Wang N J
Institute of Community Dentistry, University of Oslo, Norway.
Acta Odontol Scand. 1994 Oct;52(5):280-9. doi: 10.3109/00016359409029040.
In a field project in the Public Dental Service in Norway, 4000 children aged 5 to 18 years were examined and given preventive care by dental hygienists. The study describes the clinical time spent providing child dental care when hygienists examined all children and referred to dentists those children who required care hygienists were not qualified to deliver. Of all clinical time spent, 56% was dentist time and 44% was hygienist time. A high proportion of children without dental caries did not consume dentist resources at all. More than 40% of the dentist time was consumed by the 10% of the children with most new decayed teeth. In conclusion, the project showed that in a child population with low caries increment, a substantial proportion of children received all dental care from hygienists, so that dentist resources were saved for other groups. However, although hygienists were used as first-line personnel, a considerable quantity of dentist time was spent on dental care for children.
在挪威公共牙科服务的一个实地项目中，4000名5至18岁的儿童接受了口腔保健员的检查并获得了预防性护理。该研究描述了口腔保健员检查所有儿童并将需要护理但保健员无资格提供护理的儿童转诊给牙医时，提供儿童牙科护理所花费的临床时间。在所有花费的临床时间中，56%是牙医时间，44%是保健员时间。很大一部分没有龋齿的儿童根本没有消耗牙医资源。超过40%的牙医时间被有最多新发龋齿的10%的儿童消耗。总之，该项目表明，在龋齿增量较低的儿童群体中，很大一部分儿童从保健员那里获得了所有牙科护理，从而为其他群体节省了牙医资源。然而，尽管保健员被用作一线人员，但仍花费了大量的牙医时间用于儿童牙科护理。
