在牙科不平等的深端
Morgan J Beeson1, Christopher R Vernazza2, Sarah L Sowden3
1Newcastle University Business School, Newcastle University, UK. morgan.beeson@newcastle.ac.uk.
British dental journal
|August 8, 2025
概括
服务于贫困社区的牙科实践面临着重大挑战. 建立由全科医生启发的"深端"网络,可以赋予这些牙科团队权力,并为弱势患者倡导.
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:
- 反向护理法不成比例地影响社会经济弱势社区及其在英格兰NHS内的牙科实践.
- 服务不足地区的医生面临着共同的挑战,反映了一般医疗实践中的挑战.
- "深端"概念起源于一般医疗实践,涉及患者和工作人员的倡导,学习和减少倦怠.
研究的目的:
- 建议建立英格兰普通牙医的"深层"网络.
- 根据患者的剥夺和英格兰NHS的CORE20PLUS5框架来定义牙科的"深端".
- 为牙科团队提供指导,帮助他们建立本地深端网络.
主要方法:
- 将"深层"的定义从一般医疗实践调整为牙科.
- 利用NHS商业服务局的行政数据来识别为最贫困患者服务的实践.
- 将牙科的"深端"定义为使用CORE20PLUS5框架的最多比例的贫困患者的10%合同.
主要成果:
- 英格兰牙科的"深端"是使用行政数据和CORE20PLUS5不平等框架来确定的.
- 该研究概述了深端网络在弱势地区的牙科团队中培养身份,倡导和行动的潜力.
- 为有兴趣建立本地深端网络的牙科团队提供指导.
结论:
- 深端网络提供了一个解决牙科诊所面临的独特挑战的模型,为社会经济弱势群体提供服务.
- 这些网络的建立可以加强对患者的宣传,并支持经历倦怠的牙医从业人员.
- 这个倡议可以推动英格兰服务不足社区的牙科护理改善.
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