口腔健康相关最佳实践建议在糖尿病患者管理中的整合：对初级保健医生的横断面调查。
The integration of oral health-related best practice recommendations in the management of patients with diabetes: a cross-sectional survey of primary care physicians.
机构信息
Division of Oral and Maxillofacial Surgery, Medicine, Pathology and Radiology, Dublin Dental University Hospital, Dublin 2, Ireland.
School of Dental Science, Trinity College Dublin, Dublin 2, Ireland.
出版信息
J Public Health Dent. 2021 Sep;81(3):245-248. doi: 10.1111/jphd.12397. Epub 2020 Sep 12.
OBJECTIVE
To determine whether best practice recommendations are being followed by primary care physicians (PCPs) by examining the integration of oral health-related practices in their management of patients with diabetes.
METHODS
A cross-sectional study design was used to examine PCPs' knowledge of the bidirectional link between diabetes and periodontal disease (PD), their adherence to international best practice recommendations, and their experience of interprofessional collaboration with dentists via an online survey.
RESULTS
In total, 79 of 173 PCPs completed the online survey. Almost 90 percent of PCPs neither inform patients with diabetes about the link with PD nor advise dental care. Approximately, one-third of PCPs (32 percent) felt confident facilitating access to dentists. However, 93 percent of PCPs do not refer patients with diabetes to dentists as part of diabetes management.
CONCLUSION
PCPs tend not to inform their patients with diabetes of the bidirectional link with PD, or provide advice or referral to attend dental care as part of diabetes management.
目的
通过考察口腔健康相关实践在糖尿病患者管理中的整合情况，确定初级保健医生（PCP）是否遵循了最佳实践建议。
方法
采用横断面研究设计，通过在线调查，考察 PCP 对糖尿病与牙周病（PD）之间双向关联的了解、对国际最佳实践建议的遵守情况以及与牙医进行专业间合作的经验。
结果
共有 173 名 PCP 中的 79 名完成了在线调查。近 90%的 PCP 既没有告知糖尿病患者有关 PD 的联系，也没有建议进行口腔护理。大约三分之一的 PCP（32%）有信心为患者获得牙医的治疗提供便利。然而，93%的 PCP 并未将糖尿病患者转诊给牙医作为糖尿病管理的一部分。
结论
PCP 往往不会告知患有糖尿病的患者其与 PD 的双向关联，也不会提供建议或转诊接受口腔护理作为糖尿病管理的一部分。
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