Economic value and characteristics of cloud pharmacy for children based on internet hospital in western China during the COVID-19 pandemic: Cross-sectional survey study

作者全名："Yang, Bin; Wen, Qiang; Zhang, Yi; Wang, Xiuling; Yin, Xiangdong; Li, Qianbo; Li, Qinling; Song, Lin"

作者地址："[Yang, Bin; Wen, Qiang; Zhang, Yi; Wang, Xiuling; Song, Lin] Chongqing Med Univ, Childrens Hosp, Dept Pharm, Chongqing, Peoples R China; [Yang, Bin; Wen, Qiang; Zhang, Yi; Wang, Xiuling; Yin, Xiangdong; Li, Qianbo; Li, Qinling; Song, Lin] Minist Educ Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Yang, Bin; Wen, Qiang; Zhang, Yi; Wang, Xiuling; Yin, Xiangdong; Li, Qianbo; Li, Qinling; Song, Lin] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Yang, Bin; Wen, Qiang; Zhang, Yi; Wang, Xiuling; Yin, Xiangdong; Li, Qianbo; Li, Qinling; Song, Lin] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Yin, Xiangdong; Li, Qianbo] Chongqing Med Univ, Childrens Hosp, Dept Informat, Chongqing, Peoples R China; [Li, Qinling] Chongqing Med Univ, Childrens Hosp, Dept Internet Hosp Off, Chongqing, Peoples R China"

通信作者："Song, L (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Pharm, Chongqing, Peoples R China.; Li, QL; Song, L (通讯作者)，Minist Educ Key Lab Child Dev & Disorders, Chongqing, Peoples R China.; Li, QL; Song, L (通讯作者)，Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China.; Li, QL; Song, L (通讯作者)，Chongqing Key Lab Pediat, Chongqing, Peoples R China.; Li, QL (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Internet Hosp Off, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000886258200001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：cloud pharmacy; economic value; online prescription; internet hospital; children; western China; COVID-19

摘要："BackgroundOnline health care services have been encouraged by the Chinese government in recent years, and the COVID-19 pandemic catalyzed the rapid growing of internet hospitals. As an integral part of online health care services, little is known about the economic value and characteristics of cloud pharmacy especially for children. This study aimed to reveal the economic value and comprehensive characteristics of pediatric cloud pharmacy during the COVID-19 pandemic in a tertiary children's hospital in western China. MethodsA total of 33,254 online prescriptions over the course of February 2020 through December 2021 were analyzed with respect to the user profiles, diseases, consulting behaviors, distribution of departments, delivery region and distance, drug information and degree of satisfaction. The cost savings for patients calculated lost wages and the high-speed railway fees for transport to and from hospital. ResultsA total of 33,254 prescriptions, including 56,216 drugs were delivered to 27 provinces and municipalities of China. The internet cloud pharmacy saved a total of more than RMB 11.17 million in financial costs for patients. Of the 33,254 delivered prescriptions, 50.40% were sent to Chongqing Province, the top 5 provinces for out-of-province prescription deliveries were Sichuan (37.77%), Guizhou (8.00%), Yunnan (1.18%), Hubei (0.66%) and Guangdong (0.42%). In terms of department distribution, neurology (31.7%), respiratory (15.0%) and endocrinology (14.6%) were the top three departments. Epilepsy (16.2%), precocious puberty (10.3%) and asthma (8.7%) were the top three frequently consulted diseases. The peak times of day for online prescriptions occurred at 9 AM and 8 PM. 99.67% of users gave full marks for their internet counseling. ConclusionThe pediatric cloud pharmacy is efficient, cost-saving and convenient for children with chronic disease or mild symptoms during the COVID-19 pandemic. The widespread use of this pediatric cloud pharmacy can help alleviating pressure on offline hospitals and facilitated people's lives beyond geographical and time-related limitations. Further efforts are needed to be made to improve the quality and acceptance of pediatric cloud pharmacy, as well as to regulate and standardize the management of this novel online health care service."

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