Sturrock A, Cussons H, Jones C, Woodcock C, Bird L
School of Pharmacy and Pharmaceutical Sciences, University of Sunderland.
Public Health Team, Durham County Council.
Br Dent J. 2017 Nov;223(7):521-525. doi: 10.1038/sj.bdj.2017.784. Epub 2017 Sep 15.
Introduction Poor oral health is a significant public health concern, costing the NHS in England £3.4 billion annually. Community pharmacies are easily accessible, frequently visited by patients and the community pharmacy contractual framework requires pharmacies to provide healthy living advice to patients - therefore offering a little explored avenue for the delivery of oral health interventions.Methodology A pilot oral health promotion intervention was introduced in five pharmacies in deprived areas of County Durham between September and December 2016. A mixed methods approach to the evaluation was performed, utilising a patient evaluation questionnaire and semi-structured qualitative interviews with pharmacy staff.Results One thousand and eighty-nine participants received the intervention. Following the intervention 72% of participants perceived their knowledge of oral health as much better, 66% definitely intended to change their oral health habits and 64% definitely thought a pharmacy was the right place to receive advice about oral health. Three themes emerged from the qualitative data: (1) intervention feedback, (2) knowledge gap and (3) service development.Discussion The data demonstrated the acceptability of patients to a community pharmacy based oral health intervention, with most patients reporting intentions to change their oral healthcare habits after receiving the intervention. Previous literature has identified a willingness of pharmacy staff to become involved with oral health; this study provides evidence that patients are also receptive to such services being delivered in the community pharmacy setting. Further work is required to assess the benefits of a community pharmacy based oral health intervention and the potential for further growth of this role.Conclusion A community pharmacy is perceived by patients as an acceptable provider of oral health interventions and has the potential to provide positive changes to the oral health of the population.
引言
口腔健康状况不佳是一个重大的公共卫生问题，每年给英国国家医疗服务体系（NHS）在英格兰造成34亿英镑的成本。社区药房易于到达，患者经常光顾，并且社区药房合同框架要求药房为患者提供健康生活建议——因此为开展口腔健康干预提供了一个尚未充分探索的途径。
方法
2016年9月至12月期间，在达勒姆郡贫困地区的五家药房引入了一项口腔健康促进试点干预措施。采用混合方法进行评估，使用患者评估问卷以及对药房工作人员进行半结构化定性访谈。
结果
1089名参与者接受了干预。干预后，72%的参与者认为他们的口腔健康知识有了很大提高，66%的人明确打算改变他们的口腔健康习惯，64%的人明确认为药房是获取口腔健康建议的合适场所。定性数据中出现了三个主题：（1）干预反馈，（2）知识差距，（3）服务发展。
讨论
数据表明患者对基于社区药房的口腔健康干预措施是可接受的，大多数患者表示在接受干预后打算改变他们的口腔保健习惯。以往文献已经确定药房工作人员愿意参与口腔健康工作；本研究提供了证据表明患者也接受在社区药房环境中提供此类服务。需要进一步开展工作来评估基于社区药房的口腔健康干预措施的益处以及这一角色进一步发展的潜力。
结论
患者认为社区药房是口腔健康干预措施的可接受提供者，并且有可能为民众的口腔健康带来积极改变。
