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歯科サービス提供者による口腔医療の提供における促進者及び課題の体系的な見直し
Sudheer Babu Balla1, Nikolaos Angelakopoulos2, Jyothi Tadakamadla1
1Dentistry and Oral Health, La Trobe Rural Health School, Bendigo, Australia.
Community dentistry and oral epidemiology
|September 3, 2025
まとめ
言語の障壁や全身的な問題により,口腔ケアを提供する歯科医は困難に直面しています. これに対処するには,文化に敏感な歯科サービスのための支援政策と制度能力の改善が必要です.
科学分野:
- 口腔衛生研究
- 医療サービス研究
- 医療における文化的能力
背景:
- 文化と言語の多様性 (CALD) の集団では 口腔の健康状態が悪い割合が高くなります
- CALD患者を治療する歯科医が直面する 支援者や課題の理解には 大きなギャップがあります
- この研究は,CALDコミュニティの歯科サービス提供に影響を与える要因を特定するために,体系的に文献をレビューします.
研究 の 目的:
- 文化と言語の多様性 (CALD) の患者に対する歯科サービスの提供におけるファシリテーターと課題に関する既存の文献を体系的にレビューする.
- CALDコミュニティへの口腔医療の提供に影響を与える個人,組織,および組織的要因を特定する.
- 文化的に敏感な口腔医療を改善するための洞察を提供すること.
主な方法:
- 6つの電子データベースの総合的な検索 (1985年1月〜2025年5月)
- 質的および定量的発見を統合するためのメタインテグレーションアプローチ
- ミックス・メソッド・アセスメント・ツール (MMAT) を用いた品質評価;データ組織のためのテーマ分析.
主要な成果:
- 様々な国からの13の研究 (3の定量研究,10の質研究) が含まれた.
- 個々の要因 (文化的な信念,言語の障壁) と組織的な硬直さによって課題が生じました.
- 制度レベルの問題には,政策のギャップ,不十分な異文化間の訓練,そして手頃な価格が含まれていました.
結論:
- 歯科医はCALDコミュニティに 医療を提供することに 大きな課題に直面しています
- 文化に敏感な口腔医療の提供は複雑で 支援的な環境が必要です
- 政策立案者はCALD患者のニーズを満たすための 施設の能力を強化しなければなりません
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