Ahern J, McGeown D, Nunn J
Division of Oral and Maxillofacial Surgery, Medicine, Pathology and Radiology, Dublin Dental University Hospital, Lincoln Place, Dublin 2, Ireland.
Health Service Executive South, St. Finbarr's Hospital, Cork, Ireland.
Community Dent Health. 2018 Nov 29;35(4):252-256. doi: 10.1922/CDH_4321Ahern05.
In order to address the burden of oral disease, the dental profession needs to engage in collaborative practice with medical professionals. The aim of this study was to explore dentists' views on incorporating oral health collaborative practice into primary medical care in Ireland.
Dublin Dental University Hospital, Ireland.
Dentists with backgrounds in oral surgery, oral medicine, paediatric dentistry, special care dentistry, prosthodontics, primary care dentistry, hospital dentistry and public dental health. All participants were working in, or had worked in, Dublin Dental University Hospital for a minimum of six months full-time equivalent within the previous 5 years.
Semi-structured qualitative interviews were undertaken in five phases, transcribed verbatim and thematically analyzed.
A total of 17 participants were recruited. After 14 interviews, no new themes were emerging and data saturation was achieved. Eleven codes were identified and organized into four themes; (i) the relative importance of oral health to systemic health, (ii) the role of dentistry in the overall health care team, (iii) oral health interprofessional education and training, (iv) opportunities for oral health collaborative practice.
Dentists felt that the best way to achieve effective oral health collaborative practice with primary medical care would be to educate medical professionals on how to identify the significant risk factors for oral disease, how to promote oral health and how to facilitate access to primary dental care for their patients.
为了应对口腔疾病的负担，牙科行业需要与医学专业人员开展合作实践。本研究的目的是探讨牙医对于将口腔健康合作实践纳入爱尔兰初级医疗保健的看法。
爱尔兰都柏林牙科大学医院。
具有口腔外科、口腔医学、儿童牙科、特殊护理牙科、修复牙科、初级保健牙科、医院牙科和公共牙科卫生背景的牙医。所有参与者在过去5年内曾在都柏林牙科大学医院全职工作至少6个月，或目前仍在该医院工作。
分五个阶段进行半结构化定性访谈，逐字记录并进行主题分析。
共招募了17名参与者。在进行了14次访谈后，没有出现新的主题，达到了数据饱和。确定了11个编码，并将其组织成四个主题；（i）口腔健康对全身健康的相对重要性，（ii）牙科在整体医疗团队中的作用，（iii）口腔健康跨专业教育与培训，（iv）口腔健康合作实践的机会。
牙医们认为，要与初级医疗保健实现有效的口腔健康合作实践，最佳方法是对医学专业人员进行培训，使其了解如何识别口腔疾病的重大风险因素、如何促进口腔健康以及如何为其患者提供初级牙科护理服务。
