口腔门诊线上预约对急诊就诊患者人群及病种的影响分析

doi:10.12337/zgkqjxjyzz.2023.05.003

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (5): 350-355.DOI: 10.12337/zgkqjxjyzz.2023.05.003

口腔门诊线上预约对急诊就诊患者人群及病种的影响分析

汪晓彤^1#, 陈红涛^1#, 姬爱平¹, 孙伟¹, 孟鹤², 白洁^1,*

¹北京大学口腔医学院口腔急诊科国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔数字化医疗技术和材料国家工程实验室;
²北京嘉和美康信息技术有限公司口腔事业部

发布日期:2023-11-29
通讯作者: ^*白洁,联系方式：010-82195644,电子邮箱：jiebai1999@163.com,通讯地址：北京市海淀区中关村南大街22号,100081
作者简介:^#共同第一作者
基金资助:
北京大学口腔医院临床新技术新疗法项目（项目编号：PKUSSNCT-18B06）

The Impact of Online Appointments in Dental Clinic on Emergency Patients

Xiaotong Wang^1#, Hongtao Chen^1#, Aiping Ji¹, Wei Sun¹, He Meng², Jie Bai^1,*

¹Department of Oral Emergency, Peking University School of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Deseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, P.R. China;
²Dental Division, Goodwill Information Technology , P.R. China

Published:2023-11-29
Contact: Jie Bai. Tel: 01-82195644. Email: jiebai1999@163.com. Address: No.22, Zhongguancun South Avenue, Haidian District, Beijing 100081, P.R. China.
About author:^#These authors contributed equally to this work.
Supported by:
The Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology (No. PKUSSNCT-18B06)

摘要/Abstract

摘要： 目的： 分析口腔门诊线上预约前后口腔急诊患者人群及临床病种的变化,以指导口腔急诊的临床分级诊疗。方法： 分别回顾分析口腔门诊线上预约前的2019年及实行线上预约后的2021年全年北京大学口腔医院急诊科就诊的130591名初诊患者的临床资料,通过卡方检验对比两年间口腔急诊患者年龄、性别、就诊时间及病种类型构成比例的变化情况。结果： 实行口腔门诊线上预约后较线上预约前初诊患者总数增加,老年患者比例增加,少年儿童及成年患者减少,均有统计学差异。2021年较2019年男女比例无明显差异,非急症患者的比例和就诊时长增加,有统计学差异。结论： 互联网医疗的普及,为患者带来便利,但仍需探索推进分级诊疗制度,科学引导患者就医,避免医疗资源的浪费,构建更加合理、科学、符合需求的口腔急诊管理制度。

关键词: 口腔急诊, 病种, 互联网医疗, 回顾性分析, 流行病学

Abstract: Objective: To analyze the changes in clinical diagnosis and treatment characteristics of oral emergency patients before and after online appointments in dental clinics, in order to guide the clinical grading of oral emergency diagnosis and treatment. Methods: The clinical data of 130591 first-time patients who visited the Emergency Department of Peking University Stomatological Hospital in 2019 before the implementation of online appointment and 2021 after the implementation of online appointment were reviewed and analyzed respectively. The changes in age, gender, visit time, disease type and visit time of patients in oral emergency in two years were compared through Chi-squared test. Results: The total number of first diagnosed patients in 2021 increased compared to 2019, with an increase in the proportion of elderly patients and a decrease in the number of patients in adolescents, children, and adults, all showing statistical differences. The proportion of men and women in 2021 showed no significant difference compared to 2019, while the proportion and duration of non emergency patients in 2021 increased compared to 2019, showing statistical differences. Conclusions: The popularization of online medical care has brought convenience to patients, but we still need to explore and promote a graded diagnosis and treatment system, scientifically guide patients to seek medical treatment, avoid waste of medical resources, and build a more reasonable, scientific, and more responsive oral emergency management system.

Key words: dental emergency, disease type, online medical care, retrospective analysis, epidemiology

汪晓彤, 陈红涛, 姬爱平, 孙伟, 孟鹤, 白洁. 口腔门诊线上预约对急诊就诊患者人群及病种的影响分析[J]. 中国口腔医学继续教育杂志, 2023, 26(5): 350-355.

Xiaotong Wang, Hongtao Chen, Aiping Ji, Wei Sun, He Meng, Jie Bai. The Impact of Online Appointments in Dental Clinic on Emergency Patients[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(5): 350-355.

参考文献

[1] 姬爱平. 口腔急诊常见疾病诊疗手册[M]. 第2版. 北京: 北京大学医学出版社, 2021: 2-20.
[2] 金衍丰, 宓轶群, 李维维, 等. 普通门诊预约号源管理与叫号策略优化实证研究[J]. 中国医院, 2017, 21(12): 7-9.
[3] 宁吉喆. 第七次全国人口普查主要数据情况.网址 http://www.gov.cn/xinwen/2021-05/11/content_5605760.htm. 访问日期:2021年5月11日.
[4] 北京市卫生健康委员会. 《本市二级以上医院实行非急诊全面预约》.网址:http://www.beijing.gov.cn/zhengce/zcjd/202002/t20200216_1632404.html.访问日期:2020年2月16日.
[5] 徐腾达, 徐军, 吉栩, 等. 急诊科拥挤度变化规律研究:昼夜节律和节假日效应[J]. 中华急诊医学杂志, 2011, 20(10):1027-1031.
[6] 李茜, 孙燕, 李阳, 等. “后疫情时代”综合医院门急诊患者就诊需求分析及不同科室号源统筹的思考[J]. 中国医院, 2021, 25(2):91-93.
[7] 颜楷, 邱亨嘉. 门诊分诊失效与智能技术改善的探讨[J]. 医院管理论坛, 2019, 36(5):9-12.
[8] Figueiredo R, Fournier K, Levin L.Emergency department visits for dental problems not associated with trauma in Alberta, Canada[J]. Int Dent J. 2017; 67(6):378-383.
[9] 张昕, 周伟伟, 丁谦文, 等. 口腔急诊中非外伤牙痛临床诊疗特征分析[J]. 实用口腔医学杂志, 2022, 38(2): 248-252.
[10] Guo H, Zhou Y, Liu X, et al.The impact of the COVID-19 epidemic on the utilization of emergency dental services[J]. J Dent Sci. 2020; 15(4):564-567.
[11] Bai J, Xu T, Ji AP, et al.Impact of COVID-19 on oral emergency services[J]. Int Dent J. 2021; 71(1):27-31.
[12] 杨雪, 孙伟, 王哲, 等. 儿童和青少年牙外伤急诊患者临床分析[J]. 北京大学学报(医学版), 2021, 53(2): 384-389.
[13] Currie CC, Stones SJ, Connolly J, et al.Dental pain in the medical emergency department: a cross-sectional study[J]. J Oral Rehabil. 2017; 44(2):105-111.
[14] Fiehn R, Okunev I, Bayham M, et al.Emergency and urgent dental visits among Medicaid enrollees from 2013 to 2017[J]. BMC Oral Health. 2020; 20(1):355.
[15] Anderson R, Thomas DW, Phillips CJ.The effectiveness of out-of-hours dental services: II. patient satisfaction[J]. Br Dent J. 2005; 198(3):151-156.
[16] Pegon-Machat E, Decerle N, Tubert-Jeannin S.Development and evaluation of a triage tool for patients in a dental emergency unit[J]. Santé publique. 2015; 27(1):79-88.
[17] Vockley M.Game-Changing Technologies: 10 Promising Innovations for Healthcare[J]. Biomed Instrum Technol. 2017; 51(2):96-108.
[18] 付元, 吴佳琪, 邵校, 等. 口腔急诊夜间患者流量及病种分析[J]. 现代口腔医学杂志, 2020, 34(04):235-238.
[19] 邢晓伟, 程增遂, 唐学英, 等. 600例老年缺牙患者延迟就医的现状及其影响因素分析[J]. 中华老年口腔医学杂志, 2019, 17(4):239-242.
[20] 王玉敏, 李月琳, 宋丹青, 等. 探讨分级医疗制度在口腔医学诊疗中的必要性与模型[J]. 中国继续医学教育, 2020, 12(36):94-101.

口腔门诊线上预约对急诊就诊患者人群及病种的影响分析

The Impact of Online Appointments in Dental Clinic on Emergency Patients

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