Watkins Catherine, Ettinger Ronald L, Cowen Howard, Qian Fang, Dawson Deborah V
Department of Prosthodontics, College of Dentistry, University of Iowa, Iowa City, IA, USA.
Spec Care Dentist. 2012 Nov-Dec;32(6):251-8. doi: 10.1111/j.1754-4505.2012.00281.x.
This study investigated the frequency of Iowa dentists' provision of in-office and out-of-office dental care for people who are homebound, as well as comparing the practice and educational characteristics among dentists who did and did not provide care for patients who were homebound. The authors mailed a survey form to all licensed dentists on the Iowa State Health Professional license database (n = 1,168), excluding pediatric dentists and orthodontists. A second mailing was sent to all nonrespondents four months later, resulting in 638 returned forms for a 54.6% response rate. The questionnaire included two outcome responses associated with the treatment in the dentist's office or in the patient's home for patients who are homebound. About 40% of Iowa dentists reported providing care in the office to patients who are homebound, but care outside of the office was provided by fewer dentists (6%) who had more years of practice experience. These results suggest an increased sense of professional or community responsibility among these older Iowa dentists. Education efforts may increase homebound care and more involvement of younger dentists.
本研究调查了爱荷华州牙医为居家患者提供诊所内和诊所外牙科护理的频率,并比较了为居家患者提供护理和未提供护理的牙医之间的执业和教育特征。作者向爱荷华州卫生专业人员执照数据库中的所有持牌牙医(n = 1168)邮寄了一份调查问卷,不包括儿科牙医和正畸医生。四个月后,又向所有未回复者发送了第二份问卷,共收到638份回复,回复率为54.6%。问卷包括与为居家患者在牙医诊所或患者家中进行治疗相关的两个结果回复。约40%的爱荷华州牙医报告在诊所为居家患者提供护理,但诊所外护理由较少的牙医(6%)提供,这些牙医有更多年的执业经验。这些结果表明,这些年长的爱荷华州牙医的职业责任感或社区责任感有所增强。教育工作可能会增加居家护理,并让年轻牙医更多地参与其中。