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对有特殊医疗需求的儿童进行常规牙科护理的障碍
Jean Marie Star1, Alain Flores1, Erick Leyva1
1Department of Orofacial Sciences, University of California San Francisco, San Francisco, California, USA.
概括
特殊医疗需求 (SHCN) 的儿童面临着日常牙科护理的障碍. 解决提供者培训,态度和可访问性的问题对于公平获得预防性牙科服务至关重要.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 特殊医疗需求 (SHCN) 的儿童往往需要复杂的牙科治疗.
- 常规的预防性牙科护理对整体健康至关重要,但对SHCN种群来说可能具有挑战性.
研究的目的:
- 识别阻碍SHCN儿童获得常规预防性牙科护理的障碍.
- 探索影响护理后恢复性牙科治疗在全身麻醉下 (GA) 的因素.
主要方法:
- 混合方法方法结合电子病历审查和护理人员的定性访谈.
- 分析人口统计数据,并确定与护理接入障碍和支持者相关的主题.
主要成果:
- 接受GA治疗的近30%的儿童患有SHCN,最常见的是神经发育障碍.
- 障碍包括儿童焦虑,提供者接受/态度和交通.
- 有效的行为管理,提供者连续性和积极的态度是推动因素.
结论:
- 对于患有SHCN的儿童来说,公平地获得常规牙科护理,需要经过适当培训的当地提供者.
- 积极的提供者态度和有效的沟通是克服接入挑战的关键.
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