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牙科大学医院急诊患者的特征及相关因素

Characteristics of Walk-In Patients and Related Factors in a Dental University Hospital.

作者信息

Jeon Won Hwa, Kim Bomgyeol, Kim Do Hee, Lee Sang Gyu, Jang Suk-Yong, Kim Tae Hyun

机构信息

Department of Conservative Dentistry, Kyung Hee University Dental Hospital, 23 Kyungheedae-ro, Seoul 02447, Korea.

Department of Public Health, Yonsei University, 50-1 Yonsei-ro, Seoul 03722, Korea.

出版信息

Healthcare (Basel). 2022 Aug 4;10(8):1469. doi: 10.3390/healthcare10081469.

Abstract

This study aimed to identify the characteristics of walk-in patients who visited a dental university hospital more than once (returning patient). The factors affecting walk-in visits were analyzed in relation to demographic, appointment, and treatment characteristics among 146,567 cases treated between 1 March 2019 and 29 February 2020. Multiple logistic regression was used to assess factors influencing walk-in visits. The walk-in rate was 14.1%. The likelihood of walk-in visits was higher in men, patients aged 20-39 years, patients residing in Seoul, and hospital employees or their family members. Walk-in visits were more likely to take place from 8:00 to 9:59 and on Saturdays and Mondays. The walk-in odds ratios differed depending on the treatment department and diagnosis. Return patients had higher odds of walk-in visits for treatments not covered by insurance. The probability of being a walk-in patient was lower among patients who also received treatment in other departments on the same day than among those who did not. These results indicate that each examined factor has a predictable pattern. The findings also suggest a relatively high percentage of walk-in cases in dental university hospitals and that walk-in patients differ in their characteristics from patients with appointments.

摘要

本研究旨在确定多次就诊于牙科大学医院的非预约患者(复诊患者)的特征。在2019年3月1日至2020年2月29日期间接受治疗的146,567例病例中,分析了影响非预约就诊的因素,涉及人口统计学、预约及治疗特征。采用多元逻辑回归评估影响非预约就诊的因素。非预约就诊率为14.1%。男性、20 - 39岁的患者、居住在首尔的患者以及医院员工或其家属非预约就诊的可能性更高。非预约就诊更有可能发生在8:00至9:59以及周六和周一。非预约就诊的比值比因治疗科室和诊断而异。复诊患者在接受未涵盖在保险范围内的治疗时非预约就诊的几率更高。与同一天未在其他科室接受治疗的患者相比,同一天在其他科室也接受治疗的患者成为非预约患者的概率更低。这些结果表明,每个所研究的因素都有可预测的模式。研究结果还表明,牙科大学医院中非预约病例的比例相对较高,且非预约患者的特征与预约患者不同。

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本文引用的文献

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Incidence of dentoalveolar injuries in hospital emergency room patients.医院急诊室患者牙牙槽损伤的发生率。
Endod Dent Traumatol. 1994 Aug;10(4):188-90. doi: 10.1111/j.1600-9657.1994.tb00685.x.

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