia) were invited to participate in an anonymous 33-question survey. The survey collected data on respondent’s demographics, their use of communication apps in clinical settings, attitudes towards communication apps, perceptions of data “safety,” and why one communication app was chosen over others. RESULTS Communication apps in Victorian hospitals are in widespread use from students to consultants, with WhatsApp being the primary app used. The median number of messages shared per day was 12, encompassing a range of patient information. All respondents viewed these apps positively in quickly communicating patient information in a clinical setting; however, all had concerns about the privacy implications arising from sharing patient information in this way. In total, 67% (60/90) considered patient data “moderately safe” on these apps, and 50% (46/90) were concerned the use of these apps was inconsistent with current legislation and policy. Apps were more likely to be used if they were fast, easy to use, had an easy login process, and were already in widespread use. CONCLUSIONS Communication app use by medical personnel in Victorian hospitals is pervasive. These apps contribute to enhanced communication between medical staff, but their use raises compliance issues, most notably with Australian privacy legislation. Development of privacy-compliant apps such as MedX needs to prioritize a user-friendly interface and market the product as a privacy-compliant comparator to apps previously adapted to health care settings.

scholarly journals Effect of job satisfaction on burnout among physicians: A survey study in urban public medical institutions in Hubei province, China

Health ◽  
2012 ◽  
Vol 04 (10) ◽  
pp. 856-865
Author(s):  
Yimin Zhang ◽  
Li Shen ◽  
Jiquan Lou ◽  
Yuan Jing ◽  
Yong Lu ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Hubei Province ◽  
Survey Study ◽  
Medical Institutions

scholarly journals Analysis of Regional Differences and Influencing Factors on China’s Carbon Emission Efficiency in 2005–2015

Energies ◽  
2019 ◽  
Vol 12 (16) ◽  
pp. 3081 ◽  
Author(s):  
Zeng ◽  
Lu ◽  
Liu ◽  
Zhou ◽  
Hu
Keyword(s):  
Influencing Factors ◽  
Regional Differences ◽  
Carbon Emission ◽  
Industrial Structure ◽  
Tobit Model ◽  
Policy Implications ◽  
Dea Model ◽  
Emission Efficiency ◽  
Unit Root Testing ◽  
Technology Level

With the challenge to reach targets of carbon emission reduction at the regional level, it is necessary to analyze the regional differences and influencing factors on China’s carbon emission efficiency. Based on statistics from 2005 to 2015, carbon emission efficiency and the differences in 30 provinces of China were rated by the Modified Undesirable Epsilon-based measure (EBM) Data Envelopment Analysis (DEA) Model. Additionally, we further analyzed the influencing factors of carbon emission efficiency’s differences in the Tobit model. We found that the overall carbon emission efficiency was relatively low in China. The level of carbon emission efficiency is the highest in the East region, followed by the Central and West regions. As for the influencing factors, industrial structure, external development, and science and technology level had a significant positive relationship with carbon emission efficiency, whereas government intervention and energy intensity demonstrated a negative correlation with carbon emission efficiency. The contributions of this paper include two aspects. First, we used the Modified Undesirable EBM DEA Model, which is more accurate than traditional methods. Secondly, based on the data’s unit root testing and cointegration, the paper verified the influencing factors of carbon emission efficiency by the Tobit model, which avoids the spurious regression. Based on the results, we also provide several policy implications for policymakers to improve carbon emission efficiency in different regions.

scholarly journals N21 Self-management and healthcare utilisation of 16–21 year olds with inflammatory bowel disease (IBD) attending one Irish hospital

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S667-S667
Author(s):  
M Forry ◽  
M Milewska ◽  
C Lardner ◽  
T Lukose ◽  
N Godwin ◽  
...  
Keyword(s):  
Healthcare Utilisation ◽  
Daily Activities ◽  
Self Management ◽  
Hospital Services ◽  
Health Issues ◽  
Care Providers ◽  
Male Group ◽  
Health Tracking ◽  
Appointment Keeping ◽  
Adult Hospital

Abstract Background IBD is an umbrella term used to describe Crohn’s disease and ulcerative colitis, both characterised as lifelong relapsing remitting diseases (O’Connor et al., 2013). Hope et al (2012) reported a significant increase in the incidence of childhood IBD in Ireland over a relatively short period of time. The aim of this research study was to assess the self-management and healthcare utilisation skills of adolescents and young adults (AYA) (aged 16–21 years) with (IBD). Methods Service users aged from 16 to 21 attending the IBD service were asked to complete the Transition Readiness Assessment Questionnaire (TRAQ). Divided into five domains, 20 questions related to: managing medications, appointment keeping, tracking health issues, talking with providers and managing daily activities. Results 31 completed questionnaires were returned via stamped addressed envelope provided. Seventeen patients were diagnosed in a paediatric hospital and 14 were diagnosed in adult hospital services. Seventy-five per cent of respondents manage their own medications, 50% take responsibility for appointment keeping and 51% keep track of their health issues. Eighty-nine per cent talk to health care providers independently and 81% manage daily activities independently. Further analysis showed that females had significantly higher health tracking scores compared with males p = 0.04. Overall, 65% of all female users provided positive feedback regarding this domain. In male group this score reached only 40%. The biggest discrepancy was noted in relation to query concerning the list of questions before doctor`s visit. Almost 70% of females replied positively to this question, while only 28% of male patients provided positive answer. There was no significant difference in scores from those diagnosed in paediatric setting vs. those diagnosed in adult hospital services. Conclusion Some aspects of the appointment keeping as well as health tracking issues (especially in male group) were identified as domains that need further improvement. Ongoing education will be provided to patients attending the service with training focused on increasing awareness of the users in the most lacking domains.

scholarly journals Determinants of Self-reported Health Outcomes in Adrenal Insufficiency: A Multisite Survey Study

2020 ◽  
Author(s):  
Dingfeng Li ◽  
Natalia Genere ◽  
Emma Behnken ◽  
Majlinda Xhikola ◽  
Tiffany Abbondanza ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Adrenal Insufficiency ◽  
Perceived Health ◽  
Adverse Outcomes ◽  
Survey Study ◽  
Self Management ◽  
Current Evidence ◽  
Adrenal Crisis ◽  
Cross Sectional Survey ◽  
Prompt Treatment

Abstract Context Current evidence on determinants of adverse health outcomes in patients with adrenal insufficiency (AI) is scarce, especially in regards to AI subtypes. Objective To determine predictors of adverse outcomes in different subtypes of AI. Design and Setting Cross-sectional survey study at 2 tertiary centers. Participants A total of 696 patients with AI: primary AI (PAI, 42%), secondary AI (SAI, 32%), and glucocorticoid-induced AI (GIAI, 26%). Intervention Patient-centered questionnaire. Main Outcome Measures Patients’ knowledge, self-management of AI, self-perceived health, and adverse outcomes. Results The incidence rate of adrenal crisis was 24/100 patient-years with 44% experiencing at least 1 adrenal crisis since diagnosis (59% in PAI vs 31% in SAI vs 37% in GIAI, P < .0001). All patients described high degrees of discomfort with self-management and receiving prompt treatment. Patients with PAI were most likely to develop adrenal crises (adjusted OR 2.8, 95% CI 1.9-4.0) despite reporting better self-perceived health (adjusted OR 3.3, 95% CI 2.1-5.3), understanding of their diagnosis (89% vs 74-81% in other subtypes, P = .002), higher comfort with self-management (62% vs 52-61% in other sub types, P = .005), and higher likelihood to receive prompt treatment for adrenal crises in the emergency department (42% vs 19-30% in other subtypes, P < .0001). Conclusions Patients with AI reported high degrees of discomfort with self-management and treatment delays when presenting with adrenal crises. Despite better self-perceived health and understanding of diagnosis, patients with PAI experienced the highest frequency of adrenal crises. A multidimensional educational effort is needed for patients and providers to improve the outcomes of all subtypes of AI.

scholarly journals Economic Efficiency and Its Influencing Factors on Urban Agglomeration—An Analysis Based on China’s Top 10 Urban Agglomerations

2019 ◽  
Vol 11 (19) ◽  
pp. 5380 ◽  
Author(s):  
Junwei Ma ◽  
Jianhua Wang ◽  
Philip Szmedra
Keyword(s):  
Total Factor Productivity ◽  
Influencing Factors ◽  
Economic Efficiency ◽  
Policy Implications ◽  
Factor Productivity ◽  
Urban Agglomerations ◽  
Capital Productivity ◽  
Industrial Specialization ◽  
New Findings ◽  
The Impact

Economic efficiency is the key issue of sustainable development in urban agglomerations. To date, more attention has been paid to the estimates of productivity gains from urban agglomerations. Differing from the previous studies, this paper focuses on the influencing factors and mechanisms of the economic efficiency of urban agglomerations, and check the effects of three different externalities (industrial specialization, industrial diversity and industrial competition) on the economic efficiency of urban agglomerations. The selected samples are multiple urban agglomerations, and the economic efficiency of urban agglomerations includes single factor productivity and total factor productivity. China’s top 10 urban agglomerations are selected as the case study and their differences in economic efficiency are portrayed comparatively. Firstly, a theoretical analysis framework for three different externalities effect mechanisms on the economic efficiency of urban agglomerations is incorporated. Secondly, economic efficiency measurement index system composes of labor productivity, capital productivity, land productivity and total factor productivity, and the impact of various factors on the economic efficiency of urban agglomerations is tested. The results confirm some phenomena (MAR externality, Jacobs externality and Porter externality) discussed or mentioned in the literature and some new findings regarding the urban agglomerations, derive policy implications for improving economic efficiency and enhancing the sustainability of urban agglomerations, and suggest some potentials for improving the limitations of the research.

scholarly journals Psychological Status and Influencing Factors of Hospital Medical Staff During the COVID-19 Outbreak

2020 ◽  
Vol 11 ◽  
Author(s):  
Yang Yao ◽  
Yao Tian ◽  
Jing Zhou ◽  
Xin Diao ◽  
Bogan Cao ◽  
...  
Keyword(s):  
Influencing Factors ◽  
Medical Staff ◽  
Psychological Status ◽  
Hospital Medical ◽  
Hospital Medical Staff
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