New South Wales Department of Health and School of Public Health and Community Medicine, University of New South Wales.
Health Promot J Austr. 2011 Apr;22(1):17-21. doi: 10.1071/he11017.
Reorienting primary care dental services towards prevention is a priority for improving the oral health of Australian children with extensive dental caries. We explored the attitudes and beliefs of dental staff about the factors that helped or hindered the establishment and implementation of a hospital-based parent counselling program to manage existing, and prevent new, carious lesions in children. A further aim was to explore the influence of the program on the hospital's reorientation to prevention.
Eight of nine program staff participated in two focus group interviews, and two co-ordinating staff participated in semi-structured interviews. Interviews were audio-recorded and transcribed. Interview recordings and transcripts were analysed by qualitative thematic analysis.
The participants identified a number of factors that they felt influenced the establishment and implementation of the program, including the dental team's support of the initiative, the advantages of building on existing clinic infrastructure and procedures, the utility of harnessing dental assistants as a resource for oral health promotion, and the confidence of dental professionals to provide parent counselling.
Efforts to establish a preventive program in a public paediatric dental service should ensure that all members of the dental team are engaged during all phases of the program, that dental assistants are trained and supported to deliver parent counselling, and that interprofessional partnerships with services such as dietetics are fostered.
将初级保健牙科服务重新定位为预防是改善澳大利亚广泛患有龋齿的儿童口腔健康的优先事项。我们探讨了牙科工作人员对有助于或阻碍在医院设立并实施家长咨询计划以管理现有和预防新龋病的因素的态度和信念。另一个目的是探讨该计划对医院向预防方向重新定位的影响。
9 名项目工作人员中的 8 名参加了两次焦点小组访谈，2 名协调工作人员参加了半结构化访谈。访谈进行了录音并记录下来。访谈录音和记录通过定性主题分析进行了分析。
参与者确定了一些他们认为影响该计划的建立和实施的因素，包括牙科团队对该计划的支持、利用现有诊所基础设施和程序的优势、利用牙科助理作为口腔健康促进资源的效用，以及牙科专业人员提供家长咨询的信心。
在公共儿科牙科服务中建立预防计划时，应确保牙科团队的所有成员都在计划的所有阶段参与，培训和支持牙科助理提供家长咨询，并与饮食等服务建立专业间的合作伙伴关系。
