关于将牙风险评估纳入原住民儿童初级保健的建议
O O Olatosi1,2,3, R J Schroth1,2,3,4,5, D DeMaré1,3
1Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
JDR clinical and translational research
|September 19, 2025
概括
曼尼托巴省的非医疗初级保健提供者支持将加拿大虫风险评估 (CRA) 工具用于土著儿童的整合. 建议侧重于系统支持,文化安全,家庭教育以及改善儿童口腔健康的政策变化.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 土著健康土著健康
背景情况:
- 幼儿 (ECC) 是一个重要的公共卫生问题,特别是在土著人群中.
- 将口腔健康查整合到初级保健机构中,为早期干预和预防提供了一个有希望的途径.
- 加拿大空风险评估 (CRA) 工具有潜力提高早期发现和管理幼儿空风险.
研究的目的:
- 探索实施和整合加拿大虫风险评估 (CRA) 工具到曼尼托巴的第一民族和梅蒂斯儿童的初级保健中的战略.
- 收集非医疗初级保健提供者 (NDPCPs) 关于CRA工具采用的促进者和障碍者的观点.
- 为培养在土著社区儿童口腔健康促进的文化安全和有效方法的发展提供信息.
主要方法:
- 使用了一种探索性定性研究设计.
- 50名NDPCP为6岁以下的土著儿童提供护理,来自曼尼托巴各地的不同社区.
- 通过焦点小组和关键信息人采访收集数据,然后使用诱导方法进行主题分析.
主要成果:
- 出现了四个关键主题:加强初级保健系统 (培训,EMR整合,激励),建立信任和文化安全的联系 (尊重关系,解决接入障碍),教育和参与家庭 (可访问材料,可信的道),并倡导政策变化 (计费代码,降低糖).
- 国家发展计划代表表示支持CRA工具整合,强调需要系统支持,文化响应实践和政策调整.
- 参与者强调了解决运输和口腔卫生用品供应等实际障碍的重要性.
结论:
- 曼尼托巴省的NDPCP可以将CRA工具整合到土著儿童的儿科初级保健中.
- 该研究为CRA实施提供了实际的路线图,强调需要加强培训,在文化上安全的参与和支持性政策制定.
- 这些发现对于减少口腔健康差异和改善服务不足人群中儿童早期空预防至关重要.
相关概念视频
Assessment of the Mouth
1.1K
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
1.1K
Preventive Healthcare Services
1.9K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.9K
Primary Healthcare Services
2.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.0K
Coronary Artery Disease V: Interprofessional Care
215
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
215
Assessment of apical pulse
1.9K
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
1.9K
Acute Coronary Syndrome IV: Interprofessional Care
220
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
220


