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改善口腔卫生服务提供:从患者的角度看
Shamiso Chakaipa1,2, Pieter J Van Dam3, Sarah J Prior4
1Tasmanian School of Medicine, https://ror.org/01nfmeh72University of Tasmania, Hobart, TAS7000Australia.
Primary health care research & development
|December 1, 2025
概括
使用可拆卸全牙假牙 (RCD) 的公共牙科服务的患者因长时间等待和不良沟通而面临痛苦. 提高系统响应性和以患者为中心的护理对于更好的假牙康复体验至关重要.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 患者体验研究 研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 公共牙科系统对可拆卸全牙假牙 (RCD) 康复存在障碍,包括长时间的等待时间和访问问题.
- 虽然临床结果得到了记录,但患者在公共场合提供RCD服务的经验尚未得到充分研究.
- 了解患者的旅程对于提高公共卫生保健中的假牙护理质量至关重要.
研究的目的:
- 探索和理解患者在RCD服务交付方面的经验.
- 在澳大利亚塔斯马尼亚州的公共牙科卫生系统中识别障碍物和促进者.
- 为改善患者旅程和RCD康复整体服务质量提供信息.
主要方法:
- 采用构造主义立足理论 (CGT) 的定性研究.
- 25名在2017-2022年期间接受RCD的成年参与者被故意选择.
- 进行了深入的,半结构化的,面对面的采访,并根据CGT原则进行了分析.
主要成果:
- 由于长时间的等待时间和分散的护理,患者经历了情绪上的痛苦.
- 积极方面包括从业人员的专业性和同情心,但缺乏沟通和跨学科的护理协调.
- 改善的关键建议包括服务的分散化,卫生部门的整合以及患者自我管理的视觉辅助工具的使用.
结论:
- 患者叙述强调需要解决公共牙科服务中的延误,沟通缺口和分散的护理.
- 建议进行系统层面的改变,包括以患者为中心的方法,专业间的协作和加强的健康沟通.
- 实施这些变化可以显著改善RCD康复体验和患者的治疗结果.
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