Telehealth attitudes and use among medical professionals, medical students and patients in China: A cross-sectional survey

Chen, Peiran; Li-hong, Xiao; Gou, Zhongping; Xiang, Liangcheng; Zhang, Xinxing; Feng, Ping

doi:10.1016/j.ijmedinf.2017.09.009

Cited by 44 publications

(58 citation statements)

References 22 publications

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“…With the advent of modern information and communication technologies (ICTs), telemedicine is now migrating health care delivery from hospitals and clinics into homes, both nationally and globally. [33] It facilitates remote patient monitoring with the help of a CTI system enabled for 24 hour vitals monitoring. [17] CTI system allows the family physicians to closely monitor chronically ill patients and recieve live vitals alerts when required.…”

Section: Applicationsmentioning

confidence: 99%

Telemedicine in India: Where do we stand?

Chellaiyan

Nirupama

Taneja

2019

J Family Med Prim Care

157

110

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Telemedicine is considered to be the remote diagnosis and treatment of patients by means of telecommunications technology, thereby providing substantial healthcare to low income regions. Earliest published record of telemedicine is in the first half if the 20 th century when ECG was transmitted over telephone lines. From then to today, telemedicine has come a long way in terms of both healthcare delivery and technology. A major role in this was played by NASA and ISRO. The setting up of the National Telemedicine Taskforce by the Health Ministry of India, in 2005, paved way for the success of various projects like the ICMR-AROGYASREE, NeHA and VRCs. Telemedicine also helps family physicians by giving them easy acess to speciality doctors and helping them in close monitoring of patients. Different types of telemedicine services like store and forward, real-time and remote or self-monitoring provides various educational, healthcare delivery and management, disease screening and disaster management services all over the globe. Even though telemedicine cannot be a solution to all the problems, it can surely help decrease the burden of the healthcare system to a large extent.

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Section: Applicationsmentioning

confidence: 99%

Telemedicine in India: Where do we stand?

Chellaiyan

Nirupama

Taneja

2019

J Family Med Prim Care

157

110

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“…With recent rapid growth in telehealth and mobile health initiatives, such technology holds a promising future in China. 26,27 However, in its current form, such technology is still skewed toward use in urban areas. There is great potential for expanding these technologies to rural areas and reducing rural-urban disparities.…”

Section: Interpretationsmentioning

confidence: 99%

Patient Choice of Health Care Providers in China: Primary Care Facilities versus Hospitals

Zhang

Nikoloski

Albala

et al. 2020

Health Systems & Reform

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As China's health system is faced with challenges of overcrowded hospitals, there is a great need to better understand the recent patterns and determinants of people's choice between primary care facilities and hospitals for outpatient care. Based on recent individual-level data from the China Health and Retirement Longitudinal Survey (CHARLS) and official province-level data from China health statistical yearbooks, we examine the patterns of outpatient visits to primary care facilities versus hospitals among middle-aged and older individuals and explore both supply-and demand-side correlates that explain these patterns. We find that 53% of outpatient visits were paid to primary care facilities as opposed to hospitals in 2015, compared to 60% in 2011. Both supply and demand factors were associated with this decline. On the supply side, we find that the density of primary care facilities did not account for this decline, but higher densities of hospitals and licensed doctors were associated with lower use of primary care facilities. On the demand side, we find that individuals with higher socioeconomic status and greater health care needs were less likely to use primary health care facilities. Our findings suggest that a high concentration of health care professionals in hospitals diverts patients away from primary care facilities. Staffing the primary care facilities with a well-trained health care workforce is the key to a well-functioning primary care system. The findings also suggest a need to address demand-side inequality issues.

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“…Finally, telehealth, which use the information communication technology to provide health care service distantly, have been developed in China for many years [40,41]. However, a recent study about telehealth in China has shown that the Chinese patients’ adoption of telehealth is quite low although they are aware of telehealth [42]. Therefore, to explore the drivers of telehealth usage is necessary.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Patients’ Intention to Interact With Doctors in Web-Based Health Communities in China: Cross-Sectional Study

Wu¹,

Deng²,

Zhang³

et al. 2019

J Med Internet Res

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Background Web-based health communities provide opportunities for doctors and patients to interact with each other and change the traditional communication mode between doctors and patients. However, little is known about the predictors of patients’ intention to interact with doctors in Web-based health communities in China. Objective The purpose of this study was to investigate what are the predictors of patients’ intention to interact with doctors in Web-based health communities in China. Methods On the basis of two-factor theory and service convenience theory, we propose that the attributes of Web-based health communities including ease of use and perceived synchronicity influence patients’ intention to interact through convenience of Web-based health communities, whereas the attributes of physical health facilities such as inaccessibility and discontinuity affect patients’ intention to interact through inconvenience of physical health facilities. We employed the survey method to validate our hypothesized relationships. Through developing the measurement instruments, we collected 334 valid answers from Web health community users and utilized partial least square to analyze the data. Results Ease of use (t311=2.924, P=.004) and perceived synchronicity (t311=2.353, P=.019) were found to influence convenience of Web-based health communities significantly, whereas inaccessibility (t311=3.189, P=.002) and discontinuity (t311=3.149, P=.002) were found to impact inconvenience of physical health facilities significantly. Meanwhile, both convenience of Web-based health communities (t311=2.353, P=.019) and inconvenience of physical health facilities (t311=2.787, P=.006) were found to affect patients’ intention to interact with doctors in Web-based health communities significantly. Therefore, all the proposed hypotheses were supported. Conclusions Through including factors from both Web-based health communities and physical health facilities, we can understand patients’ intention to interact comprehensively. This study not only contributes to literature of doctor-patient interaction and Web-based health platforms but also provides implications to promote doctor-patient interaction online and offline.

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Telehealth attitudes and use among medical professionals, medical students and patients in China: A cross-sectional survey

Cited by 44 publications

References 22 publications

Telemedicine in India: Where do we stand?

Telemedicine in India: Where do we stand?

Patient Choice of Health Care Providers in China: Primary Care Facilities versus Hospitals

Predictors of Patients’ Intention to Interact With Doctors in Web-Based Health Communities in China: Cross-Sectional Study

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