Department of Diagnostic Sciences, New Jersey Dental School, University of Medicine, Newark, NJ 07103, USA.
J Am Dent Assoc. 2010 Jan;141(1):52-62. doi: 10.14219/jada.archive.2010.0021.
of previous studies demonstrated the effectiveness of chairside medical screening by dentists to identify patients at increased risk of experiencing cardiovascular-associated events. In this study, the authors assessed dentists' attitudes, willingness and perceived barriers regarding chairside medical screening in the dental office.
A national, random sample of U.S. general dentists was surveyed by mail by means of an anonymous questionnaire that involved a five-point Likert scale (1 = very important/very willing; 5 = very unimportant/very unwilling). Friedman nonparametric analysis of variance was used to compare response items within each question.
Of 1,945 respondents, most were male (82.3 percent), white (85.7 percent) and 40 to 60 years old (59.4 percent) and had practiced for more than 10 years (84.5 percent). The majority thought it was important for dentists to conduct screening for hypertension (85.8 percent), cardiovascular disease (76.8 percent), diabetes mellitus (76.6 percent), hepatitis (71.5 percent) and human immunodeficiency virus infection (68.8 percent). Respondents were willing to refer patients for consultation with physicians (96.4 percent), collect oral fluids for salivary diagnostics (87.7 percent), conduct medical screenings that yield immediate results (83.4 percent) and collect blood via finger stick (55.9 percent). Respondents were significantly more willing (P < .001) to collect saliva than height and weight measurements or blood via finger stick (mean ranks: 2.05, 2.96 and 3.05, respectively). Insurance was significantly less important (P < .001) than time, cost, liability or patients' willingness (mean ranks: 3.51, 2.96, 2.94, 2.83 and 2.77, respectively).
Dentists considered medical screening important and were willing to incorporate it into their practices. Additional education and practical implementation strategies are necessary to address perceived barriers.
The findings of this study regarding chairside medical screening may lead to changes in our approach to dental education and may help define the practice of dentistry in the future.
先前的研究表明，牙医通过椅旁医疗筛查来识别心血管相关事件风险增加的患者是有效的。在这项研究中，作者评估了牙医对在牙科诊所进行椅旁医疗筛查的态度、意愿和感知障碍。
通过邮寄匿名问卷对美国普通牙医进行了全国性的随机抽样调查，问卷涉及 5 点李克特量表（1=非常重要/非常愿意；5=非常不重要/非常不愿意）。采用 Friedman 非参数方差分析比较每个问题内的回答项目。
在 1945 名受访者中，大多数是男性（82.3%）、白人（85.7%），年龄在 40 至 60 岁之间（59.4%），且从业时间超过 10 年（84.5%）。大多数人认为牙医进行高血压（85.8%）、心血管疾病（76.8%）、糖尿病（76.6%）、肝炎（71.5%）和人类免疫缺陷病毒感染（68.8%）筛查很重要。受访者愿意将患者转介给医生咨询（96.4%）、收集口腔液进行唾液诊断（87.7%）、进行即时结果的医疗筛查（83.4%）和通过指尖采血（55.9%）。受访者明显更愿意（P<0.001）采集唾液，而不是身高、体重测量或指尖采血（平均排名：2.05、2.96 和 3.05）。保险的重要性明显低于时间、成本、责任或患者意愿（平均排名：3.51、2.96、2.94、2.83 和 2.77）。
牙医认为医疗筛查很重要，并愿意将其纳入实践。需要进一步的教育和实际实施策略来解决感知到的障碍。
这项关于椅旁医疗筛查的研究结果可能会改变我们对牙科教育的方法，并有助于定义未来的牙科实践。
