Kerins Carolyn, Casamassimo Paul S, Ciesla David, Lee Yosuk, Seale N Sue
Department of Pediatric Dentistry, Baylor College of Dentistry, Texas A&M University Health Science Center, Dallas, TX, USA.
Pediatr Dent. 2011 Mar-Apr;33(2):107-12.
The purpose of this study was to use existing data to determine capacity of the US dental care system to treat children with special health care needs (CSHCN).
A deductive analysis using recent existing data was used to determine the: possible available appointments for CSHCN in hospitals and educational programs/institutions; and the ratio of CSHCN to potential available and able providers in the United States sorted by 6 American Academy of Pediatric Dentistry (AAPD) districts.
Using existing data sets, this analysis found 57 dental schools, 61 advanced education in general dentistry programs, 174 general practice residencies, and 87 children's hospital dental clinics in the United States. Nationally, the number of CSHCN was determined to be 10,221,436. The distribution, on average, of CSHCN per care source/provider ranged from 1,327 to 2,357 in the 6 AAPD districts. Children's hospital dental clinics had fewer than 1 clinic appointment or 1 operating room appointment available per CSHCN. The mean number of CSHCN patients per provider, if distributed equally, was 1,792.
The current US dental care system has extremely limited capacity to care for children with special health care needs.
本研究旨在利用现有数据确定美国牙科保健系统治疗有特殊医疗需求儿童（CSHCN）的能力。
采用演绎分析法，利用近期现有数据来确定：医院以及教育项目/机构中可能为CSHCN提供的预约服务；以及按美国儿科学会牙科分会（AAPD）的6个地区分类的美国CSHCN与潜在可用且有能力的提供者的比例。
通过现有数据集，该分析发现美国有57所牙科学院、61个普通牙科高级教育项目、174个全科住院医师项目以及87家儿童医院牙科诊所。在全国范围内，CSHCN的数量被确定为10,221,436人。在AAPD的6个地区，每个护理来源/提供者的CSHCN平均分布数量在1327至2357人之间。儿童医院牙科诊所为每个CSHCN提供的门诊预约或手术室预约少于1次。若平均分配，每个提供者的CSHCN患者平均数量为1792人。
当前美国牙科保健系统照顾有特殊医疗需求儿童的能力极其有限。
