Evidence map›Paper›PMID 40697407›Full record

ArticleBMJ public health2025

Nationwide trends of online consultations in China: a 10-year sequential cross-sectional study of 65 305 clinicians.

Joshua Tran, Ziyu Hao, Zongting Xie, Karen Yiu, Adele Li, Kelvin Tsoi

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joshua Tran *The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Ziyu Hao *The Chinese University of Hong Kong, Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0001-5209-9856
Zongting XieThe Chinese University of Hong Kong, Hong Kong, Hong Kong.
Karen YiuThe Chinese University of Hong Kong, Hong Kong, Hong Kong.
Adele LiCener Enviza, Shanghai, Shanghai, China.
Kelvin TsoiThe Chinese University of Hong Kong, Hong Kong, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The pandemic of COVID-19 accelerated the implementation of telemedicine and promoted the use of online consultations. This study aims to investigate the nationwide trends of online consultations over 10 years in China. Methods: This is a sequential cross-sectional study to evaluate the usage of online consultations among clinicians from different specialities between 2014 and 2023. Stratified random sampling was applied to invite participants according to the geographical distribution of registered clinicians. The basic demographic information on gender, age, career levels, the specialities of practice, hospital levels across the region and city, and time spent on work-related online activities was collected. The average time spent on online consultations per week was the main outcome. Univariate and multivariable analyses were conducted to compare the profile differences of using mobile health applications. Results: A total of 65 305 clinicians from 39 clinical specialities in 31 provinces of China were interviewed anonymously through online surveys. On average, clinicians spent 36·5 hours per week on online activities in 2023 which increased from 20·7 hours per week in 2014. Time spent on online consultations has increased over the past 10 years from 1·1 to 2·9 hours with an average annual growth rate of 26%. Primary care and paediatric clinicians were the top-ranked in 2023. A general trend of increased time spent on online consultations can be observed with a particular spike during COVID-19. Mobile health has become popular for online consultations on portable devices. WeChat is the most common platform used (81·5%). In the multivariable analysis, clinicians with younger ages, senior career levels or from the department of surgery were more likely to use traditional websites for online consultation, but the interaction effect was observed between age and career levels. Conclusions: Online consultations have become popular across different clinical disciplines in China over the past 10 years. There is a good acceptance of using mobile health for online consultations, and it may further enhance the accessibility of healthcare services, especially for patients who live in rural areas. Corresponding guidelines should be established to regulate the quality of online consultations for the future development of virtual healthcare.

Indexed as

Health Services AccessibilityHealth TransitionPrimary Prevention

Identifiers

PMID40697407
PMCPMC12281330

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.