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将转诊患者和未转诊患者与大学儿科牙科诊所进行比较
Kecia S Leary1, Noah C Hollinger2, Fang Qian3
1Department of Pediatric Dentistry, University of Iowa College of Dentistry and Dental Clinics, Iowa City, Iowa, USA.
International journal of paediatric dentistry
|May 13, 2024
概括
转诊的儿科牙科患者往往有更复杂的需求,包括特殊的医疗需求和广泛的. 这些患者也会旅行得更远,因此不太可能继续在诊所接受治疗.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 牙科公共卫生
- 医疗保健管理的管理
背景情况:
- 儿童病患越来越多地转诊到大学牙科诊所.
- 对患者特征的分析对于资源分配和护理规划至关重要.
研究的目的:
- 为了比较爱荷华大学儿科牙科诊所 (UIPDC) 的转诊与非转诊儿科患者的特征.
- 确定影响儿童牙科护理推模式和治疗复杂性的因素.
主要方法:
- 从2015年7月到2016年5月,对723名儿科牙科患者 (340名转诊,383名非转诊) 的回顾性图表审查.
- 收集的数据包括人口统计,保险,牙状况 (腐烂,治疗需求) 和特殊医疗需求.
- 统计分析包括描述性统计,双变量分析和多变量逻辑回归.
主要成果:
- 转诊患者更有可能居住在更远的地方 (>60英里) 和更大的社区 (>75,000人).
- 被转诊的患者表现出更高的特殊医疗需求率,,并需要更复杂的治疗,如牙内科和提取.
- 被转诊的患者不太可能需要空间维护或全面的正牙治疗,也不太可能继续在诊所治疗.
结论:
- 在转诊和非转诊儿科牙科患者之间,治疗需求和患者特征存在显著差异.
- 推模式可能表明一个系统来管理复杂的儿科牙科病例,但保留挑战存在.
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