Bhayat Ahmed, Madiba Thomas K, Nkambule Ntombizodwa R
Department of Community Dentistry, School of Dentistry, University of Pretoria, Pretoria, South Africa.
J Int Soc Prev Community Dent. 2020 Aug 6;10(4):452-457. doi: 10.4103/jispcd.JISPCD_72_20. eCollection 2020 Jul-Aug.
The aim of this study was to determine the types and trends of dental services offered over 3 months (April, May, and June) every year from 2017 till 2019 at all full-time primary oral health care facilities (POHCFs) in Gauteng Province, South Africa.
This was a record-based retrospective study. Data were collected from April, May, and June in 2017, 2018, and 2019, from all full-time POHCFs in Gauteng. The data were obtained from the attendance registers at each facility and included the number of patients and personnel and the type and number of procedures performed.
A total of 90 POHCFs were included. The number of clinicians remained stable, whereas the mean number of patients per month increased from 587 (2017) to 654 (2019). This resulted in an increase in the mean monthly patient-to-clinician ratio from 376 (2017) to 428 (2019). On average, 459 extractions, 64 restorations, and 43 fissure sealants were performed monthly per district. Clinicians treated on average 19 patients per day and on average 15 extractions for every restoration. The mean operator-to-dental assistant ratio was 1.3:1.
Although there were differences in the types of services rendered and the workloads of clinicians across the province, a significant increase was observed in the number of patients over the study period. The most common services rendered were extractions and the extraction-to-restoration ratio was fairly high. Managers need to carry out regular audits to ensure that the facilities are operating optimally.
本研究旨在确定2017年至2019年每年4月、5月和6月这3个月期间，南非豪登省所有全日制初级口腔保健机构（POHCFs）提供的牙科服务类型和趋势。
这是一项基于记录的回顾性研究。数据收集自2017年、2018年和2019年4月、5月和6月豪登省所有全日制POHCFs。数据从每个机构的出勤登记册中获取，包括患者和工作人员数量以及所执行程序的类型和数量。
共纳入90家POHCFs。临床医生数量保持稳定，而每月平均患者数量从2017年的587人增加到2019年的654人。这导致每月平均患者与临床医生的比例从2017年的376增加到2019年的428。每个区每月平均进行459次拔牙、64次修复和43次窝沟封闭。临床医生平均每天治疗19名患者，平均每进行1次修复就有15次拔牙。平均操作员与牙科助理的比例为1.3:1。
尽管全省提供的服务类型和临床医生的工作量存在差异，但在研究期间患者数量显著增加。提供的最常见服务是拔牙，且拔牙与修复的比例相当高。管理人员需要定期进行审计，以确保这些机构最佳运作。
