›› 2016, Vol. 36 ›› Issue (10): 942-945.

• 调查研究 • 上一篇    下一篇

牙体牙髓病科1 500例患者与医生关系的初步分析

张伟1,郭晓钰2,陈慧芬3,吴友农4   

  1. 1. 南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院牙体牙髓科
    2. 南京医科大学口腔医学研究所,南京医科大学附属口腔医院
    3. 南京医科大学附属口腔医院
    4. 南京医科大学口腔医学院
  • 收稿日期:2016-03-21 修回日期:2016-07-01 出版日期:2016-10-28 发布日期:2016-10-25
  • 通讯作者: 吴友农 E-mail:sdbywynb@163.com

Preliminary analysis of Doctor-Patient Relationship (DPR)--an investigation of 1500 patients with endodontic disease

1,Xiaoyu GuoHui-Fen CHEN3,   

  • Received:2016-03-21 Revised:2016-07-01 Online:2016-10-28 Published:2016-10-25

摘要: [摘要] 目的 通过对1500例已治患者与医生关系的回顾性调查,了解牙体牙髓病科医患纠纷的特点。方法 1名主任医师一段时间诊治的全部1500例患者台账资料被录入Exell数据库,将3类医患关系(好、中、差)与相关因素进行卡方检验,并对“差”的病例进行了分析。结果 1500例患者中,医患关系“好、中、差”分别为4.13%、94.14%和1.73%。医患关系与性别、费用支付方式无关(P﹥0.05),但与年龄、DF、治疗方法、纤维桩或CAD/CAM等修复治疗有关。医患关系“差”的26例中,女性多(21例),根管治疗的多(21例),6例投诉,投诉者的处理皆涉及经济赔偿。结论 牙体牙髓病科患者中,女性、41~65岁、RCT者出现医患纠纷的可能性较大。

关键词: 医患关系, 回顾性研究, 牙体牙髓病科

Abstract: Abstract:Objective To retrospectively investigate 1500 cases of Doctor-Patient Relationship (DPR), and understand the characteristics of medical disputes of dental pulp disease. Methods The ledger data of 1500 patients treated by a chief physician for a period of time were put into Exell database and were divided into three kinds of DPR (satisfaction, normal and dispute) ,then the related factors of chi square test, also the "dispute" of the cases were analyzed. Results In 1500 patients, the satisfaction,normal and dispute were 4.13%, 94.14% and 1.73% respectively. Chi square test results indicated that DPR had nothing to do with gender and the way of payment (P > 0.05), but related to age, DF(Dental Fear), treatment methods and other repair therapy such as fiber pile or CAD/CAM(Computer Aided Design/ Computer Aided Manufacture). Women (21 cases) were in the majority of the disputes(26 cases), so were RCT(Root Canal Treatment) patients (21 cases). 6 cases of complaints, which were involved in the handling of economic compensation. Conclusion Among the dental pulp disease patients, the 41-65 year-old female patients who need RCT have greater likelihood of medical dispute.Results:In 1500 patients, the satisfaction,normal and dispute were 4.13%, 94.14% and 1.73% respectively. Chi square test results indicate that DPR has nothing to do with both gender and the cost of payment (P > 0.05), but relates to age, DF, treatment methods and other auxiliary repair such as fiber pile or CAD/CAM . The women (21 cases)is in the majority of the dispute(26 cases), RCT patients are also (21 cases).The expression of the form of complaints in 20 cases, 6 cases of complaints, complaints are involved in the handling of economic compensation.Conclusion: In the dental pulp disease patients, the female, 41-65 years old patients or people that had needed RCT had greater likelihood of medical dispute.

Key words: Doctor-patient relationship, Retrospective study, Dental pulp disease

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