ElSalhy Mohamed, Gill Mandeep, Isaac Daniela Migliarese, Littlechild Randy, Baydala Lola, Amin Maryam
a College of Dental Medicine , University of New England , Portland , ME , USA.
b School of Dentistry, Faculty of Medicine and Dentistry , University of Alberta , Edmonton, AB , Canada.
Int J Circumpolar Health. 2019 Dec;78(1):1573162. doi: 10.1080/22423982.2019.1573162.
This qualitative study aimed to explore paediatric residents' perceptions of the feasibility of incorporating preventive dental care into a general paediatric outreach clinic for a First Nations community. Four focus groups were conducted with paediatric residents and attending paediatricians. Interviews were recorded, transcribed verbatim and analysed using a basic interpretive qualitative approach. Three major themes emerged from the data: advantages of integration, barriers to integration and strategies for integration. Comprehensive care and service delivery were the two identified advantages of integration. Three categories of barriers emerged including patient and caregiver-related, resident-related and setting-related barriers. Training and practice, patient education, support and policy were the suggested strategies for successful integration. Providers were found to be open to integrating preventive dental care into their practice. However, barriers impeded the success of this integration. Multiple strategies including oral health care training for medical providers, office support and policy changes would facilitate successful integration.
这项定性研究旨在探讨儿科住院医师对于将预防性牙科护理纳入为第一民族社区设立的普通儿科外展诊所的可行性的看法。与儿科住院医师和主治儿科医生进行了四个焦点小组讨论。访谈进行了录音,逐字转录,并采用基本解释性定性方法进行分析。数据中出现了三个主要主题:整合的优势、整合的障碍和整合的策略。综合护理和服务提供是确定的整合优势。出现了三类障碍,包括与患者和护理人员相关的、与住院医师相关的和与环境相关的障碍。培训与实践、患者教育、支持和政策是成功整合的建议策略。研究发现,医疗服务提供者愿意将预防性牙科护理纳入他们的实践。然而,障碍阻碍了这种整合的成功。包括为医疗服务提供者提供口腔保健培训、办公室支持和政策改变在内的多种策略将促进成功整合。