Investigation on the Status Quo of "Internet +" Home Care Quality in 60 Medical Institutions
摘要
Background "Internet +" home care is an essential path to precisely address the diverse and multi-level health needs of service recipients, and will become an inevitable trend of the realization of the Healthy China strategy. However, the current status of service quality remains unclear, which hinders its vigorous development. Objective To investigate the quality of "Internet +" home care in medical institutions, so as to provide a reference for objectively evaluating and improving the quality of "Internet +" home care. Methods From September to November 2022, 60 medical institutions of different levels in 11 cities of Zhejiang Province were investigated by convenience sampling using the "Internet +" home care quality rating scale. The comprehensive scoring method was used to calculate the total score of each institution and the scores of structure, process and outcome dimensions. Results The overall average score of "Internet +" home care quality in 60 medical institutions was (87.04±5.32) (71.88-96.38). The average scores of structure, process and outcome dimensions were (17.02±2.94) (26.70±3.31) and (43.33±2.47), respectively. The overall average scores of "Internet +" home care quality in tertiary hospitals, secondary hospitals and community health service centers were (88.29±4.16) (87.13±6.48) and (81.90±4.76), respectively. The scoring rate of eight evaluation indicators was lower than 70%, mainly focusing on information system construction and security guarantee indicators. Conclusion The overall quality of "Internet +" home care in Zhejiang medical institutions is acceptable, but there are still some problems, such as insufficient information platform construction, incomplete responsibility ascribable mechanism and safety management system, insufficient self-protection awareness of some nurses, and low follow-up rates for service recipients. These areas should be prioritized for improveme