J Pediatr Health Care. 2019 Nov-Dec;33(6):702-710. doi: 10.1016/j.pedhc.2019.06.002. Epub 2019 Aug 31.
The objective of this study was to determine if the application of fluoride varnish (FV) to children 5 years and under was acceptable and practical for health care providers in a rural primary care office.
We employed a quasi-experimental study design comprised of providers who received education and training in FV application. Pre- and post-study surveys regarding barriers and facilitators were administered. Data was collected on the number of FV applications, time spent on procedure, perceived barriers, and overall cost.
The total direct variable cost of providing FV was $4.35 per procedure, resulting in an $11.85 profit. FV application increased 9.57%. Potential barriers were lack of proper supplies, lack of adequate support staff, and lack of additional financial compensation for providers.
FV application is a service that can be delivered in a rural practice with existing resources, but the initiative needs support from practice management.
本研究旨在确定在农村基层医疗办公室中，氟化物涂料（FV）应用于 5 岁及以下儿童是否被医疗保健提供者接受和实用。
我们采用了准实验研究设计，包括接受 FV 应用教育和培训的提供者。在研究前后进行了关于障碍和促进因素的调查。收集的数据包括 FV 应用的数量、程序所花费的时间、感知障碍和总体成本。
提供 FV 的总直接变量成本为每次程序 4.35 美元，产生 11.85 美元的利润。FV 的应用增加了 9.57%。潜在的障碍包括缺乏适当的供应品、缺乏足够的支持人员以及提供者缺乏额外的财务补偿。
FV 应用是一种可以在现有资源的农村实践中提供的服务，但该计划需要实践管理的支持。
