Whyatt Layla, Barry Siobhan
Dental Core Trainee 1, Oral and Maxillofacial Surgery, Mid Yorkshire Trust, UK.
Professor and Honorary Consultant in Paediatric Dentistry, University of Manchester, UK; University Dental Hospital Manchester, Manchester, UK.
Br Dent J. 2022 Nov 25:1-5. doi: 10.1038/s41415-022-5221-7.
Introduction Dental neglect presents a global concern and is a shared public challenge for all healthcare professionals, including general medical practitioners (GPs). Previous literature highlights a lack of training among GPs and suggests that barriers are present to reporting concerns of dental neglect.Aims To investigate the current awareness of child dental neglect among GPs in Greater Manchester and to investigate barriers to the reporting of concerns.Methods An anonymous, electronic questionnaire was distributed to GPs in Greater Manchester. Respondents reported their experience and training in child dental neglect and their management of suspected cases. Results were assessed using descriptive analysis.Results In total, 25 GPs completed the questionnaire. It was found 60% received undergraduate child protection training and 96% completed postgraduate training. Only 20% felt adequately trained in the referral of suspected child dental neglect and the majority acknowledged that more training is required. Furthermore, 42% had been suspicious of child dental neglect; however, only 80% recorded their observations. Plus, 32% had suspected child dental neglect and not completed a referral. Common barriers to reporting included lack of knowledge of referral procedures and lack of certainty of diagnosis.Conclusion Barriers to referral of suspected cases of neglect were reported and there is a demand for further training among GPs.
引言
牙齿忽视是一个全球性问题,是包括全科医生(GPs)在内的所有医疗保健专业人员共同面临的公共挑战。以往文献强调全科医生缺乏相关培训,并表明在报告牙齿忽视问题方面存在障碍。
目的
调查大曼彻斯特地区全科医生对儿童牙齿忽视的当前认知情况,并调查报告相关问题的障碍。
方法
向大曼彻斯特地区的全科医生发放了一份匿名电子问卷。受访者报告了他们在儿童牙齿忽视方面的经验和培训情况以及对疑似病例的处理方式。使用描述性分析对结果进行评估。
结果
共有25名全科医生完成了问卷。结果发现,60%的人接受过本科儿童保护培训,96%的人完成了研究生培训。只有20%的人认为自己在转诊疑似儿童牙齿忽视病例方面接受了充分培训,大多数人承认需要更多培训。此外,42%的人曾怀疑存在儿童牙齿忽视情况;然而,只有80%的人记录了他们的观察结果。另外,32%的人曾怀疑儿童牙齿忽视但未完成转诊。报告的常见障碍包括缺乏转诊程序知识和诊断的确定性不足。
结论
报告了疑似忽视病例转诊的障碍,全科医生对进一步培训有需求。