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用安德森健康行为模型影响印度牙科护理服务利用的因素:系统性审查
Sapna Negi1, Ankita Mathur1, Elakeya Udhaya1
1Department of Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, 411018, India.
了解印度的牙科服务使用需要检查社会,经济和个人因素. 解决成本和恐惧等障碍对于改善所有印度人获得牙科护理的机会至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 牙科公共卫生 牙科公共卫生
背景情况:
- 印度的牙科服务利用受到社会,个人和上下文因素的复杂混合的影响.
- 公平获得牙科护理是关键目标,需要专注于预备和启用资源.
- 识别影响牙科服务模式的因素对于改善印度的口腔保健服务至关重要.
研究的目的:
- 确定影响印度人口中牙科服务利用模式的关键因素.
- 分析影响牙科护理寻求行为的倾向性,支持性和需要因素.
- 为制定有针对性的战略提供见解,以提高牙科服务的可访问性.
主要方法:
- 对印度牙科服务利用的定性,定量和混合方法研究的系统审查.
- 在PubMed/Medline,Embase和Scopus数据库中进行的搜索.
- 安德森健康行为模型用于评估;乔安娜·布里格斯的工具用于质量评估.
主要成果:
- 15项研究显示,社会人口统计学特征,恐惧和过去的负面经历是诱导因素.
- 收入,保险和设施的可用性被确定为牙科服务使用的促成因素.
- 感知到的口腔健康状况和症状是需要因素,而诸如医院接入和神话等上下文问题则构成了障碍.
结论:
- 安德森模型突出了印度牙科服务利用率的显著差异.
- 解决结构和行为障碍的有针对性的策略对于改善牙科服务的覆盖范围和有效性至关重要.
- 干预措施应侧重于克服社会经济,心理和系统性挑战,以加强口腔卫生保健的获取.
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