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开展低社会经济地位地区儿童跨学科公共预防口腔健康项目的重要方面:工作人员的观点。

Important aspects of conducting an interdisciplinary public preventive oral health project for children in areas with low socioeconomic status: staff perspective.

机构信息

Public Dental Service Östergötland, and Centre for Medical Technology Assessment, Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.

Centre for Medical Technology Assessment, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

出版信息

BMC Oral Health. 2020 Dec 17;20(1):362. doi: 10.1186/s12903-020-01352-8.

DOI:10.1186/s12903-020-01352-8
PMID:33334322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7745486/
Abstract

BACKGROUND

To achieve good and equal oral health in children, interdisciplinary preventive oral health actions, directed toward disadvantaged areas, can be an important means. Staff play a crucial role in the implementation of these actions. The aim of the present study was to analyze circumstances of importance for conducting an interdisciplinary public preventive oral health project for children, directed toward parents in areas with low socioeconomic status from the interdisciplinary perspective of the involved staff.

METHOD

The present study consisted of a qualitative content analysis with an inductive approach, based on interviews with interdisciplinary staff who had participated in a public preventive oral health project directed toward parents in areas with low socioeconomic status. The interviews were analyzed using text-driven analysis.

RESULTS

The main category concerned the staff members' prerequisites and understanding necessary to perform their tasks in interdisciplinary public preventive oral health project. To have the right prerequisites and understanding regarding the oral health project enabled staff to be committed, able and willing to perform in it. Important aspects of this are to have knowledge, motivation and to experience a supportive professional context, to have good leadership and for certain resources to fulfilled. A crucial aspect was to reach the targeted mothers.

CONCLUSIONS

For interdisciplinary cooperation in preventive oral health care to be achieved, it is essential for the involved disciplines and professions to embrace a common view on the project's aim, their duties, and oral health, from the leadership to the individual level. Staff require competent leadership but also allocated time and adapted method support to be successful in this context. When allocating preventive health actions directed at low SES areas, it is important to acknowledge the risk of stigmatization and for staff to understand that families might be facing social challenges that prevent them from taking part in health-promoting actions. An important conclusion is that to be able to reach people, it is important for both those who design preventive programs for oral health and the staff who administer them to have sufficient knowledge about the target group.

摘要

背景

为了实现儿童良好和公平的口腔健康,针对弱势地区的跨学科预防性口腔健康行动可以是一种重要手段。工作人员在实施这些行动中起着至关重要的作用。本研究的目的是从参与跨学科公共预防性口腔健康项目的工作人员的角度分析对儿童进行跨学科公共预防性口腔健康项目的重要情况,该项目针对社会经济地位较低地区的父母。

方法

本研究采用定性内容分析法,采用归纳法,基于参与针对社会经济地位较低地区父母的公共预防性口腔健康项目的跨学科工作人员的访谈。使用文本驱动分析对访谈进行了分析。

结果

主要类别涉及工作人员在跨学科公共预防性口腔健康项目中执行任务所需的前提条件和理解。拥有关于口腔健康项目的正确前提条件和理解使工作人员能够投入、有能力并愿意在其中表现。这方面的重要方面是拥有知识、动力并体验到支持性的专业环境,拥有良好的领导力,并满足某些资源的需求。一个关键方面是接触到目标母亲。

结论

为了实现预防性口腔保健方面的跨学科合作,至关重要的是让参与的学科和专业从领导层到个人层面都接受项目目标、职责和口腔健康的共同观点。工作人员需要有能力的领导,但也需要分配时间和适应的方法支持才能在这种情况下取得成功。在分配针对低社会经济地位地区的预防性健康行动时,重要的是要认识到污名化的风险,并且工作人员要理解家庭可能面临社会挑战,这可能会阻止他们参与促进健康的行动。一个重要的结论是,为了能够接触到人们,设计口腔健康预防计划的人员和管理这些计划的人员都必须对目标群体有足够的了解。

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