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为荷兰年轻患者提供口腔保健服务的纵向模式:一项观察性研究
Riët Hummel1,2, Joost den Boer1,3, Geert van der Heijden1
1Department of Oral Public Health (OPH), Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
PloS one
|February 23, 2024
概括
一般牙医 (GDP) 为年轻患者提供各种预防和治疗护理. 这项研究揭示了GDP之间显著的治疗差异,突出了儿科牙科护理的潜在不一致性.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 儿科牙科 儿科牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一般牙医 (GDPs) 在儿童患者的预防和治疗护理方面表现出差异.
- 这种变化可能是由于患者牙风险和最佳护理的专业意见不同.
- 纵向分析允许对GDP护理模式进行比较,并识别治疗变化.
研究的目的:
- 分析GDPs为年轻患者提供的纵向预防和治疗护理模式.
- 随着时间的推移,对患者的脏病风险概况进行分类.
- 根据提供的口腔保健服务 (OHS) 来识别和评估GDP之间的治疗变化.
主要方法:
- 利用了提供给年轻患者 (2013-2017年) 的OHSGDP纵向数据.
- 分析了4-5年定期接受OHS的患者的数据.
- 将患者分为预防性护理模式 (没有,偶尔,定期) 和治疗性护理模式 (没有,一年,几年).
- 基于两个2年期间接受的治疗,分类纵向的风险概况.
主要成果:
- 最常见的联合护理模式是没有治愈,偶尔或定期预防 (35.8%).
- 在研究期间 (45.2%) 开始和结束时,最常见的纵向的风险概况是低风险.
- 在牙科诊所和虫风险概况中,观察到关怀模式的分布有显著的差异.
结论:
- 在儿童口腔保健方面,国内生产总值之间存在大量的治疗差异.
- 在特定的治疗护理模式和提供的预防护理之间没有明确的关系.
- 观察到的多样性表明潜在的过度或不足治疗,表明护理提供不合理的变化.
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