Application Of Telephone Intervention In Extended Care In Outpatient Department Of Stomatology Hospital

Objective:1.Through telephone intervention in the oral hospital peripheral outpatient department of the patient’s visit,from four dimensions to understand the patient satisfaction with the outpatient department.2.Through telephone intervention,to find out the opinions and suggestions of patients in the outpatient department,analyze the suggestions and opinions of the patients in the process of intervention,according to the opinions and suggestions,carry out the rectification,and discuss the results through statistical methods.3.Through the telephone intervention education of relevant knowledge of oral,improve the treatment compliance of root canal crown restoration.Reduce the root canal treatment fails for crown repair and lead to the occurrence of split tooth teeth need medical disputes.The event of tooth extraction due to tooth splitting after root canal treatment without crown restoration after the root canal treatment does not occur on time after root canal therapy,and tooth extraction requires the extraction of teeth4.To establish the health education process of patients after root canal therapy,and further improve the extended service of oral care.It can be extended to other stomatological hospitals and dental private clinicsMethod:This paper surveys the information by cluster random sampling principle,the research group in April 2016 in the peripheral three Jiadeng specialist dental hospital outpatient department carried out within the scope of classified telephone survey,questionnaire form"outpatient satisfaction questionnaire"designed to follow the call of random sampling,the principle of equality and justice.The related data processing is carried out using Excel 2003 and SPSS18.0 software.Patient satisfaction total score evaluation:very good+praise 10 points;very good 9 points;better 8;general 7;general+criticism 5 points;not satisfied 3 points.interviewed patients in the outpatient department through telephone intervention.learned the patients’satisfaction from four dimensions,recorded patient’s opinions and suggestions,made rectification,and continued to analyze and rectify the problems that occurred again.According to the April 2016 dental doctor provides complete root canal treatment is needed after the crown were designed"dental treatment after follow-up repair registration form"Result:This time,the number of telephone satisfaction surveys of outpatient patients was450,the number of telephone answers was 360,and the correct rate of telephone was80%.From the four dimensions of doctor’s attitude,doctor’s technology,nurse’s service and registration fee,patients were scored,and four dimensions of outpatient satisfaction were analyzed.Statistical analysis(±s):Doctor technology 9.40±0.74;doctor’s attitude 9.36±0.73;nurse service 9.35±0.77;registration fee 8.93±0.98;(F=26.093;P<0.001).Compared to the doctor technology and registration fees,there were significant differences(t=7.665,P<0.001);compared with the doctors attitude and registration fees,there were significant differences(t=7.078,P<0.001);the nurse service registration fees and compared,there were significant differences(t=6.826,P<0.001);the doctor and nurse service compared,no significant difference(t=0.838,P=0.786);compared with the doctor nurse service attitude,no significant difference(t=0.252,P=0.801);the doctor compared with physicians attitude,no significant difference(t=0.586,P=0.804)All patients received 195 suggestions and comments,the first telephone intervention(April 2016-9 months)received various suggestions and comments 128,environment and hardware on the 19.44%patients with outpatient opinions,16.67%of the patients believed that should strengthen the health education,16.11%patients that waiting a long time;project quality control group.After analyzing the causes of the problems,with one by one in the rectification,second telephone intervention(October2016-March 2017),received various suggestions and comments 67,of which 11.11%of the patients that waiting a long time;10.99%of the patients were expensive;4.34%of the patients that need to further improve the environment and hardware.Through statistical analysis,compared with the environment and hardware problems with significant difference(χ~2=17.853,P<0.001);health education questions with significant difference(χ~2=22.552,P<0.001);long waiting time problems compared to no significant difference(χ~2=0.196,P=0.658)The first telephone intervention(April 2016-September),oral outpatient branch root canal treatment compliance after repair was 42.04%,second times of telephone intervention(October 2016-March 2017)the root canal treatment compliance after repair was 72.86%,by statistical analysis:after root canal treatment differences between the telephone intervention compliance with significant crown restoration meaning.(xχ~2=80.581,P<0.001)There were significant differences in the satisfaction of the self paid patients and the non self paid patients(χ~2=7.225,P=0.007).Conclusion:1.Through questionnaire survey of telephone satisfaction of outpatients,it is helpful to find out weak links and provide reliable basis for management.Help stomatology hospital to make clear the development goal and direction,improve the service content and improve the service quality.It is an economical,practical and effective management means.2.It is suggested that hospitals should not only strengthen the quality of service management in clinical departments,but also strengthen the monitoring of service quality,strengthen the sense of service and improve the service level.3.With the increasing demand for oral health,the expectation of stomatological hospital service has been raised,and higher service contents and methods are required.Telephone intervention can provide convenient service for extended nursing service to the vast number of patients.4.Oral diagnosis and treatment projects need more at their own expense,compared with non self paid patients at their own expense,the satisfaction is low.To improve the satisfaction of patients at their own expense.5.Suggested that public hospitals need to strengthen the input and management of environment and hardware to meet the needs of patients.6.Dental clinic in addition to specialist operation complex,strong operation,but also should strengthen the appointment registration management at the same time,the use of information technology,for each second visits to patients for a period of appointment.effectively shorten the patient’s visiting time.7.Telephone intervention enhanced the oral health knowledge of patients,achieved the continuity of health education,and was not limited by the place.It is a health education way to realize the doctor-patient communication and socialization.8.Telephone intervention can significantly improve the compliance of root canal therapy,and telephone intervention can also be applied to many stomatological specialist medical quality control checks,and there is still a lot of room for study.For example,complete denture telephone follow-up satisfaction survey,extraction after tooth repair compliance,root canal treatment pain,periodontal treatment compliance survey and so on.Through the improvement of compliance,it can reduce the possibility of medical disputes.