scholarly journals Provision of Paid Web-Based Medical Consultation in China: Cross-Sectional Analysis of Data From a Medical Consultation Website (Preprint)

2018 ◽  
Author(s):  
Yumei Li ◽  
Xiangbin Yan ◽  
Xiaolong Song
Keyword(s):  
Internal Medicine ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Medical Consultation ◽  
Web Based ◽  
Online Consultation ◽  
Spare Time ◽  
Chief Physician ◽  
Consultation Services ◽  
Multiple Comparison Procedures

BACKGROUND Web-based medical consultation, which has been adopted by patients in many countries, requires a large number of doctors to provide services. However, no study has provided an overall picture of the doctors who provide online services. OBJECTIVE This study sought to examine doctors’ participation in medical consultation practice in an online consultation platform. This paper aimed to address the following questions: (1) which doctors provide Web-based consultation services, (2) how many patients do the doctors get online, and (3) what price do they charge. We further explored the development of market segments in various departments and various provinces. METHODS This study explored the dataset including all doctors providing consultation services in their spare time on a Chinese Web-based consultation platform. We also brought in statistics for doctors providing offline consultations in China. We made use of Bonferroni multiple comparison procedures and z test to compare doctors in each group. RESULTS There are 88,308 doctors providing Web-based consultation in their spare time on Haodf, accounting for 5.25% (88,308/1,680,062) of all doctors in China as of September 23, 2017. Of these online doctors, 49.9% (44,066/88,308) are high-quality doctors having a title of chief physician or associate chief physician, and 84.8% (74,899/88,308) come from the top, level 3, hospitals. Online doctors had an average workload of 0.38 patients per doctor per day, with an online and offline ratio of 1:14. The average price of online consultation is ¥32.3. The online ratios for the cancer, internal medicine, ophthalmology-otorhinolaryngology, psychiatry, gynecology-obstetrics-pediatrics, dermatology, surgery, and traditional Chinese medicine departments are 16.1% (2,983/18,481), 4.4% (16,231/372,974), 6.3% (8,389/132,725), 9.5% (1,600/16,801), 5.8% (12,955/225,128), 18.0% (3,334/18,481), 10.8% (24,030/223,448), and 3.8% (8,393/22,3448), respectively. Most provinces located in eastern China have more than 4000 doctors online. The online workloads for doctors from most provinces range from 0.3 to 0.4 patients per doctor per day. In most provinces, doctors’ charges range from ¥20 to ¥30. CONCLUSIONS Quality doctors are more likely to provide Web-based consultation services, get more patients, and charge higher service fees in an online consultation platform. Policies and promotions could attract more doctors to provide Web-based consultation. The online submarket for the departments of dermatology, psychiatry, and gynecology-obstetrics-pediatrics developed better than other departments such as internal medicine and traditional Chinese medicine. The result could be a reference for policy making to improve the medical system both online and offline. As all the data used for analysis were from a single website, the data might be biased and might not be a representative national sample of China.

scholarly journals Zhang Hongxing’s Experience in Exogenous Cough Treatment

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Renjie Zhou ◽  
Hongxing Zhang
Keyword(s):  
Clinical Practice ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Clinical Symptom ◽  
Clinical Diagnosis ◽  
Diagnosis And Treatment ◽  
Chief Physician

Cough is a common clinical symptom, throughout history the medical experts have different discussions on the diagnosis and treatment of cough and put forward different theories on the treatment of cough. Chief physician Zhang Hongxing is a famous old doctor of traditional Chinese medicine in Dezhou city with rich experience in clinical practice and unique academic thoughts. In the treatment of exogenous cough, Director Zhang stressed that the differentiation of syndromes should be focused on ‘wind’ and pay attention to the role of liver ‘wind’ in cough. The prescription of medicines should emphasize on dispelling the ‘wind’ first, to dispel the external ‘wind’, but also to calm the internal ‘wind’, and making good use of Uncaria in medicine. Valuable experience for clinical diagnosis and treatment of exogenous cough was provided.  

A web-based knowledge management system integrating Western and Traditional Chinese Medicine for relational medical diagnosis

2016 ◽  
Vol 230 (12) ◽  
pp. 1061-1073 ◽  
Author(s):  
Maria C Herrera-Hernandez ◽  
Susana K Lai-Yuen ◽  
Les A Piegl ◽  
Xiao Zhang
Keyword(s):  
Knowledge Management ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Western Medicine ◽  
Medical Diagnosis ◽  
Management System ◽  
Medical Knowledge ◽  
Knowledge Management System ◽  
Web Based ◽  
Training And Research

This article presents the design of a web-based knowledge management system as a training and research tool for the exploration of key relationships between Western and Traditional Chinese Medicine, in order to facilitate relational medical diagnosis integrating these mainstream healing modalities. The main goal of this system is to facilitate decision-making processes, while developing skills and creating new medical knowledge. Traditional Chinese Medicine can be considered as an ancient relational knowledge-based approach, focusing on balancing interrelated human functions to reach a healthy state. Western Medicine focuses on specialties and body systems and has achieved advanced methods to evaluate the impact of a health disorder on the body functions. Identifying key relationships between Traditional Chinese and Western Medicine opens new approaches for health care practices and can increase the understanding of human medical conditions. Our knowledge management system was designed from initial datasets of symptoms, known diagnosis and treatments, collected from both medicines. The datasets were subjected to process-oriented analysis, hierarchical knowledge representation and relational database interconnection. Web technology was implemented to develop a user-friendly interface, for easy navigation, training and research. Our system was prototyped with a case study on chronic prostatitis. This trial presented the system’s capability for users to learn the correlation approach, connecting knowledge in Western and Traditional Chinese Medicine by querying the database, mapping validated medical information, accessing complementary information from official sites, and creating new knowledge as part of the learning process. By addressing the challenging tasks of data acquisition and modeling, organization, storage and transfer, the proposed web-based knowledge management system is presented as a tool for users in medical training and research to explore, learn and update relational information for the practice of integrated medical diagnosis. This proposal in education has the potential to enable further creation of medical knowledge from both Traditional Chinese and Western Medicine for improved care providing. The presented system positively improves the information visualization, learning process and knowledge sharing, for training and development of new skills for diagnosis and treatment, and a better understanding of medical diseases.

scholarly journals Analysis on the special prescriptions from the book of Chengfang Qieyong

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Kai-ping Jiang ◽  
Xiao-yun Jian
Keyword(s):  
Internal Medicine ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Clinical Application ◽  
Clinical Efficacy ◽  
New Drugs ◽  
Wide Range

The kinds of special prescriptions in the book of Chengfang Qieyong cover a wide range of subjects such as internal medicine, gynecology, pediatrics and surgery, etc.These prescriptions have gathered the original discussions of doctors of all ages, condensed the author's own in-depth insights,and displayed the profound connotation of traditional Chinese medicine prescriptions or clinical efficacy characteristics.Guided by the function and categories of the original monograph, 26 prescriptions were integrated into seven categories,i.e.treating Qi and regulating Blood, nourishing and eliminating, exterior dispersing and dispelling cold,compromising and purging fire,drying dampnessand expelling phlegm,fetal birth and baby,and carbuncle. Based on the characteristics of clinical efficacy, the connotation of legislative prescriptions, the modification of prescriptions and medicines, and the degree of decoction and prescription, etc, this paper analyzes the connotation of traditional Chinese medicine of these special prescriptions,and provides important reference for the research of modern prescriptions, the expansion of clinical application and the development of new drugs of traditional Chinese medicine.

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