The CHIMA 2013-2014 China Hospital Informationization Survey shows that the proportion of telemedicine systems implemented in hospitals in China is generally low. This year the questionnaire for each telemedicine system implementation uses a yes, no choice. Statistical Results The highest proportion of telemedicine systems has been the remote consultation system, followed by distance education systems, remote imaging diagnostic systems and remote digital resource sharing systems. The remote monitoring system has the lowest application rate. The status of the telemedicine system has been compared according to the hospital level and the economic development of the region. Some telemedicine systems have significant differences in the implementation of different levels of hospitals, and there is no significant difference between different economic development regions.
Through the analysis of the implementation status of the telemedicine system of 590 hospitals participating in the survey, it is found that the proportion of implementation has been 17.29% [102], the proportion of preparations is 17.80% [105], and the proportion of unbuilt hospitals is the highest. It reached 64.92% [383]. Detailed data is shown in Figure 1.
Figure 1 Proportion of telemedicine system implementation status
After comparing the data for the past two years, it is found that the proportion of telemedicine systems implemented this year has decreased compared with last year, which may be related to the changes in the hospitals participating in the survey and the adjustment of the contents of this questionnaire. Detailed data is shown in Figure 2.
Figure 2 Status of implementation of telemedicine systems [by year comparison]
According to the statistics of the use of different telemedicine systems in hospitals, the telemedicine system has adopted the highest proportion of remote consultation systems, followed by distance education systems, remote image diagnosis systems and remote digital resource sharing systems. lowest. Detailed data is shown in Figure 3.
Figure 3 Status of telemedicine system adoption
According to the stratified analysis of the implementation status of the hospital telemedicine system at the hospital level, the tertiary hospitals have adopted a higher proportion than the hospitals below the third grade. After the chi-square test of the implementation status, it was found that except for the remote digital resource sharing system, the remote surgery guidance system, and the remote monitoring system, the P value was greater than 0.05, and the P-values ​​of the other telemedicine systems were less than 0.05, indicating that the remaining systems were at the third level. There is a significant difference in the implementation status of hospitals and hospitals below the tertiary level. Detailed data is shown in Figure 4.
Figure 4 Status of implementation of telemedicine system [stratified by hospital level]
After analyzing the implementation status of the telemedicine system in the hospital participating in the survey according to the economic development degree of the administrative region of the hospital, it is found that the P-values ​​of the chi-square test results are all greater than 0.05, indicating that the telemedicine system of hospitals in different economically developed regions There was no significant difference in implementation status. Detailed data is shown in Figure 5.
Figure 5 Status of implementation of telemedicine systems [stratified by economic status]
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