What proportion of dental care in care homes could be met by direct access to dental therapists or dental hygienists?
What proportion of dental care in care homes could be met by direct access to dental therapists or dental hygienists?
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DOI：
10.1038/sj.bdj.2015.919
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发表时间：
2015-12
影响因子：
2.6
通讯作者：
Morgan MZ
中科院分区：
文献类型：
--
作者：
Monaghan NP;Morgan MZ
背景 许多疗养院居民需要简单的牙科治疗，但由于需要额外的时间提供牙科护理而变得复杂。完全由卫生员或治疗师提供的护理比例尚不清楚。方法 2010 年威尔士牙科护理院调查数据中有关治疗需求和特殊护理技能水平的临床意见的数据与通用牙科委员会关于直接访问的指南进行了交叉引用。结果 护理院居民的治疗需求可以由全科牙科保健员或治疗师完全解决，分别有 22% 和 27% 的病例。如果有特殊护理经验，这些数字会增加到 43% 和 53%。讨论 护理院的很大一部分需求可以完全由卫生员或治疗师提供，特别是那些具有特殊护理经验的人。直接访问的潜在效率增益来自于个人在任何方面的护理方面都不需要去看牙医。应试点和评估直接向卫生员/治疗师提供护理之家居民的牙科护理。结论 卫生员和治疗师可以为满足疗养院居民的牙科治疗需求做出巨大贡献，直接访问可能是这种环境的有效护理模式。
Background Many care home residents require simple dental treatment which is complicated by the need for extra time to deliver dental care. The proportion of their care which could be delivered wholly by hygienists or therapists is unknown. Method 2010 Welsh dental care home survey data on clinical opinion of treatment need and special care skill level required was cross referenced with General Dental Council guidance on direct access. Results Care home residents treatment needs could be wholly addressed by a generalist dental hygienist or therapist for 22% and 27% of cases respectively. With special care experience these figures increase to 43% and 53%. Discussion A large proportion of need in care homes could be wholly provided by hygienists or therapists, especially those with special care experience. The potential efficiency gain of direct access arises from individuals who do not need to see a dentist for any aspects of their care. Direct access to hygienists/therapists for dental care of care home residents should be piloted and evaluated. Conclusion Hygienists and therapists could make a large contribution to addressing dental treatment needs of care home residents and direct access could be an efficient model of care for this setting.