Burtner A P, Dicks J L
College of Dentistry, University of Florida, Health Science Center, Gainesville 32610-0404, USA.
Spec Care Dentist. 1994 Sep-Oct;14(5):188-93.
For some individuals with disabilities who reside in the community, comprehensive oral health care is inaccessible. This deficiency has been noted by health care professionals and advocacy organizations. For example, most dentists who provide care to people with disabilities who reside in the institutional setting perceive that present resources within the community, both private and public, are generally unprepared to provide comprehensive dental care to the adult with severe disabilities; they also believe that special facilities and programs are needed that will be geographically and financially accessible to these individuals. Fortunately, several "special programs" have been established that successfully provide dental care to this population. This article describes these alternative care delivery systems and discusses their characteristics, advantages, and disadvantages. In addition, given the continuing process of community placement, implications for institutional dental programs are presented.
对于一些居住在社区中的残疾人士而言,他们无法获得全面的口腔保健服务。医疗保健专业人员和倡导组织已经注意到了这一缺陷。例如,大多数为居住在机构环境中的残疾人士提供护理的牙医认为,社区内现有的私人和公共资源通常没有做好为重度残疾成年人提供全面牙科护理的准备;他们还认为需要有特殊的设施和项目,以便这些人在地理位置和经济上都能获得。幸运的是,已经建立了几个“特殊项目”,成功地为这一人群提供牙科护理。本文描述了这些替代护理提供系统,并讨论了它们的特点、优点和缺点。此外,鉴于社区安置的持续进程,还介绍了对机构牙科项目的影响。