儿科患者专科护理的完整性,缺勤率和可解决性:一个横截面研究
Daiana Back Gouvêa1, Matheus Neves2, Jonas de Almeida Rodrigues1
1Universidade Federal do Rio Grande do Sul, School of Dentistry, Pediatric Dentistry, Porto Alegre, RS, Brazil.
Brazilian oral research
|June 21, 2023
概括
巴西公共卫生中心 (CEO-UFRGS) 的儿科牙科护理缺勤率高与预约等待时间长有关. 建议改善获得专业牙科服务的机会,以减少错过的预约,并提高儿童的治疗完成率.
科学领域:
- 口腔健康 口腔健康
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
背景情况:
- 牙科专科中心 (CEOs) 在巴西统一卫生系统 (SUS) 中对二级口腔卫生保健至关重要.
- 儿童牙科不是CEO认证的强制要求,但CEO-UFRGS为3至11岁的儿童提供护理.
- 患者缺勤率对服务利用有重大影响,需要进行研究.
研究的目的:
- 分析CEO-UFRGS的儿科牙科护理的转诊模式.
- 为了确定儿科牙医预约的缺勤率和治疗解决率.
- 研究等待时间,缺勤率和治疗结果之间的关系.
主要方法:
- 一项回顾性横截面研究分析了2017年8月至2019年12月的167个转诊和96个医疗记录.
- 用SPSS软件收集和分析了转诊变量和治疗的数据.
- 二元逻辑回归确定了与预约缺席率和治疗可决性相关的因素.
主要成果:
- 主要的转诊原因是牙损伤和脉/腹膜疾病,往往具有具有挑战性的行为.
- 在儿童牙医的首次诊所中,缺勤率为28.1%.
- 治疗解决率达到了65.6%;每天的等待增加了0.3%的缺席机会和0.7%的不完整治疗机会.
结论:
- 专业儿科牙科护理的等待时间与缺勤率增加和治疗可决性降低有显著的相关性.
- 建议扩大对二级环境中的儿童牙科护理的公共政策.
- 改善接入和减少等待时间对于提高儿科口腔保健服务效率至关重要.
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