Department of Foundational Sciences, Division of Dental Public Health, School of Dental Medicine, East Carolina University, Greenville, North Carolina.
Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina.
J Rural Health. 2021 Jun;37(3):667-674. doi: 10.1111/jrh.12501. Epub 2020 Aug 5.
The purpose of the study was to assess the use of geofence technology to raise awareness of a dental clinic in rural North Carolina.
The catchment area of the dental clinic was defined by ZIP Codes. A geofence was identified, and cell phones within the perimeter were targeted for oral health message drops to occur over 3 months from April to June 2017. Surveys conducted twice, pre- and postintervention (message drop), evaluated change in community awareness of services available at the dental clinic. A cross-sectional analysis was used to measure the effect of the exposure to the geofence technology in survey respondents.
The survey included 200 participants (100 pre- and 100 postintervention). There were no significant differences in race or age for pre- and postintervention survey groups. The majority of respondents were American Indians (47.0% pre, 58.6% post) or black (28.8% pre, 25.5% post). There was a statistically significant improvement in awareness of the dental clinic (P = .045) from pre- to postintervention. A significant increase was also observed in the question related to dental visits by the respondent or family member of the respondent (from 6.5% to 15.0%, P = .04). A more modest improvement was found in questions related to the cost of dental care, type of insurance accepted, and services provided.
Geofencing has the potential to increase awareness of health care services and ultimately increase the number of patients receiving care.
本研究旨在评估地理围栏技术在北卡罗来纳州农村地区一家牙科诊所推广方面的应用。
以邮政编码界定了牙科诊所的服务范围,划定了一个地理围栏,在 2017 年 4 月至 6 月的 3 个月内,向地理围栏范围内的手机发送口腔健康信息。在干预(信息推送)前后(各 100 人)进行两次调查,以评估社区对该牙科诊所服务的知晓度变化。采用横断面分析来衡量调查对象接触地理围栏技术的效果。
该调查共纳入 200 名参与者(干预前 100 人,干预后 100 人)。干预前后调查组在种族或年龄方面无显著差异。大多数受访者为美国印第安人(干预前占 47.0%,干预后占 58.6%)或黑人(干预前占 28.8%,干预后占 25.5%)。干预后,参与者对牙科诊所的知晓度有显著提高(P =.045)。受访者或其家庭成员去看牙医的问题(从 6.5%增至 15.0%,P =.04)也有显著增加。在与牙科护理费用、可接受的保险类型和提供的服务相关的问题上,也发现了适度的改善。
地理围栏技术具有提高医疗服务知晓度的潜力,从而可能增加接受治疗的患者数量。