Oral health care for patients with developmental disabilities: A survey of Michigan general dentists
Oral health care for patients with developmental disabilities: A survey of Michigan general dentists
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DOI：
10.1111/scd.12303
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发表时间：
2018-09-01
影响因子：
1.4
通讯作者：
Chen, Kelvin
中科院分区：
文献类型：
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作者：
Byrappagari, Divesh;Jung, Youngjin;Chen, Kelvin
AimsThe本研究的目的是检查获得牙科保健在密歇根州的个人与DD的水平，并探讨牙医的做法，态度，和感知障碍，提供照顾这个弱势population.Methods和resultsA调查邮寄到一个随机样本的1250个一般牙科医生在密歇根州的积极许可证。该调查包括与牙医的人口统计信息有关的问题，关于意愿的意见，障碍以及与向发育障碍儿童和成人提供护理相关的培训需求。计算描述性统计量，卡方检验和逻辑回归模型分析预测因子和关键结局变量之间的关联。结果表明，大多数牙医治疗的个人与发展障碍（80.3%）。受访者表示，他们目前不治疗这些患者确定的行为管理的病人（67.9%），培训和经验不足（52.4%）和严重程度的病人的病情（41.7%）作为最常见的原因，不提供护理的个人发育disability.ConclusionA大多数密歇根州的一般牙医治疗患者的发育障碍。解决培训和改善报销等障碍可能有助于增加愿意治疗发育障碍患者的牙医数量。
AimsThe aim of this study to examine the level of access to dental care in Michigan for individuals with DD and explore the dentists' practices, attitudes, and perceived barriers to providing care to this vulnerable population.Methods and resultsA survey was mailed to a random sample of 1250 general dental practitioners with an active license in the State of Michigan. The survey included questions related to dentists' demographic information, opinion about willingness, barriers, and training needs associated with delivering care to children and adults with developmental disabilities. Descriptive statistics were computed and chi-squared tests and logistic regression models analyzed the association between predictor and key outcome variables. Results show that most dentists treated individuals with developmental disabilities (80.3%). Respondents who indicated that they currently do not treat these patients identified behavior management of patient (67.9%), inadequate training and experiences (52.4%) and severity of patient's condition (41.7%) as the most common reasons for not providing care to individuals with developmental disabilities.ConclusionA majority of Michigan general dentists treat patients with developmental disabilities. Addressing barriers like training and improved reimbursements might help in increasing the number of dentists willing to treat patients with developmental disabilities.