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澳大利亚为原住民和托雷斯海峡岛民提供的口腔健康服务:一项范围综述。

Oral health services provided for Aboriginal and Torres Strait Islander peoples in Australia: a scoping review.

作者信息

Do Lisa Hai My, Dimitropoulos Yvonne, Skinner John, Sohn Woosung

机构信息

The University of Sydney, School of Dentistry, Faculty of Medicine and Health, Camperdown, NSW, Australia.

HEAR CENTRE, Macquarie University, Macquarie Park, NSW, Australia.

出版信息

Aust Health Rev. 2025 Jan;49. doi: 10.1071/AH24281.

Abstract

Objective The shortage of oral health professionals in rural and remote regions of Australia directly impacts the access to oral health services for people who live in these regions, including Aboriginal and Torres Strait Islander peoples. This scoping review aims to explore where and how these services are provided for Aboriginal and Torres Strait Islander peoples and the relevant workforce model used. Methods Electronic databases, including MEDLINE, EMBASE, Cochrane, and CINAHL, were searched. Grey literature searches included the Australian Indigenous HealthInfoNet webpage, Australian Institute of Health and Welfare, and Advanced Google search. Results Oral health services were classified into the following categories: (1) clinical oral health services, (2) oral health promotion to improve oral health awareness, knowledge, attitudes, behaviours, or skills at patient/community level, and (3) oral health promotion including the use of single clinical interventions (e.g. fluoride varnish). Services were delivered in a variety of settings including community health clinics and schools or using mobile dental equipment. Both the dental and non-dental workforce were utilised to provide these services. Limited data were found on the experiences and challenges faced by the workforce that provide these services. Conclusion Oral health services provided for Aboriginal and Torres Strait Islander peoples in rural and remote regions of Australia vary in service type, location, and workforce involved. Future research is required to explore the experiences and support of this workforce. This can enhance delivery of culturally and clinically safe oral health services for Aboriginal and Torres Strait Islander peoples, particularly in rural and remote regions.

摘要

目的 澳大利亚农村和偏远地区口腔卫生专业人员的短缺直接影响了这些地区居民,包括原住民和托雷斯海峡岛民获得口腔卫生服务的机会。本范围综述旨在探讨为原住民和托雷斯海峡岛民提供这些服务的地点和方式,以及所采用的相关劳动力模式。方法 检索了包括MEDLINE、EMBASE、Cochrane和CINAHL在内的电子数据库。灰色文献检索包括澳大利亚原住民健康信息网网页、澳大利亚卫生与福利研究所和高级谷歌搜索。结果 口腔卫生服务分为以下几类:(1)临床口腔卫生服务;(2)在患者/社区层面提高口腔健康意识、知识、态度、行为或技能的口腔健康促进;(3)包括使用单一临床干预措施(如氟化物漆)的口腔健康促进。服务在多种场所提供,包括社区卫生诊所和学校,或使用流动牙科设备。牙科和非牙科劳动力都被用于提供这些服务。关于提供这些服务的劳动力所面临的经验和挑战的数据有限。结论 澳大利亚农村和偏远地区为原住民和托雷斯海峡岛民提供的口腔卫生服务在服务类型、地点和所涉及的劳动力方面各不相同。需要进一步研究来探索这支劳动力的经验和支持情况。这可以加强为原住民和托雷斯海峡岛民,特别是农村和偏远地区的居民提供符合文化和临床安全标准的口腔卫生服务。

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