在孕妇中识别牙科访问出席的模式:一个回顾性队列研究
Nisreen Al Jallad1, Samantha Manning2, Xinyue Mao2
1Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, New York.
AJPM focus
|March 24, 2025
概括
这项研究确定了孕妇三种牙科诊所出院率,揭示了种族和预约时间等因素影响出院率. 了解这些模式可以改善服务不足的孕妇获得牙科护理的机会.
科学领域:
- 公共卫生 公共卫生
- 牙科公共卫生 牙科公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 了解牙科护理利用是治疗坚持和结果的关键.
- 低收入社区的孕妇在获得牙科护理方面面临着独特的挑战.
- 这项研究重点关注这个弱势群体中寻求牙科护理的模式.
研究的目的:
- 评估低收入社区孕妇寻求牙科护理的模式.
- 确定影响牙医诊所出院率和不出院率的因素.
- 为改善孕妇获得口腔保健服务的战略提供信息.
主要方法:
- 分析了311名孕妇 (2019-2022) 的1111次牙医诊所.
- 采用基于模型的对纵向数据进行聚类,具有分类结果.
- 应用了受罚的通用线性混合效应模型来识别出勤率的决定因素.
主要成果:
- 确定了三个不同的参观模式:低需求/低风险 (85%的参观率),高需求/高风险 (57%) 和中等需求/高风险 (55%).
- 不出现率为38.8% (1111次访问中有432次).
- 种族,年龄,居住地,预约时间,COVID-19时代,治疗类型和之前的医疗访问影响了出席率.
结论:
- 一种创新的集群方法成功地确定了孕妇寻求牙科护理的模式.
- 研究结果表明,它可以应用于更广泛的人口统计学,以了解寻求医疗保健的行为.
- 识别可修改的因素对于提高牙医诊所的出席率和改善服务不足的孕妇口腔保健结果至关重要.
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