[家庭援助牙科项目：当前需求]
[Domiciliary assistance dental programs: a current demand].
作者信息
Gil Montoya J A, Subirá Pifarré C
机构信息
Facultad de Odontología, Universidad de Granada, Granada, Spain.
出版信息
Aten Primaria. 2004 Oct 31;34(7):368-73. doi: 10.1016/s0212-6567(04)79518-9.
INTRODUCTION
The growing demand of dental treatment by institutionalised and community-dwelling older adults has made necessary to develop and to evaluate domiciliary dental care programmes.
OBJECTIVE
Delivering and economic evaluation of comprehensive oral health care treatment to older adults living at home or in geriatric centres, with problems of transportation.
PROGRAM
A domiciliary dental care program in a nursing home and in a group of people receiving domiciliary care has been develop. During a 10 and 5 month period and working with 210 and 47 patients respectively, a dentist and hygienist treated the basic dental needs with portable instruments.
DISCUSSION
In spite of the advantages of those programmes, they have a lot of problems such as the economic costs (25,000 Euros in the nursing home and 16,700 in their own house), the dental treatment limitations and the few patients you can visit in one day. The development of domiciliary dental care treatment programmes suppose high economics cost that we must pay attention.
引言
机构化和社区居住的老年人对牙科治疗的需求不断增长，因此有必要制定和评估居家牙科护理计划。
目的
为居住在家中或老年中心、存在交通问题的老年人提供全面口腔保健治疗并进行经济评估。
项目
已在一家养老院和一组接受居家护理的人群中开展了一项居家牙科护理项目。在为期10个月和5个月的期间内，分别与210名和47名患者合作，一名牙医和一名口腔卫生员使用便携式器械满足基本牙科需求。
讨论
尽管这些项目有诸多优点，但也存在许多问题，如经济成本（养老院为25,000欧元，居家护理为16,700欧元）、牙科治疗限制以及一天内可就诊的患者数量较少。居家牙科护理治疗项目的开展意味着我们必须关注高昂的经济成本。
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