Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey
Oral Health Opinions and Practices of Pediatricians: Updated Results From a National Survey
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DOI：
10.1016/j.acap.2014.07.001
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发表时间：
2014-11-01
影响因子：
3.1
通讯作者：
Keels, Martha Ann
中科院分区：
文献类型：
--
作者：
Quinonez, Rocio B.;Kranz, Ashley M.;Keels, Martha Ann
背景技术背景：专业指南和国家医疗补助政策鼓励儿科医生为年轻患者提供口腔健康筛查，预期指导和氟化物保护漆应用。由于口腔健康活动在医疗机构越来越普遍，本研究的目的是评估儿科医生对口腔健康的态度和做法，并检查自2008年以来的变化。方法：作为2012年定期调查的一部分，随机抽样调查了1638名美国儿科学会成员参与口腔健康促进活动的情况。使用单变量统计数据来检查儿科医生在出生至3岁患者中与筛查、风险评估、咨询和局部氟化物应用相关的态度、做法和障碍。结果：分析仅限于402名提供预防保健的儿科医生（占所有受访者的51%）。大多数受访者支持在医疗办公室提供口腔健康活动，但很少有人报告参与这些活动与大多数患者。明显更多的受访者同意他们应该使用氟化物保护漆（2008年，19%; 2012年，41%），但只有7%的受访者报告这样做，>75%的患者。虽然显着更多的受访者报告接受口腔健康培训，有限的时间，缺乏培训和计费仍然是提供这些service.CONCLUSIONS障碍：儿科医生继续有广泛的支持，但在临床实践中较少直接参与口腔健康活动。应检查现有的培训方法，以确定有效增加儿科医生参与口腔健康活动的方法。
BACKGROUND: Professional guidelines and state Medicaid policies encourage pediatricians to provide oral health screening, anticipatory guidance, and fluoride varnish application to young patients. Because oral health activities are becoming more common in medical offices, the objective of this study was to assess pediatricians' attitudes and practices related to oral health and examine changes since 2008.METHODS: As part of the 2012 Periodic Survey of Fellows, a random sample of 1638 members of the American Academy of Pediatrics was surveyed on their participation in oral health promotion activities. Univariate statistics were used to examine pediatricians' attitudes, practices, and barriers related to screening, risk assessment, counseling, and topical fluoride application among patients from birth to 3 years of age. Bivariate statistics were used to examine changes since 2008.RESULTS: Analyses were limited to 402 pediatricians who provided preventive care (51% of all respondents). Most respondents supported providing oral health activities in medical offices, but fewer reported engaging in these activities with most patients. Significantly more respondents agreed they should apply fluoride varnish (2008, 19%; 2012, 41%), but only 7% report doing so with >75% of patients. Although significantly more respondents reported receiving oral health training, limited time, lack of training and billing remain barriers to delivering these services.CONCLUSIONS: Pediatricians continue to have widespread support for, but less direct involvement with oral health activities in clinical practice. Existing methods of training should be examined to identify methods effective at increasing pediatricians' participation in oral health activities.