Tang Shelley, Finlayson Greg, Dahl Pamela, Bertone Mary F, Schroth Robert J
J Can Dent Assoc. 2019 Sep;85:j8.
People living in long-term care (LTC) facilities face many oral health challenges, often complicated by their medical conditions, use of medications and limited access to oral health care.
To determine Manitoba dentists' perspectives on the oral health of LTC residents and to identify the types of barriers and factors that prevent and enable them to provide care to these residents.
Manitoba general dentists were surveyed about their history of providing care and their views on the provision of care to LTC residents. Descriptive statistics, bivariate analysis and logistic regression analysis were carried out.
Surveys were emailed to 575 dentists, with a response rate of 52.5%. Most respondents were male (62.8%), graduates of the University of Manitoba (85.0%), working in private practice (89.8%) and located in Winnipeg (72.4%). Overall, only 26.2% currently treat LTC residents. A predominant number of respondents identified having a busy private practice (60.0%), lack of an invitation to provide dental care (53.0%) and lack of proper dental equipment (42.6%) as barriers preventing them from seeing LTC residents. Receiving an invitation to provide treatment, professional obligation and past or current family or patients residing in LTC were the most common reasons why dentists began treating LTC residents.
Most responding dentists believe that daily mouth care for LTC residents is not a priority for staff, and only a minority of dentists currently provide care to this population.
居住在长期护理（LTC）机构中的人们面临许多口腔健康挑战，这些挑战常常因他们的健康状况、药物使用以及获得口腔保健服务的机会有限而变得更加复杂。
确定曼尼托巴省牙医对长期护理机构居民口腔健康的看法，并找出阻碍和促使他们为这些居民提供护理的障碍类型和因素。
对曼尼托巴省的普通牙医进行调查，了解他们提供护理的历史以及对为长期护理机构居民提供护理的看法。进行了描述性统计、双变量分析和逻辑回归分析。
向575名牙医发送了电子邮件调查问卷，回复率为52.5%。大多数受访者为男性（62.8%），毕业于曼尼托巴大学（85.0%），从事私人执业（89.8%），位于温尼伯（72.4%）。总体而言，目前只有26.2%的牙医治疗长期护理机构居民。大多数受访者认为私人执业繁忙（60.0%）、缺乏提供牙科护理的邀请（53.0%）以及缺乏合适的牙科设备（42.6%）是阻碍他们为长期护理机构居民看病的障碍。收到提供治疗的邀请、职业义务以及过去或现在有家人或患者居住在长期护理机构是牙医开始治疗长期护理机构居民的最常见原因。
大多数回复的牙医认为，长期护理机构居民的日常口腔护理对工作人员来说不是优先事项，目前只有少数牙医为这一人群提供护理。
