脊髓损伤退伍军人获得牙科护理:障碍和限制
Jonathan Lee1, Suha Muqeet1, Katherine Sherman1
1Spinal Cord Injury Department, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA.
The journal of spinal cord medicine
|October 1, 2025
概括
脊髓损伤 (SCI) 的退伍军人经常面临牙科护理的障碍,成本是一个主要问题. 确保获得牙科服务,包括财政援助和预防护理,对于他们的整体健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 牙科医学 牙科医学
- 康复医学 康复医学 康复医学
背景情况:
- 口腔卫生对于整体健康至关重要,可以预防全身性疾病.
- 脊髓损伤 (SCI) 对获得牙科护理可能带来独特的挑战,包括成本和物理障碍.
- 以前的研究表明,成本,身体障碍和牙科恐惧等障碍阻碍了SCI患者获得牙科护理的机会.
研究的目的:
- 评估SCI的退伍军人接受适当的牙科护理.
- 确定阻碍SCI退伍军人获得必要的牙科服务的具体障碍.
主要方法:
- 在例行医疗检查期间,在SCI的退伍军人中进行了一项横截面调查.
- 在克莱门特·扎布洛基退伍军人事务医疗中心从188名SCI退伍军人中收集了数据.
- 调查问题重点关注SCI后的牙科护理使用情况和感知障碍.
主要成果:
- 157名 (83.5%) 患有SCI的退伍军人报告说,他们在受伤后接受了牙科护理,主要是在非VA诊所.
- 牙科护理的主要障碍包括缺乏保险 (60.0%),成本 (30.0%) 和物理障碍 (6.7%).
- 牙科保险和VA牙科护理资格与接受护理的可能性更高有关,但大多数人缺乏这些.
结论:
- 种族,牙科保险和VA护理资格显著影响了SCI退伍军人获得牙科护理的机会.
- 财务限制仍然是主要障碍,反映了普通人口面临的挑战.
- 建议专注于早期干预,财政援助和预防性牙科策略的干预措施,以改善退伍军人的健康.
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