Pine Cynthia M, Adair Pauline M, Burnside Girvan, Nicoll Alison D, Gillett Angela, Borges-Yáñez S Aida, Broukal Zdenek, Brown John, Declerck Dominique, Ping Feng Xi, Gugushe Tshepo, Hunsrisakhun Jaranya, Lo Edward C M, Naidoo Sudeshni, Nyandindi Ursuline, Poulsen Vibeke Juul, Razanamihaja Noëline, Splieth Christian, Sutton Betty King, Soo Teo Choo, Whelton Helen
WHO Collaborating Centre on Oral Health in Deprived Communities, University of Liverpool Dental School, England, UK.
Community Dent Health. 2004 Mar;21(1 Suppl):112-20.
To explore whether dentists' beliefs and attitudes to providing preventive and restorative dental care for young children can form a barrier to the provision of care.
The Barriers to Childhood Caries Treatment (BaCCT) Questionnaire, a standardised international measure was developed and applied.
Through a research consortium, each site was asked to recruit 100 dentists. The sample participating was not intended to be nationally representative. Dentists were mainly randomly selected and contacted by mail with one or more mailings depending on site.
2,333 dentists in 14 countries and 17 sites participated. Factor analysis identified four factors as potential barriers. Two factors were found to be barriers in many sites. First, in most countries, dentists agreed that young children's coping skills limit their ability to accept dental care. Secondly, dentists with negative personal feelings, for example, that providing care can be stressful and troublesome and that they feel time constrained. Differences in dentists' beliefs can be partly explained by their work profile, with those treating children often, and those working under systems where they feel they can provide quality care being least likely to identify barriers to providing care for children.
The BaCCT Questionnaire was determined to be a valid psychometric measure. Separately, it was found that health systems do impact on dentists' ability to deliver preventive and restorative care for children but that these effects vary across countries and further work is needed to determine how best these should be examined.
探讨牙医对于为幼儿提供预防性和修复性牙科护理的信念和态度是否会成为提供护理的障碍。
开发并应用了《儿童龋齿治疗障碍（BaCCT）问卷》这一标准化国际测量工具。
通过一个研究联盟，要求每个地点招募100名牙医。参与样本并非旨在具有全国代表性。牙医主要是随机选取的，并根据地点进行一次或多次邮寄联系。
14个国家和17个地点的2333名牙医参与了研究。因子分析确定了四个因素为潜在障碍。在许多地点发现两个因素是障碍。首先，在大多数国家，牙医一致认为幼儿的应对技能限制了他们接受牙科护理的能力。其次，有负面个人感受的牙医，例如，认为提供护理会有压力和麻烦，并且他们感到时间紧张。牙医信念的差异部分可以由他们的工作概况来解释，经常治疗儿童的牙医以及在他们认为可以提供高质量护理的系统下工作的牙医最不可能认为为儿童提供护理存在障碍。
确定BaCCT问卷是一种有效的心理测量工具。另外，发现卫生系统确实会影响牙医为儿童提供预防性和修复性护理的能力，但这些影响因国家而异，需要进一步开展工作以确定如何最好地对此进行研究。
