新冠疫情对牙医远程牙科知识和态度的影响。
Impact of COVID-19 on the Knowledge and Attitudes of Dentists toward Teledentistry.
机构信息
Orthodontic Postgraduate Program, Faculty of Dentistry, Fundación Universitaria CIEO-UniCIEO, Bogotá, Colombia.
Orthodontic Postgraduate Program, Faculty of Dentistry, University of Antioquia, Medellin, Colombia.
出版信息
JDR Clin Trans Res. 2021 Jul;6(3):268-278. doi: 10.1177/2380084421998632. Epub 2021 Feb 25.
INTRODUCTION
The coronavirus disease 2019 (COVID-19) pandemic has created a new scenario for dental practice, and teledentistry (TD) is a field of relevance for dentists.
OBJECTIVE
To evaluate the impact of the COVID-19 pandemic on the knowledge, practices, and expectations of dentists toward TD and its association with sociodemographic variables.
METHODS
A cross-sectional survey was administered to dentists in Colombia as part of global research on the impact of COVID-19 on dentistry. The core questionnaire included 5 additional questions on TD that were added by the Colombian research team in 5 domains about TD: Q1, knowledge; Q2, practices; Q3, expectations; Q4, usefulness; and Q5, reimbursement. Sociodemographic variables were also measured. The questionnaire was validated in a pilot test and administered via digital media. Descriptive and bivariate analysis for sociodemographic and TD variables were done. For the evaluation of the chances of a determined answer, an ordinal multinomial logistic regression (Q1 and Q2) and binomial logistic regression (Q3 and Q5) analyses were made.
RESULTS
In total, 5,370 dentists answered the survey (women: 3,878; mean age: 45 y). The response rate of the survey was 16.84%. Knowledge and practice of TD before the COVID-19 pandemic were both low (25.75% and 12.42%, respectively); however, since the beginning of the current pandemic, knowledge increased by 62.72% and practice by 42.53%. Some 93.1% of respondents considered that TD could be useful in their clinical practice, and 59.55% would consider practicing it after the pandemic. A high number of dentists (88.58%) did not charge for these services. Logistic regressions showed significant differences according to sociodemographic variables.
CONCLUSIONS
The COVID-19 pandemic has had a great impact on TD, increasing knowledge and practice significantly. Dentists expect to continue practicing TD in the future. However, some geographical, technological, and attitudinal barriers need to be broken down to increase daily use of TD.
KNOWLEDGE TRANSFER STATEMENT
This article provides an overview about the impact of COVID-19 pandemic in the knowledge and attitudes about teledentistry (TD) in general dentists and both clinical and nonclinical specialists. Although some barriers to the use of TD continue, this pandemic brought with it a new scenario for dental practice, which must be implemented through training for professionals to increase its use.
简介
2019 年冠状病毒病(COVID-19)大流行给牙科实践带来了新的局面,远程牙科(TD)是牙医相关的领域。
目的
评估 COVID-19 大流行对牙医对 TD 的知识、实践和期望的影响及其与社会人口统计学变量的关系。
方法
对哥伦比亚的牙医进行了横断面调查,这是对 COVID-19 对牙科影响的全球研究的一部分。核心问卷包括哥伦比亚研究小组在 TD 的 5 个领域添加的 5 个关于 TD 的附加问题:Q1,知识;Q2,实践;Q3,期望;Q4,有用性;和 Q5,报销。还测量了社会人口统计学变量。问卷在试点测试中进行了验证,并通过数字媒体进行了管理。对社会人口统计学和 TD 变量进行了描述性和双变量分析。为了评估确定答案的机会,进行了有序多项逻辑回归(Q1 和 Q2)和二项逻辑回归(Q3 和 Q5)分析。
结果
共有 5370 名牙医回答了调查(女性:3878 名;平均年龄:45 岁)。调查的回复率为 16.84%。COVID-19 大流行前的 TD 知识和实践都很低(分别为 25.75%和 12.42%);然而,自当前大流行开始以来,知识增加了 62.72%,实践增加了 42.53%。93.1%的受访者认为 TD 在他们的临床实践中可能有用,59.55%的人会考虑在大流行后进行实践。许多牙医(88.58%)不收取这些服务费用。逻辑回归显示出与社会人口统计学变量的显著差异。
结论
COVID-19 大流行对 TD 产生了重大影响,大大增加了知识和实践。牙医预计未来将继续进行 TD 实践。然而,需要打破一些地理、技术和态度方面的障碍,以增加 TD 的日常使用。
知识转移声明
本文概述了 COVID-19 大流行对一般牙医和临床和非临床专家的 TD 知识和态度的影响。尽管 TD 使用的一些障碍仍然存在,但这场大流行为牙科实践带来了新的局面,必须通过专业人员的培训来实施,以增加其使用。