Development of online-offline integration in internet hospital and its application in thoracic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHEN Weihao ¹ , YU Xiaohui ² , ZHANG Mengni ³ ,  SHEN Cheng ⁴

1. West China School of Medicine, Sichuan University, Chengdu, 610041, P. R. China;
2. The Internet Hospital Management Office, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Department of Pathology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
4. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding author：

SHEN Cheng, Email: shencheng568_hx@163.com

Keywords：

Thoracic surgery; internet hospital; educational platform; artificial intelligence; review

DOI：

10.7507/1007-4848.202402027

Video：

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With the continuous advancement of internet technology and the improvement of internet literacy among the general population, the concept of online-offline integration in internet hospitals has gradually gained acceptance and has been applied and developed both domestically and internationally. In thoracic surgery, the applicability of this model lies in enhancing efficiency and delivering comprehensive, diversified, and personalized medical services to address complex and severe conditions. However, challenges such as hardware limitations and diagnostic/treatment risks persist during the implementation of internet hospitals. Through future in-depth and localized research, the online-offline integration of internet hospitals is expected to undergo further development and refinement. This progress will facilitate its integration into clinical practice in thoracic surgery, ultimately providing patients with improved medical care services.

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15.	覃剑, 刘欢, 董应兰, 等. ICU临床路径建设与HIS融合是构筑数字化医院的核心: 2016至2018年柳州市工人医院ICU临床路径建设经验. 中华危重病急救医学, 2019, 31(1): 102-107.Qin J, Liu H, Dong YL, et al. Integration of clinical pathway construction and hospital information system in intensive care unit is the core of digitalized hospital: Experience of clinical pathway construction in Liuzhou Worker's Hospital from 2016 to 2018. Chin Crit Care Med, 2019, 31(1): 102-107.
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20.	Sun S, Yu K, Xie Z, et al. China empowers internet hospital to fight against COVID-19. J Infect, 2020, 81(1): e67-e68.
21.	Li L, Liu G, Xu W, et al. Effects of internet hospital consultations on psychological burdens and disease knowledge during the early outbreak of COVID-19 in China: Cross-sectional survey study. J Med Internet Res, 2020, 22(8): e19551.
22.	Li D, Zhang R, Chen C, et al. Developing a capsule clinic—A 24-hour institution for improving primary health care accessibility: Evidence from China. JMIR Med Inform, 2023, 11: e41212.
23.	Han Y, Lie RK, Guo R. The internet hospital as a telehealth model in China: Systematic search and content analysis. J Med Internet Res, 2020, 22(7): e17995.
24.	Ge F, Qian H, Lei J, et al. Experiences and challenges of emerging online health services combating COVID-19 in China: Retrospective, cross-sectional study of internet hospitals. JMIR Med Inform, 2022, 10(6): e37042.
25.	Cui W, Zhu W, Li X, et al. Attitudes and perspectives of 534 Chinese pediatricians toward internet hospitals. Front Pediatr, 2022, 10: 948788.
26.	Ding L, She Q, Chen F, et al. The internet hospital plus drug delivery platform for health management during the COVID-19 pandemic: Observational study. J Med Internet Res, 2020, 22(8): e19678.
27.	Lai Y, Chen S, Li M, et al. Policy interventions, development trends, and service innovations of internet hospitals in China: Documentary analysis and qualitative interview study. J Med Internet Res, 2021, 23(7): e22330.
28.	Tu J, Wang C, Wu S. The internet hospital: An emerging innovation in China. Lancet Glob Health, 2015, 3(8): e445-e446.

1. Ren D, Ma B. Influences of governance mechanisms on patients' usage intention: A study on web-based consultation platforms. Health Informatics J, 2023, 29(1): 14604582231153509.
2. 陶毛毛, 刘隽, 廖骞, 等. 基于AI智能语音随访的口腔科互联网门诊患者使用现状分析. 上海口腔医学, 2023, 32(2): 183-187.Tao MM, Liu J, Liao Q, et al. Analysis of the use status of internet outpatient in stomatological departments based on AI follow-up. Shanghai J Stomatol, 2023, 32(2): 183-187.
3. Wu DC, Zhao X, Wu J. Online physician-patient interaction and patient satisfaction: Empirical study of the internet hospital service. J Med Internet Res, 2023, 25: e39089.
4. Zhang Q. The internet hospital: How to combine with traditional healthcare model. Hepatobiliary Surg Nutr, 2022, 11(2): 273-275.
5. Fu Y, Tang T, Long J, et al. Factors associated with using the internet for medical information based on the doctor-patient trust model: A cross-sectional study. BMC Health Serv Res, 2021, 21(1): 1268.
6. Zhi L, Yin P, Ren J, et al. Running an internet hospital in China: Perspective based on a case study. J Med Internet Res, 2021, 23(9): e18307.
7. Yang B, Wen Q, Zhang Y, et al. Economic value and characteristics of cloud pharmacy for children based on internet hospital in western China during the COVID-19 pandemic: Cross-sectional survey study. Front Public Health, 2022, 10: 1034450.
8. Bu F, Sun H, Li L, et al. Artificial intelligence-based internet hospital pharmacy services in China: Perspective based on a case study. Front Pharmacol, 2022, 13: 1027808.
9. Dai S, Liu X, Chen X, et al. Current status of out-of-hospital management of cancer patients and awareness of internet medical treatment: A questionnaire survey. Front Public Health, 2021, 9: 756271.
10. Li Y, Hu H, Rozanova L, et al. COVID-19 and internet hospital development in China. Epidemiologia (Basel), 2022, 3(2): 269-284.
11. 覃梦霞, 潜艳, 徐蓉, 等. 基于互联网+肺康复全程健康教育在肺癌手术患者中的应用. 中华护理杂志, 2023, 58(15): 1808-1814.Qin MX, Qian Y, Xu R, et al. The application of internet based whole health education of pulmonary rehabilitation in patients undergoing lung cancer surgery. Chin J Nurs, 2023, 58(15): 1808-1814.
12. 何静婷, 代艺, 罗洋, 等. 自助式健康教育网站在胸外科肿瘤患者中的应用. 护理学杂志, 2022, 37(9): 83-86.He JT, Dai Y, Luo Y, et al. Application of a self-help health website to thoracic surgery cancer patients. J Nurs Sci, 2022, 37(9): 83-86.
13. 秦婷婷,杨月芹,丁洁霞,等. “互联网+健康宣教” 在胸外科日间手术患者中应用效果. 现代中西医结合杂志, 2024, 33(18): 2612-2616.Qin TT, Yang YQ, Ding JX, et al. Application effect of "internet+health education" in thoracic surgery day surgery patients. Mod J Integr Tradit Chin West Med, 2024, 33(18): 2612-2616.
14. Feng W, Zhang LN, Li JY, et al. Analysis of special ehealth service for corona virus disease 2019 (COVID-19) pneumonia. Beijing Da Xue Xue Bao Yi Xue Ban, 2020, 52(2): 302-307.
15. 覃剑, 刘欢, 董应兰, 等. ICU临床路径建设与HIS融合是构筑数字化医院的核心: 2016至2018年柳州市工人医院ICU临床路径建设经验. 中华危重病急救医学, 2019, 31(1): 102-107.Qin J, Liu H, Dong YL, et al. Integration of clinical pathway construction and hospital information system in intensive care unit is the core of digitalized hospital: Experience of clinical pathway construction in Liuzhou Worker's Hospital from 2016 to 2018. Chin Crit Care Med, 2019, 31(1): 102-107.
16. Yu T, Jin C, Wu X, et al. Implementation of shared decision-making within internet hospitals in China based on patients' needs: Feasibility study and content analysis. JMIR Form Res, 2023, 7: e39965.
17. Lu J, Wang X, Zeng X, et al. Application of telemedicine system on the management of general patient in quarantine. Sci Rep, 2023, 13(1): 12215.
18. Humer MF, Campling BG. The role of telemedicine in providing thoracic oncology care to remote areas of British Columbia. Curr Oncol Rep, 2017, 19(8): 52.
19. Chen WY. Application of internet+health education in the perioperative period of thoracic surgery. Shanghai Nursing Society. Proceedings of the 4th Shanghai International Nursing Congress, Shanghai, 2019.
20. Sun S, Yu K, Xie Z, et al. China empowers internet hospital to fight against COVID-19. J Infect, 2020, 81(1): e67-e68.
21. Li L, Liu G, Xu W, et al. Effects of internet hospital consultations on psychological burdens and disease knowledge during the early outbreak of COVID-19 in China: Cross-sectional survey study. J Med Internet Res, 2020, 22(8): e19551.
22. Li D, Zhang R, Chen C, et al. Developing a capsule clinic—A 24-hour institution for improving primary health care accessibility: Evidence from China. JMIR Med Inform, 2023, 11: e41212.
23. Han Y, Lie RK, Guo R. The internet hospital as a telehealth model in China: Systematic search and content analysis. J Med Internet Res, 2020, 22(7): e17995.
24. Ge F, Qian H, Lei J, et al. Experiences and challenges of emerging online health services combating COVID-19 in China: Retrospective, cross-sectional study of internet hospitals. JMIR Med Inform, 2022, 10(6): e37042.
25. Cui W, Zhu W, Li X, et al. Attitudes and perspectives of 534 Chinese pediatricians toward internet hospitals. Front Pediatr, 2022, 10: 948788.
26. Ding L, She Q, Chen F, et al. The internet hospital plus drug delivery platform for health management during the COVID-19 pandemic: Observational study. J Med Internet Res, 2020, 22(8): e19678.
27. Lai Y, Chen S, Li M, et al. Policy interventions, development trends, and service innovations of internet hospitals in China: Documentary analysis and qualitative interview study. J Med Internet Res, 2021, 23(7): e22330.
28. Tu J, Wang C, Wu S. The internet hospital: An emerging innovation in China. Lancet Glob Health, 2015, 3(8): e445-e446.

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