An Internet Hospital Plus Home Nursing Model for Chronic Disease Patients: Mixed-Methods Study in Tianjin, China

The internet hospital plus home nursing model effectively combines online diagnosis with in-home care, creating a closed-loop service that improves accessibility-particularly for older adults and mobility-impaired patients. Pilot implementations in Tianjin demonstrated benefits in convenience, accessibility, and cost-effectiveness, alongside high patient satisfaction and nursing staff approval. Given the aging population, this model holds significant potential for broader adoption. To ensure sustainable development, enhanced safety mechanisms and policy support are recommended. As an integrated health care model with Chinese characteristics, it also offers valuable insights for the global digital health sector.