College of Dentistry, The Ohio State University, Columbus, OH, USA.
J Am Dent Assoc. 2013 Jun;144(6):645-53. doi: 10.14219/jada.archive.2013.0176.
The authors measured the awareness of the dental home concept among pediatric dentists (PDs) and general practice dentists (GPs) in Ohio and determined whether they included dental home characteristics for children 5 years and younger into their practices.
The authors sent a pretested 20-question survey to all Ohio PDs and to a random sample of approximately 20 percent of GPs in Ohio. The authors designed the survey to elicit information about dental home awareness and the extent to which dental home characteristics were incorporated into dental practices.
More than 90 percent of both GPs and PDs incorporated or intended to incorporate into their dental practices the specific dental home characteristics mentioned in 20 of 41 items related to dental home characteristics. Of the respondents who did not already incorporate dental home characteristics into their practices, however, most did not intend to do so. Less than 50 percent of respondents in both groups responded positively to some items in the culturally effective group, and GPs were less likely than were PDs to provide a range of behavior management services and to provide treatment for patients with complex medical and dental treatment needs. PDs were more likely than were GPs to accept Ohio Medicaid (64 versus 33 percent). PDs were more likely than were GPs (78 versus 18 percent) to be familiar with the term "dental home." More recent dental school graduates were more familiar with the term.
Most Ohio PDs' and GPs' practices included characteristics found in the definition of dental home, despite a general lack of concept awareness on the part of GPs. Research is needed to provide an evidence base for the dental home. Practical Implications. Once an evidence base is developed for the important aspects of the dental home and the definition is revised, efforts should be made to incorporate these aspects more broadly into dental practice.
作者在俄亥俄州测量了儿科牙医（PD）和普通科牙医（GP）对牙科家庭概念的认知，并确定他们是否将 5 岁及以下儿童的牙科家庭特征纳入他们的实践中。
作者向所有俄亥俄州 PD 以及俄亥俄州大约 20%的普通科牙医随机样本发送了一份预先测试的 20 个问题的调查问卷。作者设计了这项调查，以获取有关牙科家庭意识的信息，以及将牙科家庭特征纳入牙科实践的程度。
超过 90%的 GP 和 PD 将或打算将特定的牙科家庭特征纳入他们的牙科实践中，这些特征涉及到与牙科家庭特征相关的 41 个项目中的 20 个项目。然而，在那些尚未将牙科家庭特征纳入实践的受访者中，大多数人并不打算这样做。在文化有效组的一些项目中，不到 50%的受访者做出了积极回应，而且 GP 提供一系列行为管理服务和为有复杂医疗和牙科治疗需求的患者提供治疗的可能性低于 PD。PD 比 GP 更有可能接受俄亥俄州医疗补助（64%比 33%）。PD 比 GP（78%比 18%）更熟悉“牙科家庭”一词。最近毕业的牙科学校学生更熟悉这个术语。
尽管 GP 普遍缺乏概念意识，但大多数俄亥俄州 PD 和 GP 的实践都包括牙科家庭定义中发现的特征。需要进行研究为牙科家庭提供一个证据基础。实际意义。一旦为牙科家庭的重要方面建立了证据基础，并对定义进行了修订，就应该努力更广泛地将这些方面纳入牙科实践中。
