北京地区二级以上口腔医疗机构资源配置及诊疗服务开展现况研究(1)
摘要：目的 调查北京地区二级以上口腔医疗机构资源配置及诊疗服务开展现况。方法 2017年对北京地区二级以上口腔医疗机构(综合治疗台≥4台)进行现场调研，对各项评价指标分类汇总、分析。结果 三级口腔医疗机构的牙科综合治疗台和口腔医师数量多集中在10～19台/人次，日均门诊量集中在50～150人次/d，医疗总量多≥1000万元/年，口腔医师多为硕士学历、中级职称。二级口腔医疗机构多<10台/人次，二级口腔医疗机构的日均门诊量多<50人次/d，医疗总量多≤500万元/年，口腔医师多为本科学历、初级职称。三级、二级口腔医疗机构在口腔种植和口腔正畸专业开展方面有显著性差异;美学根尖手术、激光治疗、冠延长术等诊疗技术开展方面有显著性差异。结论 口腔医疗机构医疗质量管理水平及口腔医师工作效率需提高，应尝试进行口腔医疗机构医疗诊疗功能定位研究，探讨如何高质高效地发挥口腔医疗机构的服务功能。
关键词：二级;口腔医疗机构;资源配置;诊疗服务;技术开展;调研
中图分类号：R197.3 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2019.04.042
, 百拇医药
文章编号：1006-1959(2019)04-0129-05
Abstract：Objective To investigate the current situation of resource allocation and diagnosis and treatment services for dental care institutions above the second level in Beijing. Methods In 2017， an on-site investigation was conducted on the second-level oral medical institutions in Beijing (≥4 comprehensive treatment stations)， and the evaluation indicators were summarized and analyzed. Results The number of dental comprehensive treatment tables and dental doctors in the three-level dental institutions was concentrated in 10～19 units/person， the daily average outpatient volume was concentrated in 50～150 person-times/d，the total amount of medical care is mostly ≥10 million yuan/year.Most of the dentists are master's degree and intermediate title. Most of the secondary oral medical institutions are <10 units/person， and the average daily outpatient volume of the secondary oral medical institutions is mostly <50 person-times/d， and the total medical expenses are mostly ≤5 million yuan/year. The dental doctors are mostly undergraduate and junior professional titles. There are significant differences in the development of dental implants and orthodontics in tertiary and secondary dental institutions; there are significant differences in the development of aesthetic techniques such as apical surgery， laser therapy， and crown extension. Conclusion The medical quality management level of oral medical institutions and the work efficiency of dentists need to be improved. It is necessary to try to conduct research on the positioning of medical diagnosis and treatment functions in oral medical institutions， and explore how to play the service functions of oral medical institutions with high quality and efficiency., 百拇医药(李玥 王亚东)
关键词：二级;口腔医疗机构;资源配置;诊疗服务;技术开展;调研
中图分类号：R197.3 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2019.04.042
, 百拇医药
文章编号：1006-1959(2019)04-0129-05
Abstract：Objective To investigate the current situation of resource allocation and diagnosis and treatment services for dental care institutions above the second level in Beijing. Methods In 2017， an on-site investigation was conducted on the second-level oral medical institutions in Beijing (≥4 comprehensive treatment stations)， and the evaluation indicators were summarized and analyzed. Results The number of dental comprehensive treatment tables and dental doctors in the three-level dental institutions was concentrated in 10～19 units/person， the daily average outpatient volume was concentrated in 50～150 person-times/d，the total amount of medical care is mostly ≥10 million yuan/year.Most of the dentists are master's degree and intermediate title. Most of the secondary oral medical institutions are <10 units/person， and the average daily outpatient volume of the secondary oral medical institutions is mostly <50 person-times/d， and the total medical expenses are mostly ≤5 million yuan/year. The dental doctors are mostly undergraduate and junior professional titles. There are significant differences in the development of dental implants and orthodontics in tertiary and secondary dental institutions; there are significant differences in the development of aesthetic techniques such as apical surgery， laser therapy， and crown extension. Conclusion The medical quality management level of oral medical institutions and the work efficiency of dentists need to be improved. It is necessary to try to conduct research on the positioning of medical diagnosis and treatment functions in oral medical institutions， and explore how to play the service functions of oral medical institutions with high quality and efficiency., 百拇医药(李玥 王亚东)