Barnett S E, Call R L
Am J Public Health. 1979 Nov;69(11):1107-13. doi: 10.2105/ajph.69.11.1107.
For the past six years, 78 dental students have worked with 25 rural dentists to provide over 31,000 dental health services to migrant patients for all of Colorado's agricultural communities. In 1977, each of 19 dental students averaged over $538 per week in value of comprehensive dental services, including preventive and peridontal services (36 per cent, N=3,006); restorative services (46 per cent, N = 3,904); surgical services (8 per cent, N = 705); services in pulp therapy (5 per cent, N = 413); and an additional 5 per cent (N = 412) in miscellaneous services. A unique combination of federal resources from the Departments of Labor, and of Health, Education and Welfare, were combined through the Colorado State Health Department and the University of Colorado Medical Censtrated by: 1) a relatively low extraction to restoration ratio (1 to 5) when compared to reported studies (1 to 2); 2) a relatively low extract to root canal therapy (10 to 1) when compared to reported studies (400 to 1); 3) no statistical difference between students and rural practitioners in the quality of services as determined by peer review study. This dental program is an integrated component of a comprehensive program combining student and professional services in medicine, nursing, nutrition, and health education.
在过去六年里,78名牙科专业学生与25名乡村牙医合作,为科罗拉多州所有农业社区的流动患者提供了超过31000次口腔健康服务。1977年,19名牙科专业学生每人每周提供的综合口腔服务价值平均超过538美元,其中包括预防性和牙周服务(36%,N = 3006);修复性服务(46%,N = 3904);外科手术服务(8%,N = 705);牙髓治疗服务(5%,N = 413);以及另外5%(N = 412)的杂项服务。来自劳工部、卫生、教育和福利部的联邦资源通过科罗拉多州卫生部和科罗拉多大学医学院进行了独特整合,其特点包括:1)与已报道研究(1比2)相比,拔牙与修复的比例相对较低(1比5);2)与已报道研究(400比1)相比,拔牙与根管治疗的比例相对较低(10比1);3)通过同行评审研究确定,学生和乡村从业者在服务质量上没有统计学差异。这个牙科项目是一个综合项目的组成部分,该综合项目将医学、护理、营养和健康教育方面的学生及专业服务结合在一起。