医疗 - 牙科整合:将银二胺化物应用于初级保健中的障碍 儿童健康访问
Raisa N Deretti1, Courtney Vannah2, Linda D Boyd3
1Massachusetts College of Pharmacy and Health Sciences, Forsyth School of Dental Hygiene Boston, MA, USA.
将银二胺化物 (SDF) 整合到初级保健保健儿童访问中的障碍包括系统,教育和工作流的挑战. 解决这些问题可以改善医疗牙科整合 (MDI) 和儿童的口腔健康.
科学领域:
- 口腔健康 口腔健康
- 儿科初级护理专业的儿童初级护理
- 公共卫生 公共卫生
背景情况:
- 牙损是儿童最常见的慢性疾病.
- 美国预防服务工作组建议将口腔健康纳入初级保健.
- 银二胺化物 (SDF) 是一种最少侵入性的预防服务.
研究的目的:
- 确定将SDF整合到初级保健中的障碍.
- 从初级保健医生 (PCP) 和非医疗专业人员的角度探索障碍.
- 为未来的医疗牙科整合 (MDI) 干预提供建议.
主要方法:
- 现象学的定性研究.
- 12名PCP和非医疗专业人员的有目的样本.
- 虚拟的半结构面试和主题分析.
主要成果:
- 在四个领域出现了九个障碍主题:系统,教育,工作流程和提供者的看法.
- 具体障碍包括医疗保健系统的批准,计费/编码,缺乏口腔健康教育,培训,时间限制,提供者短缺以及对SDF的看法.
- 确定了十项建议,以帮助未来的MDI努力.
结论:
- 这项研究提供了对阻碍SDF融入初级保健的障碍的见解.
- 建议可以指导SDF整合倡议的开发和实施.
- 这些发现突出了牙科卫生师在协作跨专业护理中的机会.
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