首页|质控视角下甘肃省口腔医疗服务与质量安全数据分析

质控视角下甘肃省口腔医疗服务与质量安全数据分析

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目的 从口腔门诊和住院的相关指标分析2018、2019、2021年甘肃省口腔医疗机构的医疗服务和质量安全,以期为甘肃省的口腔医疗发展提供数据支持。方法 基于2019-2022年《国家医疗服务与质量安全报告》(口腔医学分册)数据,分析甘肃省口腔门诊和住院重点病种、重点技术平均就诊人次及部分单病种相关指标的变化情况。结果 2018、2019、2021年甘肃省口腔门诊重点病种的年均就诊人次总体呈下降趋势。与全国比较,甘肃省10个重点病种的年均就诊人次仍处于较低水平,多个重点病种的年均就诊人次显著低于全国水平(P<0。05)。2018、2019、2021年甘肃省9个重点技术年均就诊人次整体基本保持不变,其中根管治疗术、牙周洁治术、阻生牙拔除术、可摘局部义齿修复术、慢性牙周炎系统治疗,及种植体植入术的年均就诊人次均显著低于全国水平(P<0。05)。甘肃省口腔颌面部间隙感染的平均出院患者数及上颌骨骨折患者的平均住院费用均显著高于全国水平(P<0。05)。甘肃省腮腺肿物切除+面神经解剖术患者的平均住院日及平均住院费用略高于全国水平,但差异无统计学意义(P>0。05)。结论 甘肃省口腔门诊的医疗服务量有待进一步提升;甘肃省口腔住院患者重点手术的平均住院日及平均住院费用需进一步缩减。
Analysis of data on oral healthcare services and quality safety in Gansu Province under the perspective of quality control
Objective To analyze the current status of medical services and quality safety in Gansu provincial dental institutions of 2018,2019,2021.based on relevant indicators of outpatient and inpatient services,in or-der to provide data support for the development of dental healthcare in Gansu.Methods Based on the"Na-tional Medical Service and Quality Safety Report-Stomatology Fascicule"from 2019 to 2022,a longitudi-nal descriptive analysis was conducted on the changes in key disease types,average treatment visits for key technologies,and some related indicators of single-diseases in Gansu's dental outpatient and inpatient servic-es.Results In 2018,2019,2021.the average annual number of visits for key disease types in Gansu's dental outpatient services showed a downward trend.Compared with the national average,Gansu's average annual number of visits for 10 key disease types remained at a relatively low level,with the average annual number of visits for multiple key disease types significantly lower than the national level(P<0.05).In 2018,2019,2021,the overall average annual number of visits for 9 key technologies in Gansu basically remained un-changed,with the average annual number of visits for root canal treatment,periodontal scaling,impacted tooth extraction,removable partial denture prosthetic technology,systemic treatment of chronic periodontitis and implant placement significantly lower than the national level(P<0.05).The average discharge cases of oral and maxillofacial space infections and average hospitalization costs for maxillary fractures in Gansu were significantly higher than the national level(P<0.05).The average length of stay and average hospitalization costs for parotid tumor resection plus facial nerve dissection in Gansu were slightly higher than the national level,but the difference was not statistically significant(P>0.05).Conclusion The volume of medical services in outpatient dental clinics in Gansu Province needs to be further improved;the average length of stay and average hospitalization costs for key surgeries of dental inpatients in Gansu Province to be further reduced.

medical servicequality controldental careGansu Province

李强、杨子珍、邱靖、马千龙、张洁

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兰州大学口腔医院 牙周黏膜科,甘肃 兰州 730000

兰州大学甘肃省口腔疾病临床医学研究中心,甘肃 兰州 730000

兰州大学口腔医学院,甘肃 兰州 730000

医疗服务 质量控制 口腔医疗 甘肃省

甘肃省口腔疾病临床医学研究中心资助项目兰州大学口腔医院科研资助项目兰州大学口腔医院科研资助项目

20JR10FA670lzukqky-2022-t02lzukqky-2023-q05

2024

兰州大学学报(医学版)
兰州大学

兰州大学学报(医学版)

CSTPCD
影响因子:0.641
ISSN:1000-2812
年,卷(期):2024.50(6)
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