The oral health care experiences of NSW Aboriginal Community Controlled Health Services
The oral health care experiences of NSW Aboriginal Community Controlled Health Services
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DOI：
10.1111/1753-6405.12294
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发表时间：
2015-02-01
影响因子：
3.5
通讯作者：
Williams, Rodger
中科院分区：
文献类型：
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作者：
Campbell, Megan A.;Hunt, Jennifer;Williams, Rodger
目标：土著人继续经历不成比例的口腔疾病负担。土著社区可获得一系列口腔保健服务，包括由土著社区控制的保健服务提供的服务。本研究探讨了ACCHSs的口腔卫生保健经验和活动，为政策和计划决策提供信息。方法：混合方法，包括在线调查和半结构式访谈高级ACCHS工作人员，被使用。调查的领域包括口腔卫生保健的社区需求，口腔卫生保健模式，其他口腔卫生服务的可及性和提供口腔卫生保健的障碍。29名新南威尔士州ACCHSs参与了这项研究。结果如下：新南威尔士州ACCHSs在口腔卫生保健方面的活动是多样化的，反映了他们提供初级卫生保健的本地化方法。ACCHSs在提供口腔保健方面通常面临障碍，土著社区在获得其他口腔保健服务方面也是如此。结论：新南威尔士州ACCHSs是重要的，但未得到充分承认的一系列口腔健康服务的土著社区的提供者，并有能力提供这种护理作为其综合初级卫生保健模式的一部分。含义：ACCHS在改善土著人口腔健康方面的作用将通过更多地承认他们的贡献和专门知识以及制定响应社区需要的透明、长期的供资政策而得到加强。
Objectives: Aboriginal people continue to experience a disproportionately heavy burden of oral disease. A range of oral health services may be available to Aboriginal communities, including those provided by Aboriginal Community Controlled Health Services (ACCHSs). This study explored the oral health care experiences and activities of ACCHSs to inform policy and program decision making. Methods: Mixed methods, including an online survey and semi-structured interviews with senior ACCHS staff, were used. Areas of inquiry included perceived community need for oral health care, oral health care models, accessibility of other oral health services and barriers to providing oral health care. Twenty-nine NSW ACCHSs participated in the study. Results: The activities of NSW ACCHSs in oral health care are diverse and reflect the localised approaches they take to delivering primary health care. ACCHSs commonly face barriers in delivering oral health care, as do Aboriginal communities in accessing other oral health services. Conclusion: NSW ACCHSs are important but under-acknowledged providers of a range of oral health services to Aboriginal communities and are well placed to provide this care as part of their comprehensive primary health care model. Implications: ACCHS roles in improving Aboriginal oral health would be strengthened by greater acknowledgement of their contributions and expertise and the development of transparent, long-term funding policies that respond to community need.