Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo 113-8549, Tokyo, Japan.
Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Ibaraki, Japan.
Int J Environ Res Public Health. 2022 May 26;19(11):6448. doi: 10.3390/ijerph19116448.
Dental care for hospitalized patients can improve nutritional status and feeding function while reducing complications. However, such care in Japan is not uniformly provided. This investigation examined the presence and characteristics of hospitals where dentists work and the collaboration between medical and dental teams. This cross-sectional study involves 7205 hospitals using the administrative reports on the Hospital Bed Function of 2018. Indicators described were the proportion of hospitals employing dentists, those providing perioperative oral care, and those with a nutrition support team (NST) that included dentists. A two-level logistic regression model was performed using hospital-based and secondary medical area-based factors to identify factors associated with hospitals employing dentists and dental care services. Some hospitals had poor medical and dental collaboration, even those with dentists, and no-dentist hospitals had rare medical and dental collaboration. Factors positively associated with hospitals that employed dentists were diagnosis-procedure-combination-hospital types, the Japanese government-established hospitals compared with hospitals established by public organizations, among others. In conclusion, the present study found poor medical and dental collaboration was observed in some hospitals and that hospital type, region, and hospital founders were associated with the performance of collaborative medical and dental care.
住院患者的口腔护理可以改善营养状况和进食功能，同时减少并发症。然而，在日本，这种护理并非统一提供。本调查研究了有牙医工作的医院的存在和特征，以及医疗和牙科团队之间的合作。本横断面研究涉及使用 2018 年医院床位功能行政报告的 7205 家医院。描述的指标包括雇用牙医的医院比例、提供围手术期口腔护理的医院比例以及包括牙医在内的营养支持团队（NST）的医院比例。使用基于医院和二级医疗区域的因素的两水平逻辑回归模型，确定与雇用牙医和牙科护理服务相关的医院因素。一些医院即使有牙医，其医疗和牙科合作也很差，而没有牙医的医院则很少进行医疗和牙科合作。与雇用牙医的医院呈正相关的因素包括诊断-程序-组合-医院类型、与由公共组织建立的医院相比，由日本政府建立的医院等。总之，本研究发现，一些医院存在较差的医疗和牙科合作，并且医院类型、地区和医院创办者与协作式医疗和牙科护理的实施情况相关。
