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儿童远程牙科的可行性与可接受性:一项混合方法研究。

Feasibility and Acceptability of Pediatric Teledentistry: A Mixed-Methods Study.

作者信息

Alrumaim Sarah, Farsi Nada, Farsi Najat, Baghlaf Khlood, Farsi Deema

机构信息

Pediatric Dentistry Postgraduate Program, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Int J Paediatr Dent. 2025 Sep;35(5):954-963. doi: 10.1111/ipd.13312. Epub 2025 Apr 6.

Abstract

BACKGROUND

Teledentistry has supplemented current dental healthcare systems and has been proven effective in pediatric dentistry.

AIM

To investigate the feasibility and acceptability of a virtual pediatric dentistry clinic (VC).

DESIGN

This mixed methods study used an explanatory sequential design. First, a quantitative survey assessed parental satisfaction with VC. The second phase involved two parts: (1) qualitative semi-structured interviews with parents and (2) ten observations of virtual appointments were conducted to aid in findings' triangulation.

RESULTS

Forty-five VC were conducted with children and parents. Thirty-six parents (80%) were highly satisfied, while nine (20%) had low satisfaction. Fourteen semi-structured interviews were conducted with seven highly satisfied and seven minimally satisfied parents. Eight themes emerged: (1) VC indication; (2) VC outcome; (3) new experience; (4) improvements in the child's behavior; (5) VC limitations; (6) skepticism about delivery of care; (7) convenience and accessibility; and (8) reduction in transportation cost and time. VC observation findings were triangulated with the results from the interviews, which showed that low-satisfaction parents reported pain, facial cellulitis, and complex cases that needed immediate treatment at dental clinics.

CONCLUSION

Teledentistry is a feasible complement to the continuum of care, enabling remote triage and consultation as needed, and is highly accepted by parents.

摘要

背景

远程牙科补充了当前的牙科医疗体系,且已在儿童牙科中被证明有效。

目的

探讨虚拟儿童牙科诊所(VC)的可行性和可接受性。

设计

本混合方法研究采用了解释性序列设计。首先,通过定量调查评估家长对VC的满意度。第二阶段包括两个部分:(1)对家长进行定性半结构式访谈;(2)对虚拟预约进行十次观察,以辅助结果的三角验证。

结果

对儿童及其家长进行了45次VC。36位家长(80%)高度满意,而9位(20%)满意度较低。对7位高度满意和7位最低满意度的家长进行了14次半结构式访谈。出现了八个主题:(1)VC适应症;(2)VC结果;(3)新体验;(4)儿童行为改善;(5)VC局限性;(6)对医疗服务提供的怀疑;(7)便利性和可及性;(8)交通成本和时间的减少。VC观察结果与访谈结果进行了三角验证,结果显示,满意度较低的家长报告了疼痛、面部蜂窝织炎以及需要在牙科诊所立即治疗的复杂病例。

结论

远程牙科是连续护理的一种可行补充,能够根据需要进行远程分诊和咨询,并且受到家长的高度认可。

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