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基层医疗卫生机构口腔医疗服务供给现状调查分析OA

Investigation and Analysis on the Current Situation of Oral Medical Service Provision in Primary Healthcare Institu-tions

中文摘要英文摘要

目的:系统评估我国基层医疗卫生机构口腔医疗服务供给现状与问题,为提升基层口腔服务能力、满足群众就医需求提供参考.方法:于2025年9~10月,采用分层抽样法选取全国东、中、西部地区6省54市的6528家基层医疗卫生机构开展调研,收集口腔科设置、医师配置、服务开展类型及服务量等相关数据,运用x2检验、非参数检验、方差分析及二元Logistic回归分析进行统计学处理.结果:调查机构口腔科设置率为40.64%,呈现社区卫生服务中心(61.45%)高于乡镇卫生院(32.93%)、东部地区(71.29%)远高于西部地区(24.45%)的特征.仅35.60%的机构配备了口腔执业(助理)医师,20.40%的机构有中级及以上口腔执业医师,西部地区该占比仅8.06%.基层口腔医疗服务以急性牙周炎(82.12%)、口腔炎(72.73%)等基础病种及简单填充术(25.06%)、根管充填术(22.06%)等常规技术操作为主,窝沟封闭(14.94%)、可摘义齿修复术(11.08%)等预防、修复类项目开展率偏低.二元Logistic回归分析显示,区域分布、机构类型、卫生技术人员数、实际开放床位数均对基层医疗机构是否设置口腔科有显著影响.结论:我国基层口腔医疗服务发展已取得一定成效,许多基层医疗卫生机构实现了 口腔诊疗服务从无到有的突破.但总体而言,基层口腔医疗服务能力仍存在明显短板,整体水平较为薄弱,存在中高级职称人才短缺、服务供给结构单一、区域与城乡差距显著等问题.建议从优化资源配置、强化人才引育、丰富服务供给模式等方面综合施策,补齐基层口腔服务短板,提升服务能力与可及性,助力健康中国建设及医疗卫生强基工程推进.

Objective To evaluate the current status and problems of oral health service provision in Chinese primary medical institutions,and provide evidence for improving primary oral health services.Methods From September to October 2025,a strati-fied sampling survey was conducted among 6,528 primary medical institutions in 6 provinces.Data on department establishment,personnel allocation,service provision types and volume were collected and analyzed using chi-square test,nonparametric tests,ANOVA and binary logistic regression.Results The establishment rate of oral department was 40.64%,with significantly regional and urban-rural disparities.Only 35.60%of institutions were equipped with licensed(assistant)dentists,and 20.40%had in-termediate or higher-level dentists,which was only 8.06%in western regions.Basic oral services were dominated by basic treat-ments and conventional technical operation,while preventive and restorative services were insufficient.Binary logistic regression showed that region,institution type,number of health technicians and actual open beds all had significant impacts on the estab-lishment of dental departments.Conclusion Primary oral health services have made initial progress,in which many institutions have achieved breakthrough,but there still have many problems,such as shortages of medium and senior professional talents,sin-gle service structure and uneven regional development.Strategies should be taken to optimize resource allocation,strengthen talent training and improve service capacity and accessibility,which can improve the construction of Healthy China.

彭博;张小娟

中国医学科学院北京协和医学院,医学信息研究所,北京 100020中国医学科学院北京协和医学院,医学信息研究所,北京 100020

医药卫生

基层医疗卫生机构口腔医疗服务服务供给资源配置

primary healthcare institutionsoral health servicesservice provisionresource allocation

《中国卫生事业管理》 2026 (8)

864-869,956,7

北京社会科学基金项目"北京医联体建设成效、困境与改进策略研究"(24JCC126)国家卫健委托项目"'优质服务基层行'开展情况及社区医院建设分析"(20240055)

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