分析影响疝和腹壁外科患者就医意愿的主要因素，为医院高质量的门诊服务提供参考。

采用随机抽样问卷调查法，发放350份问卷，回收有效问卷322份，调查内容包括患者的基本信息、就诊目的、来本院就诊原因、下一步诊疗是否选择本医院及对待互联网医疗的态度等。

患者选择本医院的三个最主要的因素为医疗技术、就诊路程和专科影响力三个方面；前来就诊患者中有87.26%的患者会选择在本医院接受下一步诊疗；18.63%的患者为复诊或单纯来医院开药；在互联网就医选择上，患者年龄和教育程度是影响患者是否选择的主要因素，30岁以下和大学以上文化程度患者更容易使用互联网医疗。

加大医院医联体建设，将优质的医疗资源服务于疑难疝疾病患者；持续改善患者服务体验，提高患者满意度；持续提高医院医疗技术水平，重视医师专业特长培养，提高医院核心竞争力；扩大互联网医疗的诊疗项目和服务内容，加快互联网医疗的发展。

To analyze the main factors influencing the willingness of outpatients to seek treatment, to provide reference for hospitals to provide high quality outpatient services.

350 patients were randomly selected and questionnaires were distributed, 322 valid questionnaires were collected. The contents of the survey included the basic information of the patients, the purpose of treatment, the reasons for coming to our hospital, whether to choose our hospital for the next diagnosis and treatment, and the attitude towards Internet medicine,etc.

The three most important factors for patients to choose our hospital were the medical technology, distance, and specialty influence; 87.26% of the patients would choose to continue in our hospital for further diagnosis and treatment; 18.63% of the patients came to the hospital for follow-up visit or to prescribe drugs; The age and education level of patients were the main factors influencing whether they chose Internet medicine or not. Patients under 30 years old and those with university education level or above were more likely to use Internet medicine.

Strengthen the construction of Hospital Medical Association, and provide high-quality medical resources for patients with difficult hernia diseases; Continuous improve patient service experience and patient satisfaction; Continue to improve the level of medical technology, pay attention to the cultivation of doctors' professional expertise, and improve the core competitiveness of the hospital; Expand the diagnosis and treatment projects and service content of Internet medicine, and accelerate the development of Internet medicine.