Nilchian F, Rodd H D, Robinson P G
Department of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield S10 2TA.
Br Dent J. 2009 Oct 10;207(7):E13; discussion 326-7. doi: 10.1038/sj.bdj.2009.856. Epub 2009 Oct 2.
Little is known about the delegation of care within skill mix in dentistry, therefore this study aimed to explore dentists' and dental care professionals' (DCPs') perceptions of factors that might influence the referral of paediatric patients to dental hygienists and therapists for fissure sealants.
Qualitative semi-structured interviews were conducted with 10 dentists and 10 DCPs. Qualitative content analysis of the interview transcripts was used to identify themes in the data.
A predominant view was that there were no characteristics that systematically influenced the referral of patients to DCPs to place fissure sealants. However, idiosyncratic factors were said to occasionally play a role. Structural factors included use of resources, payment and contracting systems and practice characteristics. Individual patient-related factors were parents' and patients' attitudes and patient characteristics. Dentist-related factors included dentists' preferences, perceptions of DCPs, their perceived role of DCPs and providing a service to patients.
This study has identified a variety of factors that may influence a dental practitioner's decision to refer child patients to DCPs for fissure sealant placement. However, these factors do not appear to be systematic.
对于牙科技能组合中的护理委托了解甚少，因此本研究旨在探讨牙医和牙科护理专业人员（DCPs）对可能影响将儿科患者转介给口腔卫生士和治疗师进行窝沟封闭的因素的看法。
对10名牙医和10名DCPs进行了定性半结构化访谈。对访谈记录进行定性内容分析以识别数据中的主题。
一个主要观点是，没有系统地影响患者转介给DCPs进行窝沟封闭的特征。然而，据说特殊因素偶尔会起作用。结构因素包括资源使用、支付和签约系统以及执业特征。与患者个体相关的因素是父母和患者的态度以及患者特征。与牙医相关的因素包括牙医的偏好、对DCPs的看法、他们对DCPs角色的认知以及为患者提供服务。
本研究确定了多种可能影响牙科从业者将儿童患者转介给DCPs进行窝沟封闭的决定的因素。然而，这些因素似乎并非系统性的。
