Department of Epidemiology and Health Promotion, New York University College of Dentistry, New York City, NY, USA.
Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
JDR Clin Trans Res. 2022 Oct;7(4):407-414. doi: 10.1177/23800844211028132. Epub 2021 Jul 21.
Despite evidence-based guidelines advocating for the provision of oral health care throughout pregnancy, dentists remain hesitant to provide dental treatment for pregnant women. However, little is known about attitudes toward treating pregnant women among dental school faculty, who may transmit their attitudes and treatment preferences to their students.
We collected cross-sectional survey data at the New York University College of Dentistry, which produces 10% of all US dentists and is the largest US dental school, to understand faculty attitudes and knowledge regarding providing dental treatment to pregnant women. This study was part of an educational effort to improve dental care access by pregnant women and to examine what factors influence willingness to treat pregnant patients among dental faculty members.
We found that concerns about professional liability outweighed inadequate knowledge regarding treatment of pregnant patients in determining dental faculty's willingness to treat pregnant women.
Educational interventions delivered to dental faculty regarding current dental treatment guidelines for pregnant women may not be sufficient to increase faculty's provision of dental care to women during pregnancy. Future work to design effective interventions to increase dental treatment of pregnant women among dental faculty should address liability concerns.
Interventions addressing dental clinician and faculty knowledge about dental treatment for pregnant women may be insufficient to increase dental treatment among pregnant women. Instead, policy makers should consider designing, implementing, and evaluating interventions addressing malpractice and liability concerns.
尽管有循证指南提倡在整个怀孕期间提供口腔保健,但牙医仍然对为孕妇提供牙科治疗犹豫不决。然而,对于牙科学校的教师来说,他们对治疗孕妇的态度知之甚少,而这些教师可能会将他们的态度和治疗偏好传递给学生。
我们在纽约大学牙科学院收集了横断面调查数据,该学院培养了 10%的美国牙医,是美国最大的牙科学校,旨在了解教师对为孕妇提供牙科治疗的态度和知识。这项研究是改善孕妇获得牙科保健机会的教育努力的一部分,并研究哪些因素影响牙科教师对治疗孕妇患者的意愿。
我们发现,在决定牙科教师是否愿意治疗孕妇时,对专业责任的担忧超过了对治疗孕妇患者相关知识的不足。
向牙科教师提供有关当前牙科治疗孕妇指南的教育干预措施可能不足以增加教师在怀孕期间为女性提供牙科护理的意愿。未来,为了设计有效的干预措施以增加牙科教师对孕妇的牙科治疗,应解决责任问题。
干预措施解决了牙科临床医生和教师对孕妇牙科治疗的知识不足问题,但这可能不足以增加孕妇的牙科治疗。相反,政策制定者应考虑设计、实施和评估解决医疗事故和责任问题的干预措施。