Meyer Beau D, Lee Jessica Y, Lampiris Lewis N, Mihas Paul, Vossers Sarah, Divaris Kimon
Pediatric dental resident, Department of Pediatric Dentistry, School of Dentistry, and graduate student, Department of Health Policy and Management, Gillings School of Global Public Health, at the University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA;, Email:
Distinguished professor and chair, Department of Pediatric Dentistry, and a professor, Department of Health Policy and Management, Gillings School of Global Public Health, at the University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA.
Pediatr Dent. 2017 May 15;39(3):209-214.
The purpose of this mixed-methods study was to examine pediatric emergency dental trends in two safety net clinics and care-seeking experiences of young children's caregivers.
Administrative data were used to describe and compare emergency first visits of children ages zero to six years in a community-based (CC) and a University-based (UC) safety net clinic from 2010 to 2014. In-person interviews were conducted with 11 caregivers of children ages zero to six presenting for nontrauma-related emergency visits at the UC from January to August 2016. Interviews were transcribed verbatim, coded, and analyzed inductively using Atlas. ti.7.5.9.
The UC experienced significantly more emergency first visits (33 percent) than the CC (five percent, P<0.001), and the majority of these UC visits were referrals. Caregivers were dissatisfied with the experienced barriers of access to care and lack of child-centeredness, specifically the referral out of the dental home for emergency dental care.
A considerable proportion of children's first visits at dental safety net clinics was emergency related. Children's caregivers voiced issues related to access to care and lack of child-centered care. Discordance was apparent between how professional organizations define the dental home and how caregivers experience it in the context of emergency care.
这项混合方法研究的目的是调查两家安全网诊所的儿科急诊牙科趋势以及幼儿看护者的就医经历。
利用行政数据描述和比较2010年至2014年期间社区诊所（CC）和大学诊所（UC）中零至六岁儿童的首次急诊就诊情况。2016年1月至8月，对在UC诊所进行非创伤性急诊就诊的11名零至六岁儿童的看护者进行了面对面访谈。访谈内容逐字记录、编码，并使用Atlas.ti.7.5.9进行归纳分析。
UC诊所的首次急诊就诊量（33%）显著高于CC诊所（5%，P<0.001），且UC诊所的大多数就诊都是转诊。看护者对就医过程中遇到的障碍以及缺乏以儿童为中心的服务不满意，特别是在急诊牙科护理时被转诊出牙科之家。
在牙科安全网诊所，相当一部分儿童的首次就诊是与急诊相关的。儿童看护者提出了与就医机会和缺乏以儿童为中心的护理相关的问题。专业组织对牙科之家的定义与看护者在急诊护理背景下的体验之间存在明显差异。
