Inquimbert Camille, Sabourin Céline, Sepashvili Nicolas, Valcarcel Jean, Bossouf Abid, Giraudeau Nicolas
IDESP, INSERM, University of Montpellier, Montpellier, France.
EDPFM, University of Montpellier, Montpellier, France.
Digit Health. 2024 Sep 12;10:20552076241272598. doi: 10.1177/20552076241272598. eCollection 2024 Jan-Dec.
The e-DENT program, initiated by Montpellier University Hospital's Department of Dentistry, seeks to enhance dental care access for individuals with special needs through teledentistry. This five-year retrospective study focuses on the program's impact, particularly assessing patients' mood and behavior during telemedicine dental examinations and the influence of these factors on diagnostic quality and feasibility.
This retrospective, multicentric observational study analyzed data from January 1, 2018, to April 24, 2023, involving residents of medico-social institutions who participated in the e-DENT program. The study utilized a scoring system based on the PANAS scale, which is used to brief measures of positive and negative affects. We aimed to evaluate mood and behavior. The statistical analysis was conducted using R software, incorporating mixed logistic and linear regressions to assess the impact of various factors on patient behavior, mood scores, and the quality and feasibility of diagnoses.
The study included 682 patients, revealing that the majority exhibited cooperative behavior during their telemedicine consultations, with a median mood score of 2.5. Analysis showed a significant improvement in mood scores from the first to subsequent consultations. The mood score positively correlated with diagnostic feasibility and negatively with visit duration. Specific factors such as type of disability, fear of dental instruments, and patient cooperation significantly influenced the quality of videos taken and the feasibility of diagnoses. Facilities catering to different disability types showed varied mood scores, suggesting tailored approaches may be necessary.
The findings underscore the efficacy of teledentistry in providing dental care to individuals with special needs, highlighting the importance of patient mood and behavior in improving diagnostic outcomes. The study suggests that teledentistry can be a well-accepted and effective mode of dental care delivery for this patient group, with implications for optimizing telemedicine practices in medico-social settings.
由蒙彼利埃大学医院牙科发起的电子牙科（e-DENT）项目旨在通过远程牙科技术，改善有特殊需求者的牙科护理服务可及性。这项为期五年的回顾性研究聚焦于该项目的影响，尤其评估远程医疗牙科检查期间患者的情绪和行为，以及这些因素对诊断质量和可行性的影响。
这项回顾性、多中心观察性研究分析了2018年1月1日至2023年4月24日的数据，研究对象为参与e-DENT项目的医疗社会机构的居民。该研究采用基于正性和负性情绪量表（PANAS）的评分系统来简要衡量情绪。我们旨在评估情绪和行为。使用R软件进行统计分析，纳入混合逻辑回归和线性回归，以评估各种因素对患者行为、情绪评分以及诊断质量和可行性的影响。
该研究纳入了682名患者，结果显示大多数患者在远程医疗咨询期间表现出合作行为，情绪评分中位数为2.5。分析表明，从首次咨询到后续咨询，情绪评分有显著改善。情绪评分与诊断可行性呈正相关，与就诊时间呈负相关。残疾类型、对牙科器械的恐惧和患者合作等特定因素显著影响所拍摄视频的质量和诊断的可行性。针对不同残疾类型的设施表现出不同的情绪评分，这表明可能需要采取量身定制的方法。
研究结果强调了远程牙科技术在为有特殊需求者提供牙科护理方面的有效性，突出了患者情绪和行为对改善诊断结果的重要性。该研究表明，远程牙科技术可以成为这一患者群体广泛接受且有效的牙科护理提供模式，对优化医疗社会环境中的远程医疗实践具有启示意义。
