"You Get Beautiful Teeth Down There": Racial/Ethnic Minority Older Adults' Perspectives on Care at Dental School Clinics.
"You Get Beautiful Teeth Down There": Racial/Ethnic Minority Older Adults' Perspectives on Care at Dental School Clinics.
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DOI：
10.21815/jde.017.085
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发表时间：
2017-11-01
影响因子：
2.3
通讯作者：
Wolff, Mark S
中科院分区：
文献类型：
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作者：
Northridge, Mary E;Schenkel, Andrew B;Wolff, Mark S
为了帮助消除报告的种族/民族和社会经济不平等的口腔卫生保健，听取种族/少数民族的老年人对他们的经验与牙科学校诊所的观点是必要的。本研究的目的是检查经验的非裔美国人，波多黎各人，和多米尼加老年人谁参加高级中心在上曼哈顿，纽约市，关于在牙科学校诊所接受护理。焦点小组从2013年到2015年进行了194个种族/少数民族的男性和女性年龄在50岁及以上的生活在上曼哈顿。所有24个焦点小组会议都进行了数字音频记录和转录分析。以西班牙语进行的小组讨论首先用西班牙语转录，然后翻译成英语。使用主题内容分析法对记录誊本进行了分析。与这些成年人对牙科学校诊所的积极体验相关的数据中有七个子主题：优秀的结果和牙医，无痛和安全的治疗，负担得起的护理，诚实和信誉，学生培训的好处，接受和帮助，以及家人和朋友的推荐。负面的经验集中在四个次主题：治疗所需的多次访问，由于使用技术，不方便的位置，以及医疗补助的耻辱感，人际沟通的损失。这项研究提供了新的证据，主要是积极的经验与牙科学校的种族/少数民族高级中心的与会者。针对组织和提供者层面的干预措施，包括组织动机，资源，员工属性，气候和团队合作加上支付计划和服务，保险和负担能力，以及提供者和系统层面的支持，可以改善医疗保健流程和患者的护理体验。
To help eliminate reported racial/ethnic and socioeconomic inequities in oral health care, listening to the perspectives of racial/ethnic minority older adults on their experiences with dental school clinics is needed. The aim of this study was to examine the experiences of African American, Puerto Rican, and Dominican older adults who attend senior centers in upper Manhattan, New York City, regarding the care received at dental school clinics. Focus groups were conducted from 2013 to 2015 with 194 racial/ethnic minority men and women aged 50 years and older living in upper Manhattan. All of the 24 focus group sessions were digitally audiorecorded and transcribed for analysis. Groups conducted in Spanish were transcribed first in Spanish and then translated into English. Analysis of the transcripts was conducted using thematic content analysis. Seven subthemes were manifest in the data related to these adults' positive experiences with dental school clinics: excellent outcomes and dentists, painless and safe treatment, affordable care, honest and reputable, benefits of student training, accepting and helpful, and recommended by family and friends. Negative experiences centered around four subthemes: multiple visits required for treatment, loss of interpersonal communication due to use of technology, inconvenient location, and perceived stigma with Medicaid. This study provided novel evidence of the largely positive experiences with dental schools of racial/ethnic minority senior center attendees. Interventions targeted at the organization and provider level, including organizational motivation, resources, staff attributes, climate, and teamwork plus payment programs and services, insurance and affordability, and provider- and system-level supports, may improve health care processes and patient experiences of care.