McFarland K K, Nayar P, Chandak A, Gupta N
Creighton University, Omaha, NE, USA.
Department of Health Services Research & Administration, University of Nebraska Medical Center, Omaha, NE, USA.
Eur J Dent Educ. 2018 May;22(2):109-114. doi: 10.1111/eje.12265. Epub 2017 Mar 15.
The objective of this study was to conduct a formative evaluation of a teledentistry (TD) programme that was developed for a predominantly rural state in the Midwestern United States.
Formative evaluation data were collected on programme activities from the TD programme records. In addition, the effectiveness of the TD training programme was evaluated using a self-administered paper-based survey administered to the participants, immediately following completion of the training activity. Ninety-three dental students, oral health and other health professionals participated in the TD training programme.
Overall, the trainees rated the TD training programme highly, with regard to the content, format and skills improvement. The evaluation also demonstrated a positive change in all trainees' attitudes following the training sessions, with most trainees acknowledging a positive impact of the training on their knowledge and competency.
We identified challenges in the development of the TD programme and in expanding access to oral health care for rural communities. Challenges included reimbursement and a limited interest amongst established dental offices. Dental schools can play an important role in preparing both dental health professionals and other health professionals in the use of TD by providing training and oral health expertise. The use of TD by non-dental providers for consultation, referral and disease management has the potential to improve oral health outcomes, particularly for rural and underserved populations. Evaluation data provide critical feedback to programme planners and administrators.
本研究的目的是对为美国中西部一个以农村为主的州开发的远程牙科(TD)项目进行形成性评估。
从TD项目记录中收集关于项目活动的形成性评估数据。此外,在培训活动结束后,立即对参与者进行了一项基于纸质问卷的自我管理调查,以评估TD培训项目的有效性。93名牙科学生、口腔健康和其他卫生专业人员参加了TD培训项目。
总体而言,学员对TD培训项目在内容、形式和技能提升方面给予了高度评价。评估还表明,培训课程结束后,所有学员的态度都有积极变化,大多数学员承认培训对他们的知识和能力有积极影响。
我们确定了TD项目开发以及扩大农村社区口腔保健服务可及性方面的挑战。挑战包括报销问题以及现有牙科诊所兴趣有限。牙科学校可以通过提供培训和口腔健康专业知识,在培养牙科保健专业人员和其他卫生专业人员使用TD方面发挥重要作用。非牙科提供者使用TD进行咨询、转诊和疾病管理有可能改善口腔健康结果,特别是对农村和服务不足人群。评估数据为项目规划者和管理者提供了关键反馈。