关键词: 专科护理门诊；口腔门诊；护理人力资源；专科护士；跨区域医疗服务；港澳患者

Abstract: Objective: To evaluate the effectiveness of specialist oral nursing clinic in improving the healthcare experience of patients from Hong Kong and Macao, providing insights into addressing inefficiencies and complexities in cross-border medical services. Methods: In April 2023, a tertiary hospital in Shenzhen established specialist oral nursing clinic staffed by advanced practice nurses with prescribing authority. An innovative "hub-and-spoke" referral model was implemented, integrating resources from the central oral medical center and community health clinics to optimize care delivery. Key metrics including Hong Kong and Macao patient volume, waiting time, treatment completion rate, and satisfaction were compared at pre-intervention (January to March 2023) and post-intervention (January to March 2024) periods. Results: Post-intervention, the proportion of Hong Kong and Macao patients increased from 2.0% to 6.8%; median waiting time decreased from 40.16±17.39 minutes to 33.19±15.61 minutes; the treatment completion rate improved from 83.6% to 90.1%; patient satisfaction rose from 90.9% to 96.9%. The differences were statistically significant (all P<0.01). Conclusion: The specialist oral nursing clinic couples with the "hub-and-spoke" model streamlines cross-border care processes, enhances operational efficiency, and elevates patient satisfaction. This approach demonstrates innovation, scientific rigor, and replicability, offering a practical framework for collaborative healthcare resource utilization in the Guangdong-Hong Kong-Macao Greater Bay Area.

Key words: specialist nursing clinic; dental outpatient; nursing human resource; specialist nurse; cross regional medical service; Hong Kong and Macao patients