Online dating region Yinchuan China
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The objective of this study was to provide an overview of the Internet hospitals in China as of March, All Internet hospitals in mainland China were eligible for inclusion if they were officially registered. The inclusion criteria were as follows: simplified Chinese language of the Web page or app, service tailored toward mainland China excluding Taiwan, Hong Kong, and Macau regions , and signed contracts with the local government or local hospital, officially acquiring the designations of Internet hospitals. We cross-referenced search results against a published list [ 7 ] and added any Internet hospitals that met the inclusion criteria.
An Excel Microsoft spreadsheet was used to record standard information of each Internet hospital. The data collected from each Internet hospital included the construction date; location; investor; consultation characteristics such as service object provided service to patient or hospital , access method, consulting method video chat, telephone, and graphic message; graphic message is a message with both text and graph , number of doctors available online can deliver instant medical service , health insurance coverage, and consultation fee per time; and processes and stages.
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We assessed the consultation characteristics of an Internet hospital by the official description, website, and smartphone app. The number of doctors available online for each Internet hospital was calculated as the median online doctors in 2 weeks. The consultation fee per time was the median fee of online doctors in one Internet hospital. If the Internet hospital had more than doctors online simultaneously, we calculated the median of the top doctors on the page. Internet hospital processes included access to medical service, medical qualification, doctor source, medical service level, and medical service range.
Access to medical services included online defined as access to medical services via website or app and offline defined as access to medical services via local medical institutions access. Medical qualification is an evaluation of whether the Internet hospital had or did not have a licensed medical qualification. Doctor sources included local hospitals, medical unions, district and nationwide. Medical service level was based on information defined as appointment making, diagnosis or checkup report getting, and payment online ; consultation defined as remote diagnosis, electronic medical prescription, and health care management ; and big data defined as collection, analysis, and use of large amount of health care-related data and sharing data among hospitals.
Internet hospitals were divided into three stages phases of development , including hospital informatization, Web ward, and full Internet hospital [ 7 ]. Those in the hospital informatization stage provide online appointments, getting reports, and paid services, and the doctors are from local hospitals or medical unions. Those in the Web ward stage provide purely online medical services, and the doctors are from local hospitals, medical unions, or regional hospitals. Full Internet hospitals provide an integration of online and offline medical services, and the doctors are from across the nation.
Any disagreements in abstracted data were resolved by discussion. Data management and analysis was performed using Microsoft Excel Nominal and ordinal data are presented using frequencies and percentages, bar charts, Venn diagrams, and statistical map. Skewed distributed continuous data are presented in percentile, median, and interquartile range.
The median number of doctors available online was zero interquartile [IQR] 0 to 5; max Table 2 shows the processes and stages of the 43 established Internet hospitals. Internet hospitals in China show an emerging trend and are clustered in the city with local policy support. Internet hospitals provide convenient outpatient service delivery through video chat, telephone, and graphic message.
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A key insight from our study is that there has been an emerging trend of Internet hospitals in China in recent years. Despite this, the first officially sanctioned Internet hospital in China was founded in October, [ 1 ]; only 9 Internet hospitals were launched by In , however, a multitude of Internet hospitals were established in China, with approximately 39 newly-built Internet hospitals in the country. Furthermore, 20 Internet hospitals were launched by March The emergence of Internet hospitals is partly due to the integration of offline businesses with online commerce, both in line with the current national efforts to promote the classification of treatment policy and the current market ecology [ 3 , 8 , 9 ].
We found there was a Matthew effect, especially with medical resources concentrated in a few leading Internet hospitals. Another possibility is that the leading Internet hospital has a total of 26, licensed doctors in more than hospitals across China, and has branches in 19 cities and provinces including Beijing, Guangdong, Henan, Sichuan, Gansu, Guizhou, and Ningxia [ 11 ]. However, most Internet hospitals only have doctors from their own hospital or medical union. Another key finding from our study was that, although Internet hospitals help in improving the quality of medical services, many of the Internet hospitals are not yet mature and are faced with various issues such as online doctor scarcity and not being covered by health insurance.
There is a shortage of doctors in China because the demand for medical services in the country has far outstripped supply [ 12 , 13 ]. Furthermore, the shortages are exacerbated by a high turnover of staff caused by heavy workloads, deteriorating doctor-patient relationships, and a resulting increase in work-related stress [ 12 , 14 , 15 ]. Those systemic issues should be resolved by the government to provide a positive medical environment [ 13 ]. The Internet hospital is a medical development model that includes health education, medical information, electronic health records, disease risk assessment, online disease counseling, electronic prescription, telemedicine, and remote treatment and rehabilitation with the Internet as a carrier and technical means [ 16 ].
However, most Internet hospitals remain at the hospital informatization stage or Web ward stage. The final stage of an Internet hospital should be a smart hospital, which entails providing big data, artificial intelligence, and precision medicine. To implement the ambitious strategy that China is now rolling out to improve its health system [ 17 , 18 ], several key challenges need to be met.
The Internet hospital has the potential to resolve part of these challenges [ 1 , 5 ]. The authorities encourage hospitals to offer patients more accessible medical services via the Internet according to a guideline released by the State Council in July [ 8 ]. Internet hospitals are clustered in the city with local policy support, including Internet medical services fees, health insurance, and other issues.
Our study found that the five leading provinces had 44 Internet hospitals, accounting for Yinchuan city government will go on to link the Internet hospitals with the medical insurance system in Thus, 17 nationally known Internet medical service institutions signed contracts with the Yinchuan city government to establish Internet hospitals [ 19 ]. Other cities or provinces also provide policy support to Internet hospitals [ 20 , 21 ]; this bodes well for the economics of Internet hospitals.
A limitation of this study is that we had no related individual doctor or patient data, the use of which would have provided greater detail about health worker characteristics and outpatient service characteristics, allowing us to evaluate the health service capacity, medical resources, and patient satisfaction of Internet hospitals. A further limitation was that this study focused merely on Internet hospitals without traditional hospitals as controls; therefore, we cannot compare the advantages and disadvantages between them.
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These aspects should be investigated in future studies. Combined with the surge in use of smartphones, mobile Internet, and big investments in innovation [ 23 ], the Internet hospital has a promising future in China. The Internet system gives patients in rural and remote areas better access to services and helps achieve the integration of online and offline medical services. The Internet hospital in China is a large and continuously growing market. By March , it was apparent that although the Internet has the potential to overcome some of the challenges due to the rapid changing environment of health care needs, reform, and provision in China, many of the Internet hospitals had not yet matured, and faced various issues, such as online doctor scarcity and the unavailability of health insurance coverage.
Conflicts of Interest: None declared. National Center for Biotechnology Information , U. J Med Internet Res. Published online Jul 4. Reviewed by Nicola Bragazzi and Mark Larsen.
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The dating sites claim they have several technology protections to verify information, including real-name registration, vetting and system where members can complain or report someone with fraud profile. A reporter from The Beijing Times signed up on jiayuan.
He also had no difficulties in changing his information, like academic background, profession, marital status and salary right after signing up, without further verification.
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Jiajia, not her real name, a member of jiayuan. However, Chen Wei, an attorney with Beijing Yingke Law Firm, said, "Dating websites have no access to the Ministry of Civil Affairs' marriage registration database, nor the Ministry of Public Security's ID database, so there is no way they can verify the most basic personal information, including a person's real name, age or marital history.
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A woman in the paper's story, who only gives the name Xiaoqing and who worked for two popular dating sites, including jiayuan. She said they have a template for clients saying someone's interested in them, no matter if it's true and they want to meet up or there's an event where there will be many people.
Then our matchmakers will approach them individually to persuade them to sign up for our matchmaking service at the event," she said. The matchmaking service costs range from thousands to hundreds of thousands of yuan and promise to find clients a certain amount of ideal dates in a certain amount of time. If the clients don't like who they meet, recommended by the service, the service will keep looking until they are satisfied. It sounds fair. But actually it's common when matchmakers think some clients are too picky or hard to sell, they will ask their friends to fill in - just to fulfill the contract, rather than find the potential right person, according to The Beijing Times.
They usually show up for dates but are barely willing to talk about themselves and disappear with some excuses and never reply to any calls or messages from their dates.
Some clients put the dots together, thinking it's a scam when they received calls from their disappearing dates defending their matchmakers after complaints are made. Chinese chuckle at Trump for messing up picture-perfect Ame….