Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution.
Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution.
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DOI：
10.4103/ijdr.ijdr_734_16
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发表时间：
2018-09-01
期刊：
影响因子：
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通讯作者：
Folayan, Morenike Oluwatoyin
中科院分区：
文献类型：
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作者：
Fatusi, Olawunmi Adedoyin;Ogunbodede, Eyitope;Folayan, Morenike Oluwatoyin
背景：该研究调查了尼日利亚一家三级医院儿童的常见牙科疾病。转诊模式也被确定，以了解有多少患者在访问三级hospital.METHODS：所有0-15岁的儿童在牙科医院，Obafemi Awolowo大学教学医院综合体，Ile-Ife，尼日利亚在4年的时间内被列入研究。从他们的病例记录中检索的信息，包括转诊模式，提出投诉，诊断和治疗，从患者的病例记录中提取。治疗计划，在这三级医院看到的患者分为初级，二级和三级health-care services.RESULTS：共有1,866名儿童寻求治疗超过4年的时间在这三级医院，其中1715（91.9%）寻求治疗，而不从较低层次的护理转诊。只有102名（5.4%）儿童从初级卫生保健（PHC）中心转介。675名（36.2%）儿童出现疼痛，502名（26.9%）儿童参加了“检查”。“此外，779名（41.8%）儿童被诊断出患有牙周病（包括牙龈炎），539名（28.9%）儿童被诊断出患有龋齿。最常见的治疗方法是洁治和抛光，并辅以口腔卫生指导。只有5%的儿童在这三级卫生设施需要专门的口腔卫生保健服务提供的三级health-care institutions.CONCLUSIONS：口腔卫生保健的范围需要和服务提供的患者谁访问了这三级医疗机构可以有效地提供在一个初级或二级口腔卫生保健服务中心。在奥逊州，口腔保健与初级保健服务的结合程度很低，这给三级保健机构提供非专业口腔保健服务带来了负担。
BACKGROUND: The study investigated the common dental conditions of children seen in a Nigerian tertiary hospital. The referral patterns were also determined to know how many of the patients had sought care at the lower levels of health before visiting a tertiary hospital.METHODS: All the children aged 0-15 years seen at the Dental hospital, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 4-year period were included in the study. Information retrieved from their case notes including patterns of referral, presenting complaints, diagnosis, and treatment were extracted from the case records of the patients. Treatment plans for patients seen at this tertiary hospital were categorized into primary, secondary, and tertiary health-care services.RESULTS: A total of 1,866 children sought treatment over a 4-year period at this tertiary hospital of which 1715 (91.9%) sought treatment without referral from lower levels of care. Only 102 (5.4%) children were referred from primary health care (PHC) centers. Six hundred and seventy-five (36.2%) children presented with pain while 502 (26.9%) attended for a "check-up." Furthermore, 779 (41.8%) children were diagnosed with periodontal disease (including gingivitis) and 539 (28.9%) with dental caries. Scaling and polishing with oral hygiene instruction was the most common treatment recommended. Only 5% of children seen at this tertiary health facility required specialized oral health-care services provided by tertiary health institutions.CONCLUSIONS: The range of oral health care needed and service provided by and for patients who visited this tertiary health-care institution can be effectively provided in a primary or secondary oral health-care delivery center. The poor integration of oral health care into PHC services in Osun State burdens the tertiary health-care institutions to provide nonspecialized oral health-care services.