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儿童患者从社区牙科服务向普通牙科服务的转移。

The transfer of child patients from the community dental service to the general dental service.

作者信息

Crawford A N, Boye U, Baggett J, Roberts K

机构信息

Community Dental Health, Mancunian Community Health (NHS) Trust, Mauldeth House, Manchester.

出版信息

Br Dent J. 1998 Feb 14;184(3):134-6. doi: 10.1038/sj.bdj.4809562.

Abstract

OBJECTIVE

To determine an effective strategy for the transfer of children from the CDS to the GDS.

DESIGN

Single centre study comprising a retrospective analysis of a 50% random sample of dental records for children transferred from CDO to GDP.

SETTING

Community dental clinic in an urban area of south Manchester with relatively little material deprivation.

SUBJECTS AND METHODS

Between 1990 and 1995, a GDP worked up to 5 hours a week in the CDS clinic seeing routine child patients referred by the CDO.

MAIN OUTCOME MEASURES

Numbers of children registered with a GDP after varying periods of time. Attendance records of children transferred from CDS to GDS and rates of failed appointments.

RESULTS

After 4 1/2 years, 264 child patients had been registered with the GDP under capitation and a further 55 adults were registered under continuing care. The majority of children had retained registration for more than 2 1/2 years. The mean rate of failed appointments was 16%.

CONCLUSION

Children can be transferred successfully from the CDS to the GDS if the GDP works at the community clinic and there are further benefits which accrue to the scheme.

摘要

目的

确定将儿童从社区牙科服务(CDS)转至综合牙科服务(GDS)的有效策略。

设计

单中心研究,对从社区牙科诊所(CDO)转至综合牙科诊疗所(GDP)的儿童牙科记录抽取50%的随机样本进行回顾性分析。

地点

曼彻斯特南部市区的社区牙科诊所,物质匮乏情况相对较少。

研究对象与方法

1990年至1995年间,一名综合牙科诊疗所医生每周在社区牙科服务诊所工作5小时,接待由社区牙科诊所转诊的常规儿童患者。

主要观察指标

不同时间段后在综合牙科诊疗所注册的儿童数量。从社区牙科服务转至综合牙科服务的儿童的就诊记录及预约未到率。

结果

4年半后,264名儿童患者按人头付费在综合牙科诊疗所注册,另有55名成人在持续护理下注册。大多数儿童的注册时间超过2年半。预约未到的平均发生率为16%。

结论

如果综合牙科诊疗所医生在社区诊所工作,儿童可以成功地从社区牙科服务转至综合牙科服务,并且该计划还有其他益处。

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