上海市社区卫生服务中心口腔诊室建设情况调查及城郊差异分析  

Survey on availability of dental services in Shanghai community health service centers and differences between urban and suburban areas

作　　者：陈斌 徐先国 盛璐 Chen Bin;Xu Xianguo;Sheng Lu(Shanghai Minhang District Huacao Community Health Service Center,Shanghai 201107,China;Shanghai Pudong New Area Zhangjiang Community Health Service Center,Shanghai 201210,China;Department of Oral and Maxillofacial Surgery,Shanghai Stomatology Hospital&School of Stomatology,Fudan University,Shanghai 200237,China)

机构地区：[1]上海市闵行区华漕社区卫生服务中心,上海201107 [2]上海市浦东新区张江社区卫生服务中心,上海201210 [3]上海市口腔医院口腔颌面外科,上海200237

出　　处：《中华全科医师杂志》2024年第3期251-257,共7页Chinese Journal of General Practitioners

基　　金：上海申康医院发展中心市级医院诊疗技术推广及优化管理项目(SHDC12022625)。

摘　　要：目的了解上海市社区卫生服务中心口腔诊室的建设情况及城郊差异。方法该研究为横断面研究。于2023年3月10—17日,采用问卷调查的形式通过自行设计的《上海市社区卫生服务中心口腔诊疗服务能力调查表》,收集上海市249家社区卫生服务中心的口腔诊室相关信息,根据上海市卫生统计年鉴的分区类型分为中心城区、近郊地区、远郊地区3类,从口腔诊室基本设施、开展的临床诊疗项目、人员结构等方面比较城郊差异情况。结果调查有效问卷回收率为100.0%(249/249)。(1)全市249家社区卫生服务中心中,220家设置了口腔诊室(88.4%),29家(11.6%)未设置,近郊地区、中心城区和远郊地区设置了口腔诊室的社区卫生服务中心占比分别为98.2%(107/109)、95.0%(76/80)和61.7%(37/60),近郊地区>中心城区>远郊地区(H=35.44,P<0.05)。口腔诊室硬件设施基本情况:220家社区卫生服务中心中,近郊地区、中心城区和远郊地区的口腔诊室建筑面积分别为40.00(28.50,73.24)、31.70(24.40,49.35)和20.00(16.75,34.00)m2,近郊地区>中心城区>远郊地区(H=25.07,P<0.05);检查设备方面,综合治疗椅、X线全景机、X线牙片机、口腔种植仪、超声洁牙机、便携式牙椅、光固化灯、加酶清洗机配置情况城郊地区差异均有统计学意义(H=35.44、8.32、25.53、7.46、20.95、43.00、23.22、13.35,均P<0.05)。(2)口腔诊室开展服务项目情况:220家设置口腔诊室的社区卫生服务中心中,可开展龋齿充填的有220家(100.0%)、根管治疗175家(79.55%)、各类阻生牙拔除161家(73.18%),颌面外科小手术104家(47.27%)、固定义齿修复132家(60.00%),可摘局部义齿修复139家(63.18%);少数社区可开展口腔正畸和种植:包括活动矫正20家(9.09%)、固定矫正11家(5.00%)和口腔种植9家(4.09%)。城郊地区根管治疗、龈上洁治术、龈下刮治术、各类阻生牙拔除、颌面外科小手术、固定义齿修复、可摘局�Objective To survey the availability of dental services in Shanghai community health service centers and the differences between urban and suburban areas.Methods A questionnaire survey on dental service in Shanghai community health service centers were conducted from March 10 to 17,2023.The availability of dental services and the differences among health service centers in central urban area,urban area and suburban area were analyzed.Results A total of 249 community health service center participated in the survey and 249 effective questionnaires were returned with a response rate of 100.0%.Among 249 centers,220(88.4%)had set up dental clinics.The proportion of community health service centers with dental clinics in the urban areas,central urban areas and suburban areas is 95.0%(76/80),98.2%(107/109)and 61.7%(37/60),respectively(H=35.44,P<0.05).Among the 220 centers with dental clinics,the floor space of dental clinic was 40.00(28.50,73.24),31.70(24.40,49.35)and 20.00(16.75,34.00)square meters in suburban areas,central urban areas,and suburban areas,respectively.There were significant differences in the inspection equipment including comprehensive dental chairs,X-ray panoramic machine,X-ray dental machine,dental implants,ultrasonic dental cleaning machine,portable dental chairs,light curing lamps,and enzyme cleaning machine among community health service centers in three types of city areas(H=35.44,8.32,25.53,7.4620.95,43.00,23.22,13.35,all P<0.05).Among 220 centers with dental services,all provided dental caries filling,175(79.55%)provided root canal treatment,161(73.18%)provided extraction of various impacted teeth,104(47.27%)provided minor maxillofacial surgery,132(60.00%)provided fixed denture restoration,and 139(63.18%)provided removable local denture restoration.Only a few centers provided orthodontics and dental implant services,including 20 provided removable orthodontics(9.09%),11 provided fixed orthodontics(5.00%),and 9 provided dental implants(4.09%).There were significant differences in provision of s

关 键 词：社区卫生服务 问卷调查 口腔保健 牙科诊室 

分 类 号：R197.61[医药卫生—卫生事业管理]