Taylor Blount, Sarah Moffitt, Fadia Fakhre, Bilal Koussayer, Mohammad Tahseen Alkaelani, Anamaria Parus, Meredith G Moore, Brandon Foley, Jared Troy
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telemedicine demonstrated potential alleviating unbalanced distribution medical resources across different regions henan province china population approximately 100 million especially affected health care divide province taken proactive step establishing regional collaborative platform telemedicine services provided toptier provincial hospitals aim identify key factors influence current operationalization effectiveness telemedicine services henan province insights gained study serve valuable references enhancing efficient operation telemedicine platforms low middleincome regions analyzed service reports performance management system telemedicine services henan province throughout 2020 using descriptive statistics graphical methods examined key influencing factors management competency device configuration hospital capability capacity service efficacy across hospitals 2 different tiers addition used generalized linear models multiple linear regression models identify key operational factors significantly affect service volume efficacy 2 major telemedicine services namely teleconsultation teleeducation among 89 tier 3 hospitals 97 tier 2 hospitals connected collaborative telemedicine platform 65 73 55 57 respectively established standardized management procedures telemedicine services primary delivery method telemedicine services 90 8089 tier 3 hospitals 94 9197 tier 2 hospitals host videoconferencing consultations professional hardware terminals rather generic computers teleconsultation dominant service type average annual service volume per institution 173 iqr 37372 60 iqr 14271 teleconsultations tier 3 tier 2 hospitals respectively key factors influencing service volume hospital include available funding management competency number connected upper tiers number professional staff receiving teleconsultations tier 3 6589 73 tier 2 6197 63 hospitals patients reported significant improvements medical conditions addition observed service efficacy positively influenced management competency financial incentives number connected upper lower tiers involvement participating medical professionals telemedicine become increasingly popular henan province notable focus teleconsultation teleeducation services despite popularity many medical institutions especially tier 2 hospitals face challenges related management competency addition enhancing effectiveness existing telemedicine services health care decisionmakers henan province low middleincome regions consider expanding service categories including remote emergency care telesurgery promise addressing crucial health care needs regions