军事和民用牙医治疗规划决策的比较:一个试点研究
Kelly J Buckshire1, Kraig A Vandewalle2, Jisuk Park3
1Comprehensive Dentistry, 31st Dental Squadron, Aviano AB 09603, Italy.
Military medicine
|October 25, 2024
概括
民间牙医比军事牙医更频繁地推正义牙科转诊和某些恢复性治疗. 军事牙医更有可能推密封剂,突出牙科治疗计划的实践差异.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 临床牙科 临床牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牙科的临床决策表现出差异,特别是在公共和私营部门之间.
- 了解这些差异对于军事牙科准备至关重要,影响诊断,治疗计划和护理.
研究的目的:
- 为了比较平民和军事牙科提供者之间的治疗规划建议.
- 识别诊断和治疗方法中的潜在差异.
主要方法:
- 来自2018年招聘监测研究 (n=1208) 的患者级数据的分析.
- 在民用和军事提供者之间比较治疗规划结果 (非侵入性,手术,口腔手术,转诊).
- 使用多变量和逻辑回归分析来检查牙级和患者级数据.
主要成果:
- 在民用牙医和军用牙医之间观察到治疗计划的显著差异 (P < .05).
- 民间牙医更有可能推正牙推,重矿化和直接修复,而不是皇冠.
- 军方牙医更有可能建议密封剂用于声音或牙表面的牙.
结论:
- 在民用和军事牙科提供者之间,治疗计划存在实质性的差异.
- 民事医疗服务提供者倾向于对正义牙科的转诊,再矿化,直接修复和第三牙提取.
- 军事供应商倾向于青密封剂,这表明需要进一步调查的独特实践模式.
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