通过3个医疗牙科整合模型在医疗访问中提供口腔健康服务
P A Braun1,2, C Flowerday1, A Bienstock2
1Denver Health and Hospital, Denver, CO, USA.
JDR clinical and translational research
|November 19, 2024
概括
医疗牙科整合 (MDI) 模型显著改善了社区卫生中心的预防性口腔健康服务 (POHS) 提供. 将牙科卫生师与医疗团队结合,显示小孩的POHS增加最大.
科学领域:
- 公共卫生 公共卫生
- 口腔健康 口腔健康
- 医疗保健整合 医疗保健整合
背景情况:
- 落基山口腔卫生网络由卫生资源和服务管理局 (2019-2024) 资助,探索社区卫生中心 (CHCs) 的医疗牙科整合 (MDI) 以预防.
- 实施了三种MDI模型:医疗团队提供预防性口腔卫生服务 (POHS),整合牙科卫生师 (DHs) 提供POHS,或混合方法.
研究的目的:
- 评估三种MDI模型对与POHS交付和0-40个月龄儿童的牙科转诊相关的关键目标的有效性.
- 目标包括:实现≥50%的POHS接收,高牙风险儿童≥75%的牙科转诊,以及≥30%的家长口腔健康目标设定.
主要方法:
- 四个州的22个CHC参与了其中,实施了三种MDI模型之一.
- 实践辅导员使用变化包指导医疗保健中心,并在6个月的时间内收集和分析每月的人口指标.
- 使用线性混合模型评估了随时间推移的POHS交付趋势,并根据符合条件的患者数量进行调整.
主要成果:
- 在22个CHC中,在2020年9月至2023年8月期间,提供了91,604个POHS.
- 在经过统计调整后,对所有三个目标都观察到随着时间的推移有显著的改善.
- 具体而言,POHS交付,高风险转诊和家长目标设定都显示了统计学上显著的积极趋势.
结论:
- 三种不同的MDI模型的实施导致了CHC内部POHS交付的显著增加.
- 涉及医疗团队和嵌入式牙科卫生师的模型展示了POHS交付中最实质性的改进.
- 研究结果为计划在综合环境中提供预防性口腔卫生服务的医疗保健提供者提供了宝贵的见解.
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