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医疗机构如何为吉普赛游民群体提供便利就医途径。

How practices can facilitate access for the gypsy traveller community.

作者信息

Walshaw E G, Ireland A

机构信息

NHS North Central London Consultant in Dental Public Health.

出版信息

Br Dent J. 2017 Oct 27;223(8):607-609. doi: 10.1038/sj.bdj.2017.877.

Abstract

Gypsy travellers have poor health in comparison to the UK average. They may struggle to access emergency and routine dental care because of social, educational and cultural barriers. General dental practitioners can facilitate better oral health within the community by improving access, which may require some adaptation to conventional practice. This paper discusses the experiences of a practice within West Oxfordshire and highlights areas in which the authors have found small modifications to aid appointment attendance and patient motivation. Primary care dental practitioners come across a wide variety of patients from very diverse backgrounds. Following a year working in West Oxfordshire, one group of patients has particularly stood out - the travelling community. The term 'traveller' or 'gypsy' refers to 'persons who wander or travel for the purpose of making or seeking their livelihood (not persons who move from place to place without any connection between their movements and their means of livelihood)' and includes those who live permanently or temporarily in settled housing. There are many different socio-cultural groups within this broad definition, including Romany Gypsies, Irish Travellers, Scottish Travellers and Eastern European Roma Communities.

摘要

与英国平均水平相比,吉卜赛流浪者的健康状况较差。由于社会、教育和文化障碍,他们可能难以获得紧急和常规的牙科护理。普通牙科医生可以通过改善就医机会来促进社区内更好的口腔健康,这可能需要对传统做法进行一些调整。本文讨论了牛津郡西部一家诊所的经历,并强调了作者发现的一些小调整有助于预约就诊和提高患者积极性的领域。基层医疗牙科医生会遇到来自非常不同背景的各种各样的患者。在牛津郡西部工作一年后,有一类患者特别引人注目——流动社区。“旅行者”或“吉卜赛人”一词指“为了谋生而流浪或旅行的人(不包括那些在没有任何行动与谋生手段之间联系的情况下从一个地方搬到另一个地方的人)”,包括那些永久或临时居住在定居房屋中的人。在这个宽泛的定义中有许多不同的社会文化群体,包括罗姆吉卜赛人、爱尔兰流浪者、苏格兰流浪者和东欧罗姆社区。

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