Stormon Nicole, Carr David, Drahm Paul, Phillips Kirrily
Community and Oral Health, Queensland Health, Metro North Health, Brisbane, QLD, Australia.
School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, QLD, Australia.
Qual Health Res. 2025 Apr 28:10497323251335837. doi: 10.1177/10497323251335837.
This study aimed to co-design a "Deadly Dental Home" for Australian Aboriginal and Torres Strait Islander people (herein referred to as First Nations). Participatory Action Research-Dadirri-Ganma methods utilized respectful listening (Dadirri), self-reflective knowledge sharing (Ganma), and Yarning to design a model of care for the community. Consumers of dental services, community leaders, healthcare providers, and dental service leaders designed a culturally safe and holistic approach to dental care, bringing together First Nations and Western perspectives. A "Deadly Dental Home" is a dental service that arranges continuously available, comprehensive, coordinated, and culturally appropriate dental care. The expression "deadly" carries a sense of empowerment and positivity within First Nations cultures, representing strength, praise, resilience, and excellence. The research emphasized the integration of cultural needs into dental services. Key themes included Reaching Mob, Dental Care Delivery, and Care Across the Life Journey. Continuous and culturally responsive dental care tailored to different life stages from infancy through elderhood included hands-on education and prevention strategies. The need for a culturally competent workforce, a welcoming dental environment, and flexible appointment scheduling was necessary to foster trust and accessibility. The Deadly Dental Home model promotes a comprehensive approach to care extending beyond traditional dental treatment to address broader health determinants. Continued community engagement, partnership with dental services, and research are essential to refining and implementing this model, ensuring it effectively addresses the unique needs of First Nations people.
本研究旨在为澳大利亚原住民和托雷斯海峡岛民（以下简称原住民）共同设计一个“致命牙科之家”。参与式行动研究——达迪里——甘马方法运用了尊重性倾听（达迪里）、自我反思性知识共享（甘马）以及交流来设计社区护理模式。牙科服务消费者、社区领袖、医疗服务提供者和牙科服务领导者设计了一种文化安全且全面的牙科护理方法，融合了原住民和西方的观点。“致命牙科之家”是一种牙科服务，提供持续可得、全面、协调且符合文化习俗的牙科护理。“致命”一词在原住民文化中带有赋权和积极的意味，代表力量、赞扬、恢复力和卓越。该研究强调将文化需求融入牙科服务。关键主题包括联系民众、提供牙科护理以及贯穿人生旅程的护理。针对从婴儿期到老年期不同生命阶段量身定制的持续且具有文化适应性的牙科护理包括实践教育和预防策略。为了增进信任和提高可及性，需要一支具备文化能力的员工队伍、一个温馨的牙科环境以及灵活的预约安排。“致命牙科之家”模式倡导一种全面的护理方法，超越传统牙科治疗，以解决更广泛的健康决定因素。持续的社区参与、与牙科服务机构的合作以及研究对于完善和实施该模式至关重要，以确保其有效满足原住民的独特需求。
