在年轻的美洲印第安人儿童及其照顾者中,流行前和最近的口腔和医疗保健利用情况
Steven D Barger1,2, Christine Kirby3, Heather Thomas4
1Department of Psychological Sciences, Northern Arizona University, Flagstaff, AZ, USA. Steven.Barger@nau.edu.
Journal of community health
|March 11, 2024
概括
美国印第安人 (AI) 儿童的预防性医疗保健在COVID后使用率增加,口腔健康检查显著增加. 人工智能护理人员报告说,由于大流行,延误的数量超过了成本障碍.
科学领域:
- 公共卫生 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:
- 美国印第安人 (AI) 儿童面临不成比例的高牙损伤率.
- 随着COVID-19大流行,医疗保健的准入受到破坏,人们对弱势群体的医疗服务持续性产生了担忧.
- 有限的数据存在于疫情后对AI儿童的预防性口腔卫生服务的恢复.
研究的目的:
- 评估COVID-19封锁后的年轻AI儿童 (0-5岁) 最近的预防性口腔和医疗保健使用情况.
- 将最近的利用率与COVID-19前的水平和国家估计进行比较.
- 检查护理人员报告的医疗保健获取障碍.
主要方法:
- 对152名成年人工智能照顾0-5岁儿童的照顾者进行调查.
- 评估了12个月的预防性口腔和医疗保健服务,与老年儿童 (3-5岁) 的COVID前时期进行比较.
- 调查护理人员报告的延迟或放弃医疗保健的原因.
主要成果:
- 在3至5岁的儿童中,医疗 (90%) 和口腔 (78%) 医疗保健的利用率在过去一年很高.
- 口腔健康检查从COVID前的44%增加到去年的62%.
- 报告的预防性医疗 (99%) 和口腔护理 (96%) 使用率超过了国家估计.
- 更多的护理人员因COVID-19而延迟护理 (28-38%),而不是成本 (8-17%).
结论:
- 最近对年幼的AI儿童的预防性医疗保健使用似乎很强大,并且在锁定后的口腔和医疗服务之间是可比的.
- 尽管使用率很高,但与流行病相关的干扰影响了显著比例的护理人员获得护理.
- 研究结果表明,在这个人群中,潜在的弹性甚至增加了寻求预防护理的可能性.
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