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在健康儿童访问中,局部化物涂漆应用的障碍和促进因素
S A Gill1, D Ho2, S Veldheer2
1The Wright Center for Community Health and its affiliate entity, The Wright Center for Graduate Medical Education, Scranton, PA, USA.
JDR clinical and translational research
|June 17, 2025
概括
由于时间和工作流的问题,初级保健中局部化漆 (TFV) 的应用较低. 改善TFV使用需要优化工作流程,加强教育,以及更好的团队合作,以预防幼儿.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 家庭医学 家庭医学 家庭医学
背景情况:
- 牙损是美国最常见的儿童慢性疾病.
- 局部化漆 (TFV) 是一种有效的预防措施,用于早期儿童,被批准用于初级保健机构.
- 国家TFV申请率较低,不到10%的符合条件的儿童在一个学术家庭医学小组的健康儿童访问期间获得了TFV.
研究的目的:
- 评估临床医生报告的在学术家庭医学环境中对TFV应用的障碍和促进因素.
- 确定需要提高质量的领域,以增加TFV的使用率.
- 为更好地将TFV纳入常规儿科预防护理的战略提供信息.
主要方法:
- 一个探索性的顺序设计被用来开发一个29项调查.
- 该调查评估了临床医生的知识,态度以及对TFV应用的感知障碍/促进者.
- 数据来自大西洋中部学术卫生中心的门诊家庭医学临床医生,并使用单变形描述统计数据进行分析.
主要成果:
- 在163名符合条件的临床医生中,有93人 (57%) 完成了调查.
- 最常见的促进者是预先提供TFV供应 (92%),其次是护理人员的患者教育 (84%).
- 主要障碍包括时间限制 (61%) 和相信牙医提供TFV (47%). 高级实践临床医生希望更多的实践培训,而居民则寻求有关资格和计费的刷新. 主治医生指出,家长教育的时间不足.
结论:
- 与工作流程和教育相关的障碍对TFV在家庭医学中的应用有重大影响.
- 诸如专业间工作流程优化,预期规划和增强的EHR文档等策略可以解决这些障碍.
- 需要采取质量改善举措,以有效地将TFV整合到常规儿科护理中,以改善早期儿童虫病的预防.
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