Serban Stefan T, Simon Sally Eapen, Vinall-Collier Karen, Douglas Gail V A
School of Dentistry, University of Leeds, Clarendon Way, Leeds, LS2 9LU, UK.
Public Health England, North East and Yorkshire Region, Blenheim House, Duncombe Street, Leeds, LS1 4PL, UK.
Br Dent J. 2021 Dec 14:1-5. doi: 10.1038/s41415-021-3758-5.
Background In 2020/21, as part of the COVID-19 pandemic response and for the first time in England, newly qualified foundation dentists (FDs) were trained to participate in flu and COVID-19 vaccination programmes to offer additional workforce capacity. The largest of these efforts was in Yorkshire and the Humber where 106 FDs were trained and ready to mobilise. The aim of this service evaluation was to appraise the use of FDs in delivering vaccinations.Methods Mixed methods using an online questionnaire to FDs and in-depth remote interviews conducted with host organisations, Public Health England, Health Education England and others.Results The questionnaire response rate was 89% (n = 94), with 54 FDs having participated in vaccinations at a rate of 50-100 vaccines per day. All were confident with flu vaccine administration and most (n = 44/54) with COVID-19 vaccination. Eleven stakeholder interviews were conducted. Main barriers included the siloed delivery of dental care from other health services, resulting in collaborative barriers and a lack of understanding about the profession's skillsets. Facilitators included host organisations' capacity to hold multiple honorary contracts and provide competency sign-off.Conclusion Utilising the dental workforce to deliver vaccinations was feasible at a time of crisis and when trainees' access to dental patients was limited.
背景 在2020/21年，作为应对新冠疫情措施的一部分，并且在英格兰首次开展，新取得资格的住院牙医接受培训，参与流感和新冠疫苗接种计划，以增加劳动力供给。其中规模最大的行动在约克郡和亨伯地区，有106名住院牙医接受培训并随时准备投入工作。这项服务评估的目的是评估住院牙医在疫苗接种工作中的使用情况。
方法 采用混合方法，向住院牙医发放在线问卷，并与主办机构、英国公共卫生署、英国健康教育署等进行深入的远程访谈。
结果 问卷回复率为89%（n = 94），有54名住院牙医参与了疫苗接种，接种速度为每天50 - 100剂。所有人对流感疫苗接种都有信心，大多数人（n = 44/54）对新冠疫苗接种也有信心。进行了11次利益相关者访谈。主要障碍包括牙科护理与其他卫生服务的孤立提供，导致协作障碍以及对该职业技能集缺乏了解。促进因素包括主办机构持有多份荣誉合同的能力以及提供能力签署批准。
结论 在危机时期以及实习医生接触牙科患者受限的情况下，利用牙科劳动力进行疫苗接种是可行的。
