Abstract:

Objective To investigate the current status and existing problems of “Internet+” nursing services in public hospitals in Beijing，and to provide a basis for policy optimization and practice improvement. Methods A cross-sectional research design was used to investigate the current status of “Internet+” nursing in all public hospitals in Beijing by means of a purposive sampling method in March 2025 through the channels of the Beijing Nursing Quality Control Center，collecting data on the degree of participation in the service，distribution of the projects，and the existing difficulties through an online questionnaire platform，and combining with SPSS 27.0 to conduct descriptive statistics and content analysis. Results A survey of 184 public hospitals in Beijing revealed that only 23.37%（43/184） offered “Internet+” nursing services，with tertiary hospitals being the primary providers （76.74%）. The services mainly focused on basic nursing care such as urinary catheter replacement（69.77%） and surgical wound dressing changes（58.14%），along with some specialized nursing items. Among these hospitals，34 reported an average monthly service volume of fewer than 50 cases（79.07%）. The major challenges included safety and privacy risks for nurses（79.07%） and inadequate policies/regulatory mechanisms（69.77%）. The most urgent needs were improving supervision mechanisms（87.50%） and including these services in medical insurance coverage（85.33%）. Conclusion Due to the low participation rate of “Internet+” nursing services in Beijing’s public hospitals，the limited service types and the insufficient supportive policies，there is an urgent need to promote the further development of home nursing services by improving the regulatory mechanism，incorporating high-frequency nursing service projects into the medical insurance，optimizing the incentive mechanism，expanding the service catalog，and intensifying the promotion of such initiatives.

Key words: “Internet+” Nursing Services, Public Hospitals, Cross-Sectional Studies, Nursing Administration Research

摘要：

目的 调查北京市公立医院开展“互联网+”护理服务工作的现状，分析现存问题，为政策优化与实践改进提供依据。方法 该研究为横断面研究。通过北京市护理质量控制中心，于2025年3月采用目的抽样法选取北京市公立医院的主要护理管理者作为调查对象，采用自制的调查问卷进行调查，并对调查结果进行统计学描述与分析。结果 共调查北京市184所公立医院，其中43所（23.37%）医院开展了“互联网+”护理服务，以三级医院为主（76.74%）；开展的服务项目包括基础护理和专科护理项目，如更换导尿管（69.77%）、外科切口/伤口换药（58.14%）等；34所（79.07%）医院的月平均服务量<50例次。43所医院开展“互联网+”护理服务的阻碍因素主要包括，存在护士服务安全与患者隐私泄露风险（79.07%）、政策与监管机制不完善（69.77%）等，护理管理者希望完善监督及管理机制（87.50%）、将服务项目纳入医疗保险（85.33%）等。结论 北京市公立医院“互联网+”护理服务的开展率较低、开展项目类型单一、支持性政策不足，亟须通过完善监管机制、将高频护理服务项目纳入医疗保险、优化激励制度、扩展服务项目、加大推广力度等措施，进一步推动“互联网+”护理服务的开展。

关键词: 互联网+护理服务, 公立医院, 横断面研究, 护理管理研究