Pratelli P, Gelbier S
Department of Dental Public Health and Community Dental Education, King's College London, UK.
Community Dent Health. 1998 Dec;15(4):281-5.
To investigate care managers' experiences in obtaining dental services for their clients.
Descriptive survey collecting qualitative and quantitative data by semi-structured interviews.
Inner London boroughs of Lambeth, Southwark and Lewisham.
Care managers or their delegated representatives in all homes listed in June 1996 by the registration and inspection units of the boroughs' social services departments, under the Registered Homes Acts (1984; 1991).
Managers' experiences in obtaining dental services for their residents and their perception of their residents' current need for dental treatment. Perceived barriers to care.
Managers perceived a current need for dental treatment in 14% of the residents. In 4 out of 80 homes (5%) none of the clients had seen a dentist during the preceding 12 months, but not because homes had been unable to obtain services. The most common reason given by managers was that clients were unwilling to accept care. Continuity of care and partnership between carers and dentists were seen as facilitating co-operation. Eighty five per cent of homes made some use of the Community Dental Services.
Managers perceived that sufficient services were available in the area; the chief barrier to care was residents' reluctance to accept treatment. The Community Dental Service played an important role in the provision of dental services. Managers felt that the treatment of severely disabled patients required special skills and experience.
调查护理经理为其客户获取牙科服务的经历。
通过半结构化访谈收集定性和定量数据的描述性调查。
伦敦市中心的兰贝斯、南华克和刘易舍姆区。
1996年6月各区社会服务部门登记和检查单位根据《注册养老院法案》（1984年；1991年）列出的所有养老院中的护理经理或其委派代表。
经理为其居民获取牙科服务的经历以及他们对居民当前牙科治疗需求的看法。护理的感知障碍。
经理认为14%的居民当前需要牙科治疗。在80所养老院中有4所（5%）的客户在过去12个月中没有看过牙医，但并非因为养老院无法获得服务。经理给出的最常见原因是客户不愿意接受护理。护理的连续性以及护理人员与牙医之间的合作关系被视为促进合作的因素。85%的养老院在一定程度上利用了社区牙科服务。
经理认为该地区有足够的服务；护理的主要障碍是居民不愿接受治疗。社区牙科服务在提供牙科服务方面发挥了重要作用。经理们认为，治疗重度残疾患者需要特殊技能和经验。
