Hallberg Ulrika, Klingberg Gunilla
Nordic School of Public Health, Göteborg, Sweden.
Eur J Oral Sci. 2005 Oct;113(5):363-8. doi: 10.1111/j.1600-0722.2005.00238.x.
Good collaboration between medical and dental care is essential to provide not only good oral health care, but also more holistic care for children with disabilities. The aim was to explore and describe medical health care professionals' assessments and considerations of orofacial problems and treatment needs in children with disabilities and in their families. In-depth interviews focusing on orofacial function were carried out with 17 medical health care employees. Interviews were transcribed verbatim and analysed in open and focused (selective) coding processes according to grounded theory. A core category was identified and named focusing on basic needs, showing that oral health care assessment was not on the agenda of medical health care professionals, but was instead viewed as a responsibility of parents or dentists. This study shows that oral health issues are not fully integrated in the medical care of children with disabilities. The omission of oral health issues from the medical agenda implies a risk of oral health problems in children with disabilities. To put the oral cavity and oral health on the medical agenda, dentists need to influence the undergraduate training of medical professionals and to initiate co-operation with the medical care system.
医疗与牙科护理之间的良好协作不仅对于提供优质的口腔保健至关重要，对于为残疾儿童提供更全面的护理也必不可少。其目的是探索和描述医疗保健专业人员对残疾儿童及其家庭的口面部问题和治疗需求的评估与考量。对17名医疗保健员工进行了聚焦于口面部功能的深入访谈。访谈内容逐字记录，并根据扎根理论在开放和聚焦（选择性）编码过程中进行分析。确定并命名了一个核心类别，即聚焦基本需求，这表明口腔保健评估不在医疗保健专业人员的议程上，而是被视为家长或牙医的责任。本研究表明，口腔健康问题在残疾儿童的医疗护理中并未得到充分整合。医疗议程上遗漏口腔健康问题意味着残疾儿童存在口腔健康问题的风险。为了将口腔及口腔健康纳入医疗议程，牙医需要影响医学专业人员的本科培训，并启动与医疗护理系统的合作。
