牙体牙髓病科1500例患者与医生关系的初步分析

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。%Objective To retrospectively investigate 1500 cases of Doctor⁃Patient Relationship ( DPR) , and understand the charac⁃teristics 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 fac⁃tors 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 com⁃pensation. Conclusion Among the dental pulp disease patients, the 41-65 year⁃old female patients who need RCT have greater likeli⁃hood of medical dispute.