Teledentistry utilization by oral health professionals and policy considerations: A mixed methods case study.

Kelly Schroeder, Morgan Santoro, Eric P Tranby, Lisa Heaton, Sharity Ludwig, Paige Martin, Sarah E Raskin
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Abstract

Objectives: To examine variations in the delivery of teledentistry after the COVID-19 pandemic and to explore oral health professionals' utilization of various teledentistry modes of delivery.

Methods: In this mixed methods case study, we collected teledentistry claims data from patient electronic health records (n = 78,756) encompassing various types of teledentistry utilization in clinical settings and through community outreach from a Dental Support Organization (DSO) in Oregon from January 2021 to November 2022. We analyzed the patient demographic and claims data using descriptive statistics and logistic regression analyses to identify patterns of teledentistry service delivery. Qualitatively, we conducted virtual interviews (n = 13) through Microsoft Teams with oral health professionals about their experiences with teledentistry utilization. We used inductive and deductive coding to code individual transcripts and identify common themes among provider experiences.

Results: Out of the 78,756 electronic health record claims for teledentistry, 75.7% used synchronous audio, 13.4% used synchronous video, and 10.9% used asynchronous teledentistry methods. We observed a 8.6% increase in synchronous audio teledentistry utilization at the end of the study period, compared with a 4.2% increase in synchronous video and a 4.4% decrease in asynchronous teledentistry. Oral health professionals interviewed reported choosing the type of teledentistry delivery based on patient and provider access to the virtual teledentistry platform.

Conclusion: Oral health professionals' knowledge of and experiences with teledentistry need to be considered when developing policy and best practices for the use of teledentistry for patient care.

口腔卫生专业人员对远程牙科技术的利用和政策考虑:混合方法案例研究。
目的研究 COVID-19 大流行后远程口腔治疗服务的变化,并探讨口腔卫生专业人员对各种远程口腔治疗服务模式的使用情况:在这项混合方法案例研究中,我们从患者电子健康记录(n = 78,756 人)中收集了远程牙科治疗索赔数据,其中包括 2021 年 1 月至 2022 年 11 月期间俄勒冈州一家牙科支持组织(DSO)在临床环境中和通过社区外展活动使用远程牙科治疗的各种类型。我们使用描述性统计和逻辑回归分析对患者人口统计学和索赔数据进行了分析,以确定远程牙科服务的提供模式。在定性分析方面,我们通过 Microsoft Teams 对口腔卫生专业人员进行了虚拟访谈(n = 13),了解他们使用远程牙科治疗的经验。我们使用归纳和演绎编码法对单个记录进行编码,并在提供者的经验中找出共同的主题:在 78 756 份远程牙科治疗电子健康记录申请中,75.7% 使用了同步音频,13.4% 使用了同步视频,10.9% 使用了异步远程牙科治疗方法。我们观察到,在研究期结束时,同步音频远程牙科治疗的使用率增加了 8.6%,而同步视频增加了 4.2%,异步远程牙科治疗减少了 4.4%。受访的口腔医疗专业人员表示,他们会根据患者和医疗服务提供者对虚拟远程牙科治疗平台的访问情况来选择远程牙科治疗的类型:结论:在制定使用远程牙科治疗的政策和最佳实践时,需要考虑口腔医疗专业人员对远程牙科治疗的了解和经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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