Marquillier Thomas, Trentesaux Thomas, Gagnayre Rémi
Sante Publique. 2017 Nov-Dec;29(6):781-792. doi: 10.3917/spub.176.0781.
Over recent years, therapeutic patient education has become part of dental medicine. Management of early childhood caries, known to be a very common chronic disease, has evolved to include an educational dimension. The objective of this study was to identify the levers and barriers to the development of formalized therapeutic education programmes and alternatives.
A comprehensive exploratory qualitative study was conducted between November 2015 and June 2016 on a targeted sample of 15 people aware of the problem of TPE in dentistry.
The study showed that TPE training in dentistry is underdeveloped, despite its numerous benefits: change of the healthcare professional's approach, implementation of structured educational programmes, development of research, etc. There are many obstacles to the development of TPE programmes: insufficient resources, rigid legislation or lack of knowledge of TPE practices. The dental profession is an obstacle itself because of its lack of understanding and variable degrees of integration the medical community. There are multiple levers, but the main ones are changing attitudes of the profession and the provision of resources to develop TPE. Although alternatives to TPE programmes exist (accompanying measures, short educational strategies, connected health), they cannot replace TPE.
More educational strategies must be developed in the field of dentistry. However, the framework of TPE must be adapted to the profession to ensure good uptake.
近年来，治疗性患者教育已成为牙医学的一部分。已知非常常见的慢性疾病——幼儿龋齿的管理已发展到纳入教育层面。本研究的目的是确定正规治疗性教育项目及替代方案发展的推动因素和障碍。
2015年11月至2016年6月，针对15名了解牙医学中治疗性患者教育问题的人员进行了一项全面的探索性定性研究。
研究表明，尽管牙医学中的治疗性患者教育培训有诸多益处，如改变医疗保健专业人员的方法、实施结构化教育项目、开展研究等，但该培训仍不发达。治疗性患者教育项目的发展存在许多障碍：资源不足、立法僵化或对治疗性患者教育实践缺乏了解。牙科行业本身也是一个障碍，因为其对医学界缺乏理解且整合程度不一。有多种推动因素，但主要的是改变行业态度和提供发展治疗性患者教育的资源。虽然存在治疗性患者教育项目的替代方案（辅助措施、短期教育策略、关联健康），但它们无法取代治疗性患者教育。
牙医学领域必须制定更多教育策略。然而，治疗性患者教育的框架必须适应该行业，以确保良好的接受度。
