Widström E, Tillberg A, Byrkjeflot L I, Stein L, Skudutyte-Rysstad R
Department of Clinical Dentistry, UiT The Arctic University of Norway, Tromsø, Norway.
National Institute for Health and Welfare (THL), Helsinki, Finland.
Int J Dent Hyg. 2018 May;16(2):e112-e119. doi: 10.1111/idh.12326. Epub 2017 Dec 13.
The purpose of this study was to describe community-based preventive interventions undertaken by the dental team outside the dental clinics in Norway, from the dental hygienists' and the dentists' perspective, with the main focus on target groups and existing guidelines and routines for these activities. A secondary aim was to identify the personnel responsible for developing the local guidelines and the knowledge sources for the guidelines.
With the assistance of the Chief Dental Officers in 15 Public Dental Service (PDS) regions, questionnaires were emailed to the local clinics (n = 421). In each, the most experienced dental hygienist and dentist were asked to respond; 215 dentists and 166 and dental hygienists responded (60%).
Almost 40% of the respondents reported that their clinic had guidelines on community-based activities conducted outside the clinics. Dental hygienists and local chief dentists were responsible for planning them. The main target groups were young children and the dependent elderly; the majority of the activities were carried out at child welfare centres and for personnel at nursing homes or for home care nurses.
At the regional and local level, a more strategic and coordinated approach to the provision of community-based activities is needed, including assessment of oral health needs among population groups. Continuous documentation and evaluation of results are necessary for optimal use of available resources and to facilitate an evidence-based approach.
本研究旨在从牙科保健员和牙医的角度描述挪威牙科团队在牙科诊所外开展的社区预防干预措施，主要关注目标群体以及这些活动的现有指南和常规做法。次要目的是确定负责制定当地指南的人员以及指南的知识来源。
在15个公共牙科服务（PDS）地区的首席牙科官员的协助下，向当地诊所（n = 421）发送了问卷电子邮件。在每个诊所中，要求经验最丰富的牙科保健员和牙医做出回应；215名牙医和166名牙科保健员做出了回应（60%）。
近40%的受访者报告称，他们的诊所对诊所外开展的社区活动有指南。牙科保健员和当地首席牙医负责规划这些活动。主要目标群体是幼儿和依赖他人的老年人；大多数活动在儿童福利中心开展，以及针对养老院工作人员或家庭护理护士。
在区域和地方层面，需要采取更具战略性和协调性的方法来提供社区活动，包括评估人群的口腔健康需求。持续记录和评估结果对于最佳利用现有资源以及促进循证方法是必要的。
