Hariyani Ninuk, Shanbhag Namita, Wijayati Ekawati Wasis, Prananta Arie Wahyu, Setyowati Dini, Palupi Retno
Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
Government Dental College & Research Institute, Bangalore, Karnataka, India.
J Int Soc Prev Community Dent. 2022 Aug 29;12(4):385-392. doi: 10.4103/jispcd.JISPCD_244_21. eCollection 2022 Jul-Aug.
This review aims to map the needs and challenges in the application of teledentistry and online referral system encountered by dental health care professionals in Indonesian primary health care centers (puskesmas) to provide safe dental health service to the population during the COVID-19 pandemic.
Literature search was undertaken of both in Indonesian and overseas context related to teledentistry. Narrative review of the literature was written to present the challenges, solutions, and application of teledentistry at Puskesmas to optimize oral health services during the COVID-19 pandemic.
Online referral system and teledentistry are options to help dental health service delivery in the pandemic era. While it has been adopted in many private clinics, there are many challenges to adopt it at the puskesmas level due to a lack of infrastructure, human resources, and budget allocation. While the Indonesian government has plans to support the digitization in the education and health sector, this pandemic shall pose an opportunity for Indonesian health department to develop and facilitate the use of teledentistry and online referral system. During this situation, health cadres can bridge the relationship between Puskesmas and the poor community through the help of teledentistry.
The government commitment in applying online referral system and teledentistry in Puskesmas is needed. Dental education institutions can help to supply human resources, who are capable of developing and carrying out the most suitable teledentistry application for all stakeholders.
本综述旨在梳理印度尼西亚初级卫生保健中心(puskesmas)的牙科保健专业人员在应用远程牙科和在线转诊系统时所面临的需求和挑战,以便在新冠疫情期间为民众提供安全的牙科保健服务。
对印度尼西亚国内外与远程牙科相关的文献进行检索。撰写文献叙述性综述,以呈现puskesmas在新冠疫情期间远程牙科的挑战、解决方案及应用情况,从而优化口腔卫生服务。
在线转诊系统和远程牙科是疫情时代帮助提供牙科保健服务的选择。虽然许多私人诊所已采用,但由于缺乏基础设施、人力资源和预算分配,在puskesmas层面采用该系统仍面临诸多挑战。尽管印度尼西亚政府计划支持教育和卫生部门的数字化,但此次疫情应为印度尼西亚卫生部门发展和推动远程牙科及在线转诊系统的使用提供契机。在此情况下,卫生干部可借助远程牙科在puskesmas与贫困社区之间搭建沟通桥梁。
政府需要致力于在puskesmas应用在线转诊系统和远程牙科。牙科教育机构可帮助提供人力资源,这些人员能够为所有利益相关者开发并实施最合适的远程牙科应用。