两个长期护理机构的异步远程牙科计划:爱荷华州的虚拟牙科家庭试点项目
Jennifer E Hartshorn1, Pamela C Nwachukwu1, Tessa Heeren2
1Department of Preventive and Community Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.
使用远程牙科的虚拟牙科家庭 (VDH) 计划改善了长期护理居民的口腔健康. 该试点项目成功提供了预防性牙科服务,并建立了牙科院,以改善居民护理.
科学领域:
- 老年学是指老年学的学科.
- 牙科公共卫生 牙科公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 长期护理机构 (LTCF) 的老年人经常经历口腔健康不佳和有限的牙科护理.
- 实施创新解决方案对于应对老年人群中这些挑战至关重要.
研究的目的:
- 为两个LTCF的居民实施和评估一个虚拟牙科家庭 (VDH) 计划.
- 评估异步远程牙科和移动牙科设备在为这一群体提供牙科服务方面的有效性.
主要方法:
- 在两个LTCF中进行了为期6个月的纵向队列试点研究.
- 牙卫生师和牙医使用异步远程牙科进行现场诊断和预防服务.
- 收集和分析了居民人口统计,口腔健康状况和收到的服务的数据.
主要成果:
- 活跃未经治疗的牙损伤的牙中位数显著减少 (p = .01).
- 与基线相比,停止的显著增加 (p = .02).
- 在基线观察到的未经治疗的虫 (92%) 和严重的牙炎症 (64%) 的高患病率.
结论:
- 爱荷华州的VDH试点项目成功地为LTCF居民建立了牙科家庭.
- 异步远程牙科有效地提供了预防和疾病控制牙科服务.
- VDH模型展示了一种可行的方法来改善服务不足的老年人口腔保健.
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