Traditional Medical Services Research Articles

Differentiated health insurance policy for coordinating healthcare referral in hierarchical healthcare systems with an internet diagnosis platform

The integration of the Internet with traditional medical services is poised to transform health insurance policies. This study aims to explore the coordinating role of differentiated health insurance policies within the context of Internet healthcare. A four-stage sequential game decision-making model is developed within a queuing framework to address scenarios involving online patient referrals and misdiagnoses. The model begins by analyzing the equilibrium arrival strategy of patients, followed by the determination of optimal service capacity strategies for a nonprofit community health center (CHC) and optimal pricing strategies for a for-profit general hospital (GH). Additionally, the model describes an optimal differentiated subsidy strategy for the government aimed at minimizing total social costs. Analysis reveals that under certain conditions, an increase in the service price at GH relative to CHC can lead to a higher influx of online patients visiting GH in person. Furthermore, when the number of online patients exceeds a specific threshold, it not only prompts the government to increase the disparity in health insurance subsidies between the two hospital tiers but also encourages GH to reduce its service prices and offer free services to online patients. Numerical experiments explore the effects of government budgets, sharing ratios, and other variables on the system's equilibrium state, providing several managerial insights. Notably, when patients' misdiagnosis costs are partially covered, increasing GH's misdiagnosis cost-sharing ratio not only enhances the patient arrival rate but also enhances GH's profitability.

Analysis of the coupling coordination between traditional Chinese medicine medical services and economy and its influencing factors in China.

The coordinative relationship between medical treatment and the economy is an important part of promoting the sustainable and healthy development of a social economy, and it is conducive to promoting the coordinated development of the two systems. Based on constructing a comprehensive evaluation index system for the relationship between traditional Chinese medicine medical services and economic development, the entropy method, coupling coordination model, and Tobit model are used to calculate the comprehensive development level, coupling coordination degree, and influencing factors of the two systems in 31 provinces of China from 2015 to 2021. Suggestions are proposed for the coordinated development of traditional Chinese medicine medical services, and economy. The results showed that the development level of traditional Chinese medicine was higher than that of social and economic development, the relative development gap between the two systems was gradually narrowed, and the coupling coordination degree increased steadily; however, the regional differences were large. The relative development level and coupling coordination degree of each region show a development pattern of eastern > central > western > northeast; the coupling coordination degree of the two systems in the spatial region was positively correlated and was enhanced year by year. From the perspective of influencing factors, the level of economic development is the decisive factor in the coupling and coordination between traditional Chinese medicine medical treatment and the social economy. Factors such as human capital and health level in traditional Chinese medicine have an inhibitory effect on the coordinated development of the two systems. So, China should focus on optimizing the regional allocation of traditional Chinese medicine medical personnel, improving the quality of medical services, and enhancing the health level of medical personnel.

A study on the cross-platform influence mechanism of physicians’ live streaming behavior on performance

PurposeThe advent of online live streaming platforms (OLSPs) and online health communities (OHCs) has expedited the integration of traditional medical services with Internet new media technology. Since the practice of physicians conducting live streaming is a relatively new phenomenon, the potential cross-platform effects of such physicians’ live streaming have not received adequate attention.Design/methodology/approachThis study collected data from 616 physicians specializing in cardiology, obstetrics and gynecology and neurology between April and November 2022 on Live.Baidu.com and WeDoctor.com. It constructed a panel data set comprising a total of 4,928 observations over an 8-month period and validated the model using empirical analysis with the fixed-effects method.FindingsWe find evidence of cross-platform influence in online healthcare. Physicians’ live streaming behavior (whether live or not and the heat of their streams) on OLSPs positively impacts both their consultation and reputation on OHCs. Additionally, physicians’ ability positively moderates the relationships between live streaming heat and their performance (in terms of consultation volume and reputation) on OHCs. However, ability does not moderate the relationship between physicians’ live streaming status (live or not) and their performance (in terms of consultation and reputation) on OHCs. Furthermore, the attractive appearance of the physicians also significantly moderates the impact in a positive way.Originality/valueThis is one of the pioneering studies on physicians’ live streaming. The study offers vital guidance for physicians and patients utilizing dual platforms and holds significant reference value for platform operators (such as OLSPs and OHCs) aiming to optimize platform operations and for the government in policy formulation and industry regulation.

Comprehensive evaluation and analysis of traditional Chinese medicine medical service ability based on Entropy Weight TOPSIS method

Comprehensive evaluation and analysis of traditional Chinese medicine medical service ability based on Entropy Weight TOPSIS method

The Estimated Cost-Effectiveness of Physician-Staffed Helicopter Emergency Medical Services Compared to Ground-Based Emergency Medical Services in Finland

ObjectiveBecause the unit cost of helicopter emergency medical services (HEMS) is higher than traditional ground-based emergency medical services (EMS), it is important to further investigate the impact of HEMS. The aim of this study was to evaluate the cost-effectiveness of physician-staffed HEMS compared with ground-based EMS in Finland under current practices. MethodsThe incremental cost-effectiveness ratio was evaluated using the differences in outcomes and costs between HEMS and ground-based EMS. The estimated mortality within 30 days and quality-adjusted life years (QALYs) were used to measure health benefits. Quality of life was estimated according to the EuroQoL scale, and a 1-way sensitivity analysis was conducted on the QALY indexes ranging from 0.6 to 0.8. Survival rates were calculated according to the national HEMS database, and the cost structure was estimated at 48 million euros based on financial statements. ResultsHEMS prevented the 30-day mortality of 68.1 patients annually, with an incremental cost-effectiveness ratio of €43,688 to €56,918/QALY. Fixed costs accounted for 93% of HEMS expenses because of 24/7 operations, making the capacity utilization rate a major determinant of total costs. ConclusionHEMS intervention is cost-effective compared with ground-based EMS and is acceptable from a societal willingness-to-pay perspective. These findings contribute valuable insights for health care management decision making and highlight the need for future research for service optimization.

Development and optimization of platforms of wise information technology of med based on medical internet of things and blockchain technology

AbstractAs society evolves and the aging population grows, there is an increasing demand for healthcare. Traditional medical service models no longer suffice, leading to issues like uneven distribution of medical resources and varying medical standards. Wise Information Technology in Medicine (WITMED) platforms have emerged in response to this challenge. This study addresses the limitations of conventional medical service models, including resource imbalance, cumbersome procedures, and low informatization. Leveraging Medical Internet of Things (MIoT) and blockchain technology, we researched the development and enhancement of WITMED platforms. To assess the effectiveness of MIoT and blockchain‐based WITMED compared to traditional medical platforms, we evaluated data security, data interoperability, platform response time, and user satisfaction scores. The findings indicate that MIoT and blockchain‐based WITMED outperformed traditional platforms with a 0.13 higher user satisfaction score, improved data security and interoperability, and faster response times. WITMED based on MIoT and blockchain enhances efficiency, convenience, and personalization of medical services, ultimately elevating healthcare quality. Optimizing this platform should focus on improving user experience, data processing capabilities, performance, stability, response time, privacy protection, scalability, interoperability, and technical proficiency to provide superior medical services to users.

Comparing 5G mobile stroke unit and emergency medical service in patients acute ischemic stroke eligible for t-PA treatment: A prospective, single-center clinical trial in Ya'an, China.

This study aims to assess and compare the functional outcomes of patients with acute ischemic stroke (AIS) eligible for tissue plasminogen activator (t-PA) treatment who received care from either a fifth-generation(5G) mobile stroke unit (MSU) or traditional emergency medical service (EMS). The study recruited patients between February 2020 and January 2022, with the final 90-day follow-up concluded in April 2022. Prior to enrollment, patients were assigned to either EMS or MSU care based on predetermined rules. The primary outcome measure was the Modified Rankin Scale (mRS) score at 90 days, with secondary outcome measures including time metrics, mRS and National Institutes of Health Stroke Scale scores at 7-day follow-up, and hospitalization costs. Of the 2281 enrolled patients, 207 were eligible for t-PA treatment, with 101 allocated to MSU care and 106 to EMS care. The percentage of patients achieving a favorable mRS score (0-2) at 90 days was 82.2% in the MSU group compared to 72.6% in the EMS group (p < .05). Median times from symptom onset to thrombolysis were 146 min in the MSU group and 204 min in the EMS group, while median times from ambulance alert to computed tomography (CT)completion were 53 and 128 min, respectively. Hospitalization charges averaged approximately $3592 in the MSU group and $4800 in the EMS group. Our findings indicate that 5G MSU care significantly reduces the time from symptom onset to stroke diagnosis and intravenous thrombolysis in patients with AIS, resulting in improved functional outcomes compared to EMS care. As China continues its deployment of 5G technology and other digital infrastructures, the adoption of 5G MSU care on a broader scale may eventually supplant traditional stroke treatment approaches.

A Context-Aware Framework to Manage the Priority of Injured Persons Arriving at Emergencies

The integration of Internet of Medical Things (IoMT) in Hospital system has modified the traditional medical service as a reactive system based on hospitalization and diseases to a preventive and interoperable system based mainly on the interactive data flow between patient and health professionals. Using medical connected objects (MCOs), medical data is collected and processed. According to gathered data, the new medical system should be able to sort patient states based on urgent and critical vital signs, and consequently priorities are defined. In this paper, we direct our attention to manage priority in hospital emergencies in order to adapt dynamically operations and interactions with different stakeholders according to the changes in their execution context. Indeed, based on data sensed from MCOs implemented in ambulances, emergency rooms might be prepared to receive injured persons like victims of road accidents or other incidents. Therefore, we design a context-aware monitoring framework for injured people based on gathered medical data to manage priorities.

EE129 The Estimated Cost-Effectiveness of Physician-Staffed HEMS in Finland

Helicopter Emergency Medical Services (HEMS) play an important role in prehospital care of the critically ill, and have several advantages compared to ground ambulance units. Since the unit cost of HEMS is higher than traditional ground-based Emergency Medical Services (EMS), it is important to further investigate the impact of HEMS and asses the conditions that would allow for the optimization of these services. The aim of this study was to evaluate the cost-effectiveness of physician-staffed HEMS compared to Advanced Life Support (ALS) ambulance-based EMS under current practices and in developed scenarios with various improvements in patient selection and aviation performance.

How Do Parents' Experiences Affect Children's Use of the Traditional Korean Medical Services? A Regression Analysis Using Cross-Sectional Data.

Medical services are closely related to individual health and welfare, and health status in childhood or adolescence is widely recognized to be related to many socioeconomic outcomes. Therefore, providing appropriate medical services in childhood and adolescence is important. We aimed to investigate the determinants of traditional Korean medical services (TKMS) usage by children aged < 19 years. The focus was on the role of their parents' experiences with TKMS in determining TKMS use by children. Using a representative sample in South Korea, we conducted a regression analysis to assess how parents' experience with TKMS affects the probability of their children using TKMS. We found parents' experience with TKMS to have a significantly positive effect on the probability of TKMS use by children and parents' biological information, such as age and sex, to affect the probability of TKMS use. Specifically, parents' experiences with TKMS generally increased the probability of children using TKMS by approximately 20%. This study's results suggest that considering parents' opinions and providing them the opportunity to participate in programs that enhance young children's use of TKMS may be effective.

Analysis on Satisfaction and Influencing Factors of Traditional Chinese Medicine Medical Service Among Residents in Tianjin

Objective This paper analyzes Tianjin residents’ satisfaction with TCM medical services and its influencing factors, in order to provide reference for giving full play to social and economic benefits of TCM. Methods Using both stratified and random sampling method, Six hospitals from Heping, Jinghai and Beichen were selected, and 260 residents conducted questionnaires. Result Residents’ satisfaction rate of TCM medical service was 22.2 %. TCM knowledge propaganda and TCM price satisfaction score were the highest ( 3.5 ), and TCM curative effect score was the lowest ( 2.3 ).Logistic regression showed that gender, TCM knowledge propaganda, medical equipment, medical distance, medical convenience and reimbursement ratio had significant effects on residents’ satisfaction(P &lt; 0.05).Conclusion Tianjin residents have low satisfaction with TCM medical services, so it is suggested to accelerate the innovation of TCM technology, improve the effect of TCM treatment, rationally allocate TCM medical resources, and improve the satisfaction of residents.

Research on the Construction of Modern Medical Information Service Model under the Background of Artificial Intelligence

In the era of the Internet, artificial intelligence (AI) and other emerging technologies leading the industrial revolution, on the basis of comprehensive analysis of modern medical information services and analysis of the content of some hospital websites, from the perspective of the public, the expert scoring method is applied to establish medical information on hospital websites. Service comprehensive evaluation index system, at the same time quantification and assignment of indicators, combined with the theoretical research platform of information service quality. The comprehensive evaluation model of the medical information service function and quality of the hospital website was constructed by the comprehensive scoring method, and an empirical study was carried out. After comparing the data results of the model simulation with the actual data, it can be seen that the deviation between the actual data and the simulated data is not significant, that is, between 0.12% and 15.93%, which is within a reasonable range. Therefore, we have reason to believe that the model is an effective and reasonable use of the system dynamics method. On the basis of previous theoretical research and historical yearbook data, plus innovative theoretical assumptions, the Internet+healthcare embedded in the Internet+healthcare is constructed. The model of the traditional medical information service system can help clarify the role of Internet+health and medical information service in the overall medical information service system.

Digitalization and Tele-Health Care Concept of Complementary of Traditional Medical practices by Using BIOCERAMIC Technique

Objective: Tele-health care service of alternative practice for chronic pain disease is worthwhile of developing, especially in the period of COVID- 19 pandemic. Targeting on myofascial trigger points, this study was performed to assess the possible short-term pain relief and functional improvement in patients by applying the device of BIOCERAMIC material enhanced by frequencies of tempo sound and visible light spectrum (BioS &amp; L). Methods: Fourteen patients who participated in the procedure for the selection of trigger points for the BioS &amp;L treatment, assessment of pain levels using a visual analog scale (VAS) analysis, and detection of abnormal resonance of 12 harmonic frequencies using a quantum resonance spectrometer (QRS). Results: Comparing the pre- and post-treatment of BioS &amp;L on pain score of 12 HFs (V1-V12) as measured by VAS estimated by mixed model showed 91.7% (11/12) improvement with statistically significant results. The distribution of differences in the QRS score estimated by the mixed model among participants with pre-test QRS level ≥ 2 showed 83.3% (15/16) of HFs with statistically significant results. Conclusion: Treatment of BioS &amp;L at trigger points providing pain relief is explained by the hypothesis of microvascular physiology and physics of wave propagation. This study provides a workshop with a concept of digitalization of complementarity and traditional medical service and tele-health care, which fulfills distant data connection and remote practice. In the period of epidemic spread, it helps to decrease close contact on both health care providers and patients.

Healthcare Providers' Perspective about the Use of Telemedicine in Egypt: A National Survey.

Incorporation of telemedicine in general clinical practice is becoming a compelling need nowadays in the context of COVID-19 pandemic and its consequent burdens on the healthcare systems. Though telemedicine appears to be appealing and carries a lot of advantages, yet it is still faced by many challenges and barriers especially in developing countries. Our aim was to explore the impression of healthcare providers about telemedicine and its applicability in clinical practice in Egypt. A cross-sectional study was conducted among healthcare providers from different Egyptian governorates through a web-based survey. The survey gathered information about demographic, socioeconomic features of the enrolled healthcare participants; their knowledge, previous experience, impression about telemedicine, advantages of telemedicine over traditional medical services, barriers that may face telemedicine, and additional services that can be provided by telemedicine were also explored. Our study enrolled 642 healthcare providers from all over Egypt, 43.77% were females, of which 55.5% were physicians, 27.3% were nurses, 6.1% were technicians, 7.6% were administrative clerks, and 3.6% were medical directors. Sixty-four percent of participants reported that they have never used telemedicine. Smartphones were the most commonly used mean in the group who used telemedicine (65%), and smartphone applications were the favorable telemedicine service for about 50% of participants. Participants assumed that the use of telemedicine might not have a negative effect on the doctor-patient relationship but raised some concerns regarding the privacy and security of patients' data. Despite the fact that telemedicine appears to be appealing and widely accepted by healthcare providers, yet still, its implementation is confronted by some obstacles. Precise organizational guidelines need to be developed to clearly figure out the exact role of each healthcare provider to minimize their doubtfulness about telemedicine and to facilitate its adoption.

Discussion on Health Service System of Mobile Medical Institutions Based on Internet of Things and Cloud Computing.

Because modern human beings pay more and more attention to physical health, and there are many problems in the traditional medical service system, human beings have a higher and higher voice for the new medical model. At present, there are many researches on the application of modern science and technology to put forward solutions to medical development, but they generally pay attention to some details and ignore the construction of the whole medical service system. In order to solve the problems of low efficiency of the traditional medical model, difficult communication between doctors and patients, unreasonable allocation of medical resources, and so on, this article proposes establishing a perfect medical and health service system. First, the correlation functions are used, such as cosine correlation, to calculate the correlation of various medical products, and then the correlation measurement methods of cloud computing and the Internet of Things are used to realize the network connection of smart medical equipment, efficiently store, calculate and analyze health data, and realize online outpatient services, health file management, data analysis, and other functions. Then, the energy consumption formula of the wireless transceiver was used to reduce the resource loss in the operation of the system. Then, we use the questionnaire to understand the current situation of mobile medical and put forward improvement suggestions. This article also scores the performance of the system. The experimental results show that the performance rating of traditional medical institutions is B, while the model rating of mobile medical institutions is a, and the efficiency is optimized by 4.42%.

Distribution of Medical Service Use for Facial Palsy Between Medicine and Traditional Korean Medicine Based on Population-Based Data of Korea.

We investigated the distribution of medical service uses for Bell’s palsy and Ramsay Hunt syndrome between medicine and traditional Korean medicine using the National Health Insurance Service National Sample Cohort data of Korea from 2006 to 2015. Patients were identified with diagnostic codes and medication or treatment claim codes. For Bell’s palsy, there were 5,970 (68.8%) patients who used traditional Korean medical service only, whereas for Ramsay Hunt syndrome, there were 749 (93.6%) patients who used medical service only. The proportion of traditional Korean medical service use was higher than that of medical service use in patients with Bell’s palsy, while the opposite was found in patients with Ramsay Hunt syndrome.

Efficient Joint Key Authentication Model in E-Healthcare

Many patients have begun to use mobile applications to handle different health needs because they can better access high-speed Internet and smartphones. These devices and mobile applications are now increasingly used and integrated through the medical Internet of Things (mIoT). mIoT is an important part of the digital transformation of healthcare, because it can introduce new business models and allow efficiency improvements, cost control and improve patient experience. In the mIoT system, when migrating from traditional medical services to electronic medical services, patient protection and privacy are the priorities of each stakeholder. Therefore, it is recommended to use different user authentication and authorization methods to improve security and privacy. In this paper, our prosed model involves a shared identity verification process with different situations in the e-health system. We aim to reduce the strict and formal specification of the joint key authentication model. We use the AVISPA tool to verify through the well-known HLPSL specification language to develop user authentication and smart card use cases in a user-friendly environment. Our model has economic and strategic advantages for healthcare organizations and healthcare workers. The medical staff can increase their knowledge and ability to analyze medical data more easily. Our model can continuously track health indicators to automatically manage treatments and monitor health data in real time. Further, it can help customers prevent chronic diseases with the enhanced cognitive functions support. The necessity for efficient identity verification in e-health care is even more crucial for cognitive mitigation because we increasingly rely on mIoT systems.

The Modern Information Technology (IT) in Healthcare: An African Perspective

Context: In terms of healthcare service provision, availability and adequacy, Africa is left behind. This is as a result of Africans belief in traditional, herbal and superstitious medical and healthcare service available in each and every distinct community which differs from one community to another in rural villages of Africa. In recent times IT evolution in medical and healthcare has made a tremendous impact not only in Africa but all over the world. This study aimed at reviewing the positive effects of modern IT in the provision of healthcare services in Africa. Evidence Acquisition: A review of several research articles was conducted from March to June, 2020 to find out how modern information technology (IT) has transformed lives in healthcare services provisions and availability in African countries. Internet search through Google was used to collect relevant information from published research articles and other related reports. All published articles and reports mainly concern with implementation of IT in healthcare facilities and provisions specifically in regional Africa, rural communities and cities in African countries were included. However the socio-demographic factors like gender, age, profession were not considered in this review. Results: According to previous reports, pioneering strategies like digital health are considered necessary to ensure accomplishment of the striving Universal Health Coverage (UHC) in Africa being one of most significant agenda of sustainable development goals (SDG) and World Health Organization (WHO). Africa as a continent quite a number of modern technological equipment’s are installed and used. The digital aided detection of tuberculosis by chest x-ray is employed in Zambia, South Africa and the Gambia. Use of mHealth/telemedicine solutions in order to reduce outbreaks in Tanzania, Rapid Diagnostic tests (RDT) incorporated in cloud-based m-Health Smart reader are deployed in Kenya, Tanzania, and Ghana, while Smartphone-powered, cloud-enabled handy convenient electrocardiograph (ECG) are established in Uganda and Malawi. Conclusions: The findings of this study clearly shows the positive impact of information technology (IT) such as application and use of wireless sensor networks and other electronic devices in health care service delivery, diagnosing and determination of infectious diseases such as corona virus and other pathogens affecting mankind.

Introduction to the special section on recovery-oriented services in crisis settings.

While substantial progress has been made in integrating recovery-oriented services into traditional outpatient settings, similar progress has lacked in settings which commonly serve persons experiencing mental health crises. This special section includes three studies that highlight promising, recovery-oriented practices that divert persons in crisis from the criminal justice system and traditional emergency medical services, as well as improve the recovery orientation of inpatient services. These promising studies also highlight the substantial work still needed in this area. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Telemedicina como instrumento de consulta cardiológica durante la pandemia COVID-19

Telemedicine is an underused instrument along our healthcare systems. It´s a technological tool that optimizes resources, save money, expands our capacities, decongests our traditional medical services and is an invaluable help for teaching and research. The COVID-19 pandemic is forcing us to expand its use and it gives us the opportunity to design an appropriate implementation.