ArticleJournal of medical Internet research2024
Telehealth Care Through Internet Hospitals in China: Qualitative Interview Study of Physicians' Views on Access, Expectations, and Communication.
Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Clinicians' and patients' views and experiences on virtual hospital care: a systematic review of qualitative evidence.BMJ health & care informatics · 2026Pooled it
- Effects of an e-Learning Program (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis [PEAK]) on Chinese Physical Therapists' Confidence and Knowledge: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Temporal-spatial analysis and driving factors of coupling coordination between population and health services systems in China, 2010-2022.BMC health services research · 2026Article
- Digital Illness Narratives of Young Chinese Adults With Diabetes on RedNote: Qualitative Narrative Analysis.Journal of medical Internet research · 2026Article
- From facilitating conditions to intention to use internet hospitals among doctors: multiple mediators of perceived risk and performance expectancy.BMC health services research · 2026Article
- Initiating and maintaining home-based exercise rehabilitation in the first year after lung transplantation: a multi-stakeholder qualitative study.BMC nursing · 2026Article
- Developing Attributes and Levels for a Discrete Choice Experiment on Internet Hospital Service Preferences Among Chinese Patients with Chronic Diseases: A Mixed-Methods Study.Patient preference and adherence · 2026Article
- Internet healthcare in Chinese public hospitals: Towards high-quality development (1986-present).AIMS public health · 2026Review
- Mapping Clinical Intent in Internet Hospitals: Identifying and Profiling Patient Demand via Natural Language Processing.Computational and structural biotechnology journal · 2026Article
- Awareness, want, and adoption of digital health services among older adults in China: a cross-sectional study.Frontiers in public health · 2026Article
- Bridging Policy and Practice in Telemedicine Follow-Up Identification: Multicenter Mixed Methods Study in Beijing.JMIR human factors · 2025Article
- Using Theory-Based Frameworks to Identify Barriers and Enablers of Physicians' Telemedicine Adoption and Develop Intervention Strategies in China: Multicenter Qualitative Study.Journal of medical Internet research · 2025Article
- Developing an Evaluation Index System for Service Capability of Internet Hospitals in China: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Continuance intention and digital health resources from the perspective of elaboration likelihood model and DART model: a structural equation modeling analysis.Frontiers in public health · 2024Article
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Corrections and comments
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternet hospitals in China are an emerging medical service model similar to other telehealth models used worldwide. Internet hospitals are currently in a stage of rapid development, giving rise to a series of new opportunities and challenges for patient care. Little research has examined the views of chronic disease physicians regarding internet hospitals in China.
objectiveWe aimed to explore the experience and views of chronic disease physicians at 3 tertiary hospitals in Changsha, China, regarding opportunities and challenges in internet hospital care.
methodsWe conducted semistructured qualitative interviews with physicians (n=26) who had experience working in internet hospitals affiliated with chronic disease departments in 3 tertiary hospitals in Changsha, Hunan province, south central China. Interviews were transcribed verbatim and analyzed by content analysis using NVivo software (version 11; Lumivero).
resultsPhysicians emphasized that internet hospitals expand opportunities to conduct follow-up care and health education for patients with chronic illnesses. However, physicians described disparities in access for particular groups of patients, such as patients who are older, patients with lower education levels, patients with limited internet or technology access, and rural patients. Physicians also perceived a gap between patients' expectations and the reality of limitations regarding both physicians' availability and the scope of services offered by internet hospitals, which raised challenges for doctor-patient boundaries and trust. Physicians noted challenges in doctor-patient communication related to comprehension and informed consent in internet hospital care.
conclusionsThis study explored the experience and views of physicians in 3 tertiary hospitals in Changsha, China, regarding access to care, patients' expectations versus the reality of services, and doctor-patient communication in internet hospital care. Findings from this study highlight the need for physician training in telehealth communication skills, legislation regulating informed consent in telehealth care, public education clarifying the scope of internet hospital services, and design of internet hospitals that is informed by the needs of patient groups with barriers to access, such as older adults.
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Registered trials
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