COVID-19大流行对伊朗牙医执业模式的影响

Bahareh Tahani, Soroush Talakesh, Ali Foroughi, Mohammad Pooyan Jadidfard
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摘要

背景:冠状病毒病(COVID-19)大流行期间,世界各地牙医的执业方案发生了显著变化。这些变化对牙医的经济问题和病人的口腔健康的影响是最近一些研究的焦点。本研究旨在评估2019冠状病毒病疫情期间伊朗伊斯法罕普通牙医和牙科专家的执业和患者组合可能发生的变化。方法:在2019冠状病毒病大流行期间(2021年4月至6月)对牙医进行分析性横断面研究。设计了一份具体的自填问卷,分别通过计算内容效度指数和类内系数(重测技术)对问卷的效度和信度进行验证。问卷共分为人口统计和工作特点、执业方案可能发生的变化、患者构成、所提供的治疗类型等4个部分共21项。收集的资料采用SPSS软件进行分析,采用描述性和分析性分析,包括t检验、卡方检验和方差分析(α= 0.05)。结果:共招募了152名普通牙医(回应率为88%)及171名专科牙医,其中206名(63.8%)为男性。此外,74%的牙医,特别是修复专家和修复专家,减少了每个工作日的患者数量(P<0.001)。此外,68.5%的人表示他们的老年患者人数有所减少。根据调查结果,77%的牙医报告蛀牙和蛀牙的情况有所增加。虽然拔牙、紧急治疗和广泛修复增加了,但预防性治疗和随访却减少了。据报告,最受关注的是家庭健康(7 / 10)。最后,义齿医生、牙髓医生和外科专家报告这些设施的使用最少(P<0.001)。结论:无望和蛀牙数量的增加,以及急诊治疗(疼痛和脓肿)的增加和预防保健的减少,证实了大流行期间牙科实践模式的不利变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of COVID-19 Pandemic on the Iranian Dentists’ Practice Patterns
Background: The practice scheme of dentists during the coronavirus disease 19 (COVID-19) pandemic changed markedly around the world. The impacts of these changes on the economic concerns of dentists and the oral health of their patients have been the focus of some recent studies. This study aimed to assess probable alterations in the practice and patient mix of general dentists (GDs) and dental specialists in Isfahan, Iran during the COVID-19 outbreak. Methods: This analytic cross-sectional study was performed among dentists during the COVID-19 pandemic (April-June 2021). A specific self-administrated questionnaire was designed, the validity and reliability of which were verified by calculating the content validity index and intra-class coefficients (test-re-test techniques), respectively. The questionnaire had 21 items in four sections, including demographic and work characteristics, probable changes in the practice scheme, composition of patients, and the type of the provided treatments. The collected data were analyzed using the SPSS software, descriptive and analytical analysis, including t-test, Chi-square, and ANOVA (α= 0.05). Results: Overall, 152 general (response rate= 88%) and 171 specialist dentists were recruited, of whom 206 (63.8%) were males. In addition, 74% of the dentists, especially prosthodontists and restorative specialists, reduced the number of patients per working day (P<0.001). Further, 68.5% reported a decrease in the number of their elderly patients. Based on the results, 77% of the dentists reported an increase in tooth decay and hopeless teeth. Although extraction, emergency treatments, and extensive restorations were increased, prophylactic treatments and follow-ups represented a decline. The highest concern was reported to be about family health (7 out of 10). Finally, prosthodontists, endodontists, and surgery specialists reported the least use of these facilities (P<0.001). Conclusions: An increase in the number of hopeless and decayed teeth, as well as an increase in emergency treatments (pain and abscesses) and a decrease in preventive care, confirms an untoward change in the dental practice pattern during the pandemic.
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