Perceptions and attitudes toward performing risk assessment for periodontal disease: a focus group exploration.
Perceptions and attitudes toward performing risk assessment for periodontal disease: a focus group exploration.
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DOI：
10.1186/s12903-018-0550-2
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发表时间：
2018-05-21
期刊：
影响因子：
2.9
通讯作者：
Schleyer T
中科院分区：
文献类型：
--
作者：
Thyvalikakath T;Song M;Schleyer T
目前，临床医生可以使用许多风险评估工具来评估患者的牙周病风险。大量研究表明这些工具在促进预防性管理和减少牙周病发病率方面具有潜力。尽管取得了这些令人鼓舞的结果，但大多数人接受护理的单独和小组牙科诊所尚未广泛采用风险评估工具，这主要是由于缺乏对这些环境的研究。本研究的目的是通过焦点小组探讨这些环境中牙科服务提供者对基于风险的护理的知识、态度和信念。我们与 52 名牙医和牙科保健员进行了六次焦点小组会议，他们在宾夕法尼亚州匹兹堡和纽约市 (NYC) 进行单独和小组练习。经验丰富的主持人和记录员主持了六场会议，每场会议有 8-10 名参与者，持续约 90 分钟。所有会议均进行录音并逐字转录。两名研究人员对焦点小组的笔录进行了编码。他们使用主题分析方法审查编码结果，以确定重要主题并选择最能描述每个主题的代表性摘录。医疗服务提供者坚信，识别风险因素可以预测牙周病，并利用这些信息来改变患者的行为。成功的风险评估工具可以帮助他们教育和改变患者的行为，以采取健康的生活方式，从而使他们能够在患者的整体健康中发挥重要作用。然而，为了实现这一目标，必须教育所有牙科服务提供者而不仅仅是牙医进行风险评估并将结果转化为患者的可行建议。据研究参与者称，研究界更多地关注将研究结果转化为风险评估工具，而不是关注临床医生在患者接触过程中如何使用这些工具以及它是否会影响患者的风险或结果。牙医愿意将风险评估作为常规护理，并在患者的整体健康中发挥更大的作用。克服主要障碍的建议包括对各级牙科服务提供者进行教育、对其在现实环境中的采用和使用进行更多研究以及开发适当的报销模式。本文的在线版本 (10.1186/s12903-018-0550-2) 包含补充材料，可供授权用户使用。
Currently, many risk assessment tools are available for clinicians to assess a patient’s periodontal disease risk. Numerous studies demonstrate the potential of these tools to promote preventive management and reduce morbidity due to periodontal disease. Despite these promising results, solo and small group dental practices, where most people receive care, have not adopted risk assessment tools widely, primarily due to lack of studies in these settings. The objective of this study was to explore the knowledge, attitudes, and beliefs of dental providers in these settings toward risk-based care through focus groups. We conducted six focus group sessions with 52 dentists and dental hygienists practicing in solo and small group practices in Pittsburgh, PA and New York City (NYC), NY. An experienced moderator and a note-taker conducted the six sessions, each including 8–10 participants and lasting approximately 90 min. All sessions were audio-recorded and transcribed verbatim. Two researchers coded the focus group transcripts. Using a thematic analysis approach, they reviewed the coding results to identify important themes and selected representative excerpts that best described each theme. Providers strongly believed identifying risk factors could predict periodontal disease and use this information to change their patients’ behavior. A successful risk assessment tool could assist them in educating and changing their patient’s behaviors to adopt a healthy lifestyle, thus enabling them to play a major role in their patients’ overall health. However, to achieve this goal, it is essential to educate all dental providers and not just dentists on performing risk assessment and translating the results into actionable recommendations for patients. According to study participants, the research community has focused more on translating research findings into a risk assessment tool, and less on how clinicians would use these tools during patient encounters and if it affects a patients’ risk or outcome. Dental practitioners were open to performing risk assessment as routine care and playing a bigger role in their patients’ overall health. Recommendations to overcome major barriers included educating dental providers at all levels, conducting more research about their adoption and use in real-world settings and developing appropriate reimbursement models. The online version of this article (10.1186/s12903-018-0550-2) contains supplementary material, which is available to authorized users.
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影响因子：
6.7
作者：
Lang, Niklaus P.;Suvan, Jean E.;Tonetti, Maurizio S.
通讯作者：
Tonetti, Maurizio S.
影响因子：
3.6
作者：
Mertz, Elizabeth;Bolarinwa, Olumide;White, Joel
通讯作者：
White, Joel
影响因子：
4.3
作者：
Eke PI;Dye BA;Wei L;Slade GD;Thornton-Evans GO;Borgnakke WS;Taylor GW;Page RC;Beck JD;Genco RJ
通讯作者：
Genco RJ
DOI：
10.1016/s1532-3382(12)70002-7
发表时间：
2012-09-01
期刊：
The journal of evidence-based dental practice
影响因子：
--
作者：
Kye, Wayne;Davidson, Robert;Engebretson, Steven
通讯作者：
Engebretson, Steven
影响因子：
3.6
作者：
Mullins, Joanna M.;Even, Joshua B.;White, Joel M.
通讯作者：
White, Joel M.