Hiwet Ephrem is Clinical Assistant Professor, University of Minnesota School of Dentistry; Karl D. Self is Associate Professor and Director, Division of Dental Therapy, University of Minnesota School of Dentistry; and Christine M. Blue is Associate Professor and Director, Division of Dental Hygiene, University of Minnesota School of Dentistry.
J Dent Educ. 2018 Sep;82(9):980-988. doi: 10.21815/JDE.018.093.
There is growing interest in developing more efficient, patient-centered, and cost-effective models of dental care delivery using teams of professionals. The aims of this small pilot study were to assess the number of patient visits, type and number of procedures performed, and clinic revenues generated by an intraprofessional team of dental, dental hygiene, and dental therapy students and to determine the students' and patients' perceptions of this model of care. Sixteen senior students from three student cohorts (dental, dental hygiene, and dental therapy) at the University of Minnesota piloted a team-based dental delivery model from January to April 2015. The group was named the Team Care Clinic (TCC), and the team for each clinical session consisted of one dental student, three dental hygiene students, and one dental therapy student. Data were collected from the school's database to determine the number of patient visits, type and number of procedures performed, and clinic revenue generated by the TCC. Focus groups were used to assess student perceptions of the experience, and patient satisfaction surveys were administered to assess the patients' experience. The TCC students were given twice as many patients as non-TCC students, and they managed them effectively. Working as a team, the TCC student providers completed twice as many procedures per patient encounter as non-TCC students. Patients and students said their experiences in the TCC were positive, and students expressed a preference for team-based care delivery. The results of the study suggest the team-based dental care delivery model is promising. Team-based care delivery may allow providers to accomplish more during a patient appointment and increase provider satisfaction.
越来越多的人关注使用专业团队开发更高效、以患者为中心和更具成本效益的牙科护理模式。本小型试点研究旨在评估由牙科、口腔卫生和牙齿治疗学生组成的专业团队的患者就诊次数、治疗类型和数量以及诊所收入，并确定学生和患者对这种护理模式的看法。2015 年 1 月至 4 月，明尼苏达大学的 16 名高年级学生参加了一个以团队为基础的牙科护理模式试点。该团队被命名为团队护理诊所（TCC），每个临床小组由一名牙科学生、三名口腔卫生学生和一名牙齿治疗学生组成。从学校的数据库中收集数据，以确定 TCC 的患者就诊次数、治疗类型和数量以及诊所收入。使用焦点小组评估学生对体验的看法，并进行患者满意度调查以评估患者的体验。TCC 的学生接受的患者数量是非 TCC 学生的两倍，他们有效地管理这些患者。作为一个团队，TCC 的学生每次患者就诊完成的治疗程序数量是非 TCC 学生的两倍。患者和学生表示他们在 TCC 的体验是积极的，学生表示他们更喜欢团队式的护理服务。研究结果表明，以团队为基础的牙科护理模式是有前途的。团队式的护理服务可能使提供者在患者就诊期间完成更多的工作，并提高提供者的满意度。
