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ортодонтической护理的医疗必要性:一个定性研究
D Richmond1, H Benzian2, J Daskalogiannakis1
1Graduate Orthodontics, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.
JDR clinical and translational research
|July 18, 2025
概括
医疗必要的正牙护理 (MNOC) 涉及牙科,医疗,心理社会和资金因素,这使得简单的定义变得困难. 一个全面的决策过程确保了那些有证明需要的人公平地获得正义牙科治疗.
科学领域:
- 口腔卫生政策 口腔卫生政策
- 医疗保健服务研究 医疗服务研究
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 全球推动全民健康覆盖 (UHC) 引发了包括牙科护理在内的问题.
- 定义医疗必要的正统牙科护理 (MNOC) 对口腔健康的资源配置至关重要.
- 目前MNOC的标准缺乏共识,影响了公共和私人医疗保健计划.
研究的目的:
- 从不同利益关方的角度确定决定MNOC的因素.
- 探索牙科领导者,学者,临床医生,资助者和患者的观点.
- 收集来自七个高收入国家的见解:加拿大,美国,德国,希腊,英国,瑞士,澳大利亚.
主要方法:
- 使用半结构化虚拟访谈进行定性描述性设计.
- 采访是在2021年11月至2022年8月期间通过Zoom进行的.
- 字面转录被编码并根据主题进行分析.
主要成果:
- 16次采访显示,MNOC是通过四个相互关联的类别来理解的.
- 这些类别包括牙科 (健康,目标,需求评估),医疗 (必要性,系统健康,异常),心理社会 (美容,社会功能,心理健康) 和资金 (资源配置,目标).
- 复杂性突出牙科专业人员,资助者,社会和患者之间的相互作用.
结论:
- 对于一个简单的定义或固定的标准来说,MNOC太复杂了.
- 纳入关键利益相关者的观点的决策过程提高了透明度和公平性.
- 这种方法确保了对正义牙科护理的公平资源分配,改善了患者的健康和生活质量.
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