Opinions of Early Head Start staff about the provision of preventive dental services by primary medical care providers
Opinions of Early Head Start staff about the provision of preventive dental services by primary medical care providers
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DOI：
10.1111/j.1752-7325.2007.00052.x
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发表时间：
2008-06-01
影响因子：
2.3
通讯作者：
Rozier, R. Gary
中科院分区：
文献类型：
--
作者：
Mathu-Muju, Kavita R.;Lee, Jessica Y.;Rozier, R. Gary
目的：探讨早期学前教育（EHS）工作人员对在EHS中为儿童提供预防性牙科服务的医生和护士的看法。方法：对北卡罗来纳州EHS项目中与家庭有接触的EHS工作人员进行横断面调查。一份自我填写的调查问卷征求了他们的意见（同意，不同意，不知道）关于医生和护士是否可以“提供预防性牙齿护理”和“识别婴幼儿牙齿问题”。员工的知识（四个项目）和态度（五个项目）与员工是否有意见（同意/不同意与不知道）的关系进行了测试，如果有，意见是什么（同意与不同意）使用广义估计方程方法。结果：18个项目的476名员工（98%）完成了问卷调查（100%）。大多数员工认为医生和护士可以提供预防性牙科服务（66%）和识别牙齿问题（52%）。重视确保获得牙科保健和了解氟化物用途的工作人员更有可能发表意见。在有意见的工作人员中，那些熟悉NC方案的人更有可能同意医生和护士可以提供预防服务并识别问题。结论：虽然大多数EHS工作人员的意见不是使用初级医疗保健提供者提供预防性牙科保健的障碍，但需要对不熟悉这种方法的工作人员进行教育。
Objective: This study investigates the opinions of the Early Head Start (EHS) staff about physicians and nurses providing preventive dental services for children in EHS. Methods: A cross-sectional survey was undertaken of the EHS staff having contact with families in EHS programs in North Carolina (NC). A self-completed questionnaire solicited their opinions (agree, disagree, don't know) about whether physicians and nurses can "provide preventive dental care" and "identify dental problems" in infants and toddlers. Staff knowledge (four items) and attitudes (five items) were tested for their association with whether staff had an opinion (agree/disagree versus don't know) and if so, what that opinion was (agree versus disagree) using the generalized estimating equation method. Results: Questionnaires were completed by 476 staff (98 percent response) in 18 programs (100 percent response). The majority of staff believed that physicians and nurses can provide preventive dental services (66 percent) and identify dental problems (52 percent). Staff placing importance on ensuring access to dental care and who were knowledgeable about fluoride uses were more likely to have an opinion. Among staff with an opinion, those familiar with the NC program where these services are provided in medical offices were more likely to agree that physicians and nurses can provide preventive services and identify problems. Conclusions: Although the opinions of the majority of the EHS staff are not a barrier to using primary medical care providers to deliver preventive dental care, education is needed for staff who are unfamiliar with this approach.