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

作　　者：汪晓彤 陈红涛[1] 姬爱平[1] 孙伟 孟鹤 白洁[1] Xiaotong Wang;Hongtao Chen;Aiping Ji;Wei Sun;He Meng;Jie Bai(Department 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;Dental Division,Goodwill Information Technology,P.R.China)

机构地区：[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,北京市100081 [2]北京嘉和美康信息技术有限公司口腔事业部

出　　处：《中国口腔医学继续教育杂志》2023年第5期350-355,共6页Chinese Journal of Stomatologial Continuing Education

基　　金：北京大学口腔医院临床新技术新疗法项目(项目编号:PKUSSNCT-18B06)。

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。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.

关 键 词：口腔急诊 病种 互联网医疗 回顾性分析 流行病学 

分 类 号：R47[医药卫生—护理学]