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目的对北京地区开展口腔正畸矫治的三级综合医院、区域医疗中心和民营口腔医院进行正畸矫治疗效评价工作,以便进一步改进口腔正畸医疗工作,提高正畸矫治质量。方法 2014年8月至12月,北京口腔医疗质量控制与改进中心组织相关专家制定出北京地区口腔正畸矫治疗效的评价标准,即采用专家主观评价和治疗标准(peer assessment rating,PAR)指数客观测量相结合的方法,对北京地区77家开展口腔正畸诊疗项目的三级综合医院、区域医疗中心和民营口腔医院的正畸病例矫治疗效进行综合评价,对各个医疗机构提交的正畸矫治前后的病例资料进行编号,主、客观评价均采用盲法。用SPSS19.0统计软件对评分结果进行分析。之后将此次正畸矫治疗效评价结果、改进意见和总结反馈给各医疗机构及卫生行政部门。结果在通知的77家医疗机构中,41家医疗机构提交了正畸病例资料,提交率53.2%。此次疗效评价工作共收到122份正畸病例,其中资料完整的病例共50份(占41%)。进行主客观评价的114份病例资料的评价总分均值为87.1分,表明绝大多数的提交病例正畸矫治疗效良好。在评价的40家医疗机构中,37家(92.5%)医疗机构的评价总分为80分以上。结论北京地区医疗机构对正畸病例资料的收集工作有待进一步加强。此次疗效评价工作中,绝大部分提交的正畸病例矫治效果良好,参与此次疗效评价工作的医疗机构的正畸矫治水平较高。
Objective To evaluate the effectiveness of orthodontic treatment in tertiary general hospitals, regional medical centers and private dental hospitals that carry out orthodontic treatment in Beijing in order to further improve orthodontic medical treatment and improve the quality of orthodontic treatment. Methods From August to December 2014, experts from Beijing Stomatological Quality Control and Improvement Center developed the evaluation criteria for orthodontic treatment efficacy in Beijing, using objective and objective assessment of peer assessment rating (PAR) index Measurement, a comprehensive evaluation of the curative effect of orthodontic cases in tertiary hospitals, regional medical centers and private dental hospitals in 77 dental orthodontic clinics in Beijing area was carried out. Before and after orthodontic treatment submitted by various medical institutions Case number of the number, the main, objective evaluation are blind. Scoring results were analyzed using SPSS19.0 statistical software. After the orthodontic treatment evaluation results, comments and summary feedback to the medical institutions and health administrative departments. Results Of the 77 medical institutions notified, 41 medical institutions submitted orthodontic data, with a submission rate of 53.2%. A total of 122 orthodontic cases were received in this evaluation, of which 50 were complete (41%). The subjective and objective evaluation of 114 cases of the evaluation of the average score was 87.1 points, indicating that the vast majority of cases submitted orthodontic treatment good effect. Out of the 40 medical institutions evaluated, 37 (92.5%) medical institutions rated the total score as 80 or more points. Conclusion The collection of orthodontic cases in medical institutions in Beijing needs to be further strengthened. The evaluation of the effectiveness of the work, the vast majority of orthodontic cases submitted to the correction effect is good, participate in the evaluation of the effectiveness of the medical institutions of orthodontic treatment is relatively high.