AlKindi N A, Nunn J
Ministry of Health, DGHS Muscat, P.O. Box 1497, Muscat, 111 Oman.
Child and Dental Public Health, Dublin Dental University Hospital, Lincoln Place, Dublin 2, Ireland.
Br Dent J. 2016 Apr 22;220(8):401-6. doi: 10.1038/sj.bdj.2016.296.
Access to health services is a right for every individual. However, there is evidence that people with disabilities face barriers in accessing dental health. One of the reasons associated with this is the unclear referral pathway existing in the Irish dental health service. The appropriate assignment of patients to relevant services is an important issue to ensure better access to healthcare. This is all the more pertinent because there are only a few trained dental practitioners to provide dental treatment for people with disabilities, as well as even fewer qualified specialists in special care dentistry.
The aim of this part of the study was to assess the use of the BDA Case Mix Model to determine the need for referral of patients to specialist dental services, and to determine any association between patient complexity and the need for adjunct measures, such as sedation and general anaesthesia for the management of people with disabilities and complex needs.
A retrospective analysis of dental records using the BDA Case Mix Model.Results The results showed that patients with different levels of complexities were being referred to the special care dentistry clinic at the Dublin Dental University Hospital. The results also showed that the need for supportive adjunct measures such as sedation and general anaesthesia was not necessarily the main reason for referring patients to specialist services. The assessment with the BDA Case Mix Model was comprehensive as it looked at many factors contributing to the cases' complexity. Not all categories in the Case Mix Model had significant association with the need for an adjunct.Conclusion The BDA Case Mix Model can be used to measure the need for supportive adjunct measures, such as sedation and general anaesthesia.
获得医疗服务是每个人的权利。然而，有证据表明残疾人在获得口腔健康服务方面面临障碍。造成这种情况的原因之一是爱尔兰口腔健康服务中存在不明确的转诊途径。将患者合理分配到相关服务机构是确保更好地获得医疗保健的一个重要问题。鉴于只有少数经过培训的牙科医生为残疾人提供牙科治疗，以及特殊护理牙科方面合格的专家更少，这一点就显得尤为重要。
本研究这一部分的目的是评估使用英国牙科协会病例组合模型来确定患者转诊至专科牙科服务的需求，并确定患者病情复杂性与辅助措施需求之间的关联，例如为残疾人和有复杂需求的人进行镇静和全身麻醉管理。
使用英国牙科协会病例组合模型对牙科记录进行回顾性分析。
结果显示，不同复杂程度的患者被转诊至都柏林牙科大学医院的特殊护理牙科诊所。结果还表明，镇静和全身麻醉等支持性辅助措施的需求不一定是将患者转诊至专科服务的主要原因。英国牙科协会病例组合模型的评估很全面，因为它考虑了许多导致病例复杂性的因素。病例组合模型中的并非所有类别都与辅助需求有显著关联。
英国牙科协会病例组合模型可用于衡量镇静和全身麻醉等支持性辅助措施的需求。
