摘要
目的:新型冠状病毒疫情期间,中山大学中山眼科中心在严格防控疫情的前提下及时开展免费线上“专家问诊”服务,眼科医师在线答疑以满足眼病诊疗需求。本研究对疫情期间眼科患者线上问诊的需求与模式进行分析,为眼科互联网诊疗体系的优化提供依据。方法:前瞻性观察性研究。本研究分析了2020-02-01/03-15期间,使用中山眼科中心互联网医院“专家问诊”服务患者的基线特征。针对其中重复问诊的患者,随机抽取等量单次问诊患者作为对照,比较单次问诊与重复问诊患者的基线特征、就诊目的、疾病类型、眼病数量,并对患者问诊次数的影响因素进行分析。结果:研究期间“专家问诊”共线上服务患者9831人次,其中单次问诊3919人次,5912人次来源于1967人的重复问诊。随机抽取1967名单次问诊者与上述重复问诊者对比,单次问诊与重复问诊患者的年龄、性别分布无统计学差异(P=0.897,0.482)。两组就诊目的均以“旧病复诊”占比最高(59.7%,64.9%)。从构成比上看,与单次问诊患者相比,重复问诊患者中,就诊目的为新发不适者较少,旧病复诊与术后复查者较多,眼表、眼底、葡萄膜疾病患者较多,患有两种及以上眼病者占比较多。回归分析显示屈光患者倾向单次问诊,而旧病复诊、术后短期复诊患者,眼底、葡萄膜疾病患者倾向重复问诊。旧病复诊、术后随访较新发不适患者重复问诊的次数更多;晶状体与青光眼/疑似青光眼疾病重复问诊次数较少,眼表疾病重复问诊次数较多。结论:疫情期间眼科患者线上就诊主要目的为旧病复诊。疾病种类、就诊目的与眼病数量均影响患者是否重复问诊及问诊次数,应根据患者的就诊需求与模式调整眼科不同亚专科线上接诊医生的数量与排班。互联网医疗对新发不适患者的诊疗能力有待进一步提高。
AIM:To analyze the demands,consultation patterns and contributing factors of the patients involved in the ophthalmic on-line consultation during the COVID-19 epidemic to provide reference for the optimization of the ophthalmic online health care system.METHODS:Prospective observational study.The patients using“expert online consultation”provided by the Zhongshan Ophthalmic Center from February 1 to March 15,2020 were enrolled.The baseline characteristics were analyzed.For the patients with repeated consultation,we randomly selected the same amount of patients with single consultation as comparison.The baseline characteristics,consultation purposes,disease types,and number of combined eye diseases between the patients with single and repeated consultation were compared,and the contributing factors of patients’consultation pattern were analyzed with statistical test and regression model.RESULTS:The“expert online consultation”provided 9831 consultations during the study,3919 of which were single consultation while 5912 of which came from the repeated consultations of 1967 patients.1967 patients with single consultation were randomly selected and compared with the repeated inquirers.The main consultation purposes in the both groups were“return visit”(59.7%,64.9%).There was no significant difference in age and gender distribution between the patients with single online visit and repeated online visits(P=0.897,0.482).Compared with the patients with single visit,the patients with repeated visit were less with the purpose of“new-onset discomfort”,more with the purpose of“return visit”and“follow-up after surgery”,more with ocular surface,fundus and uveal diseases,and more with two or more combined eye diseases.Regression analysis showed that the patients with ocular refractive issues tended to have a single consultation,while the patients inquired on previous eye disease and surgery,with fundus or uveal disease tended to have repeated consultations.The number of repeated visits for the patients w
作者
刘臻臻
吴晓航
陈睛晶
晏丕松
金玲
胡伟玲
张恩恩
李伟
林浩添
Zhen-Zhen Liu;Xiao-Hang Wu;Jing-Jing Chen;Pi-Song Yan;Ling Jin;Wei-Ling Hu;En-En Zhang;Wei Li;Hao-Tian Lin(State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Centre, Sun Yat-sen University, Guangzhou 510060,Guangdong Province, China)
出处
《国际眼科杂志》
CAS
北大核心
2020年第11期1996-2002,共7页
International Eye Science
基金
广东省科技创新战略专项资金(重点领域研发计划)项目(No.2018B010109008)。
