Yun Andrew, Luo Yuan, Calache Hanny, Wang Yan, Darby Ivan, Lau Phyllis
Department of General Practice, The University of Melbourne, Melbourne, VIC 3010, Australia.
Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai 200120, China.
Healthcare (Basel). 2022 Jun 2;10(6):1032. doi: 10.3390/healthcare10061032.
Diabetes and periodontal disease are highly prevalent conditions around the world with a bilateral causative relationship. Research suggests that interprofessional collaboration can improve care delivery and treatment outcomes. However, there continues to be little interprofessional management of these diseases. DiabOH research aims to develop an interprofessional diabetes and oral health care model for primary health care that would be globally applicable. Community medical practitioners (CMPs), community health nurses (CNs), and dentists in Shanghai were recruited to participate in online quantitative surveys. Response data of 76 CMPs, CNs, and dentists was analysed for descriptive statistics and compared with Australian data. Health professionals in China reported that, while screening for diabetes and periodontitis, increasing patient referral and improving interprofessional collaboration would be feasible, these were not within their scope of practice. Oral health screening was rarely conducted by CMPs or CNs, while dentists were not comfortable discussing diabetes with patients. Most participants believed that better collaboration would benefit patients. Chinese professionals concurred that interprofessional collaboration is vital for the improved management of diabetes and periodontitis. These views were similar in Melbourne, except that Shanghai health professionals held increased confidence in managing patients with diabetes and were more welcoming to increased oral health training.
糖尿病和牙周病在全球范围内都极为普遍,且存在双向因果关系。研究表明,跨专业协作能够改善医疗服务的提供及治疗效果。然而,对于这些疾病的跨专业管理仍然很少。糖尿病与口腔健康(DiabOH)研究旨在为初级卫生保健开发一种适用于全球的跨专业糖尿病和口腔卫生保健模式。招募了上海的社区医生(CMPs)、社区健康护士(CNs)和牙医参与在线定量调查。对76名社区医生、社区健康护士和牙医的回复数据进行描述性统计分析,并与澳大利亚的数据进行比较。中国的卫生专业人员报告称,虽然在筛查糖尿病和牙周炎时增加患者转诊以及改善跨专业协作是可行的,但这些不在他们的执业范围内。社区医生或社区健康护士很少进行口腔健康筛查,而牙医则不太愿意与患者讨论糖尿病问题。大多数参与者认为更好的协作将使患者受益。中国的专业人员一致认为,跨专业协作对于改善糖尿病和牙周炎的管理至关重要。在墨尔本也有类似的观点,只是上海的卫生专业人员对管理糖尿病患者更有信心,并且更欢迎增加口腔健康培训。