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公立牙科医院门诊预筛查分诊中医生和患者的不满:范围及改进策略

Physician and Patient Dissatisfaction with Outpatient Pre-Screening Triage in Public Dental Hospitals: Scope and Strategies for Improvement.

作者信息

Ma Siwei, Zhang Li, Du Wenzhi, Fang Gaofeng, Zhang Peng, Xu Fangfang, Hao Xingke, Fan Xiaojing, Li Ang

机构信息

Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China.

Department of Operations & Management, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China.

出版信息

Healthcare (Basel). 2025 Jul 11;13(14):1672. doi: 10.3390/healthcare13141672.

Abstract

While pre-screening triage (PST) enhances healthcare efficiency in emergency and pediatric settings, its application in dental healthcare remains undervalued. This novel study implemented PST in dental services, identifying determinants of physician-patient dissatisfaction to optimize triage systems and promote dental health outcomes. A cross-sectional survey (July-September 2024) recruited 113 physicians and 206 patients via convenience sampling. Dissatisfaction levels were quantified using validated questionnaires and analyzed through -tests, ANOVA, and regression models. In total, 37.17% of physicians with prior PST experience demonstrated significantly higher dissatisfaction scores (37.67 ± 9.08 vs. 32.51 ± 10.08, = 0.006). Multivariate analysis revealed that experienced physicians rated PST services 5.63 points higher than less experienced counterparts (95% CI: 0.75-10.51). Dental patients expressed dissatisfaction with nurse attitudes (β = 1.04, 95% CI: 0.07-2.01) and triage process inefficiencies. Key dissatisfaction drivers include a lack of physician PST exposure and nurse-patient interaction quality in dental settings. These findings advocate for the development of a specialized triage system to enhance clinical workflow efficiency and service effectiveness in dental healthcare.

摘要

虽然预检分诊(PST)在急诊和儿科环境中提高了医疗效率,但其在牙科保健中的应用仍未得到重视。这项新研究在牙科服务中实施了PST,确定了医患不满的决定因素,以优化分诊系统并促进牙科健康结果。一项横断面调查(2024年7月至9月)通过便利抽样招募了113名医生和206名患者。使用经过验证的问卷对不满程度进行量化,并通过t检验、方差分析和回归模型进行分析。共有37.17%有PST经验的医生表现出明显更高的不满得分(37.67±9.08对32.51±10.08,P = 0.006)。多变量分析显示,经验丰富的医生对PST服务的评分比经验不足的医生高5.63分(95%CI:0.75 - 10.51)。牙科患者对护士态度(β = 1.04,95%CI:0.07 - 2.01)和分诊过程效率低下表示不满。主要的不满驱动因素包括牙科环境中医生缺乏PST接触以及护士与患者互动质量。这些发现主张开发一种专门的分诊系统,以提高牙科保健中的临床工作流程效率和服务效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c751/12294715/194a5bc1e07e/healthcare-13-01672-g001.jpg

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