口腔-全身健康在口腔环境中的考虑因素：美国牙科协会临床评估员小组调查。
Oral-systemic health considerations in dental settings: An American Dental Association Clinical Evaluators Panel survey.
出版信息
J Am Dent Assoc. 2022 Apr;153(4):388-389.e2. doi: 10.1016/j.adaj.2022.01.006.
BACKGROUND
With an increased emphasis on considering optimal oral health in the context of overall health and well-being, there is interest in understanding how practicing dentists are using information about their patients' overall health status.
METHODS
A survey tool was developed to understand how dentists assess the health status of their patients, the frequency at which they are gathering this information, and how they work with their medical colleagues. Emails with an electronic survey link were sent to 997 American Dental Association Clinical Evaluators (ACE) panel members on November 23, 2021. The survey closed after 2 weeks, and data were analyzed descriptively.
RESULTS
A total of 258 (26%) ACE panel members responded to the survey. At initial visits, the dentist (60%) often discusses and reviews the patient's medical history, but in subsequent appointments, this task is often completed by the dental assistant (34%) or dental hygienist (32%). At every dental visit, 75%, 66%, and 33% of the respondents ask about and record changes to medical history, medication list, and visits with other health care professionals, respectively. Of the respondents, 85% collect at least 1 vital sign, and more than 90% use the medical history, medication list, and patient interview. A total of 32% of respondents reported disease monitoring is in their scope of practice, and, among them, cardiovascular conditions are the most frequent health condition seen. On average, 12% of patients are referred to another health care provider weekly.
CONCLUSIONS
Most dentists use the patient's medical history and medication list and collect vital signs, but the frequency and application of these assessments vary.
PRACTICAL IMPLICATIONS
Optimal oral health is integral to overall health, and identifying opportunities to improve communication and data sharing among all health care professionals can affect the patient's health positively.
背景
随着人们越来越重视将口腔健康纳入整体健康和福祉的范畴，人们开始关注执业牙医如何利用患者整体健康状况的信息。
方法
开发了一个调查工具，以了解牙医如何评估患者的健康状况、他们收集这些信息的频率，以及他们如何与医疗同事合作。2021 年 11 月 23 日，向 997 名美国牙科协会临床评估员（ACE）小组成员发送了带有电子调查链接的电子邮件。调查在两周后结束，并进行了描述性分析。
结果
共有 258 名（26%）ACE 小组成员对调查做出了回应。在初次就诊时，牙医（60%）经常讨论和审查患者的病史，但在随后的预约中，这项任务通常由牙科助理（34%）或牙科保健师（32%）完成。在每次看牙时，分别有 75%、66%和 33%的受访者询问并记录了病史、用药清单和与其他医疗保健专业人员的就诊情况的变化。在受访者中，85%的人至少采集 1 项生命体征，超过 90%的人使用病史、用药清单和患者访谈。共有 32%的受访者报告疾病监测在其执业范围内，其中最常见的健康状况是心血管疾病。平均每周有 12%的患者被转介给其他医疗保健提供者。
结论
大多数牙医使用患者的病史和用药清单，并采集生命体征，但这些评估的频率和应用情况各不相同。
临床意义
口腔健康是整体健康的重要组成部分，确定改善所有医疗保健专业人员之间沟通和数据共享的机会可以对患者的健康产生积极影响。
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