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基于社区的牙科合作关系:改善艾滋病毒/艾滋病感染者获得牙科护理的机会。

Community-based dental partnerships: improving access to dental care for persons living with HIV/AIDS.

作者信息

Mofidi Mahyar, Gambrell Alan

机构信息

Health Resources and Services Administration, HIV/AIDS Bureau, 5600 Fishers Lane, Room 7A-15, Rockville, MD 20857, USA.

出版信息

J Dent Educ. 2009 Nov;73(11):1247-59.

Abstract

Access to oral health care for persons living with HIV/AIDS is limited. Academic dental institutions can play a significant role in addressing the problem. The purpose of this article is to describe the design and impact of the Community-Based Dental Partnership Program (CBDPP), a federal program created to reduce dental care access disparities for persons living with HIV/AIDS through education and training of students and residents in underserved communities. CBDPP forms collaborations between participating dental education programs and community health organizations. Data for this report were drawn and analyzed from site visits, site visit reports, focus groups, and program data reports. In 2007, 4,745 individuals received oral health services through this program, an increase of 47 percent from 2004, the first year of full program operations. The number of dental providers who delivered oral health services grew from 766 in 2004 to 1,474 in 2007. Providers acquired skills, developed self-confidence, and overcame stereotypes in managing the oral health needs of persons living with HIV/AIDS. Community partners reported expanded dental care capacity to meet the unmet oral health needs of their service populations. CBDPP has had a positive impact on access to dental care and training of providers in HIV and oral health.

摘要

感染艾滋病毒/艾滋病者获得口腔保健服务的机会有限。学术性牙科机构在解决这一问题方面可发挥重要作用。本文旨在描述社区牙科合作项目(CBDPP)的设计与影响,该联邦项目旨在通过对服务欠缺社区的学生和住院医师进行教育与培训,减少感染艾滋病毒/艾滋病者在获得牙科护理方面的差距。CBDPP在参与的牙科教育项目与社区卫生组织之间建立合作关系。本报告的数据取自实地考察、实地考察报告、焦点小组以及项目数据报告,并进行了分析。2007年,4745人通过该项目获得了口腔保健服务,比2004年(项目全面运作的第一年)增长了47%。提供口腔保健服务的牙科医疗人员数量从2004年的766人增加到了2007年的1474人。医疗人员掌握了技能,增强了自信,并在满足感染艾滋病毒/艾滋病者的口腔保健需求方面克服了成见。社区合作伙伴报告称,其牙科护理能力有所提升,能够满足其服务人群未得到满足的口腔保健需求。CBDPP对获得牙科护理以及对医疗人员进行艾滋病毒与口腔健康方面的培训产生了积极影响。

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