玛莎葡萄园岛上万帕诺亚格老人的口腔健康需求:全面评估。

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2024-08-27 DOI:10.1111/ger.12788
Lauren Gritzer, Hend Alqaderi, Anshul Puli, Michael Friedman, Subin Jeong, Narjes Bencheikh, Sophie Kim, Yen Dinh, Jason Outlaw, Brian Swann
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引用次数: 0

摘要

目标:评估口腔保健的获得和利用情况,同时确定玛莎葡萄园岛 Wampanoag Tribe of Gay Head (WTGH) 印第安老人的具体口腔保健需求:背景:老年人,尤其是 WTGH 的老年人在获得口腔保健方面面临着明显的问题。本研究通过全面的社区需求评估来解决 WTGH 老人口腔健康方面的差距:方法:采用混合方法,对利益相关者和部落成员进行定性概念绘图访谈,开展定量调查,并对去标识化账单代码进行分析:概念图显示了服务的有限可用性、可及性和交通、保险挑战、中央数据库的缺乏、部落/国家政策以及与健康相关的自给自足。定量数据显示,65% 的长者在获得口腔保健方面面临挑战,48% 的长者报告在过去 12 个月中遇到过口腔健康问题。此外,23% 的长者在此期间没有接受过口腔保健服务,其中很大一部分长者曾在玛莎葡萄园医院口腔保健诊所接受过服务:结论:在WTGH和学术机构之间建立正式关系,以创建一个由教师监督的便携式口腔健康诊所,并开发一个结构化的转诊系统,这一点至关重要。这一举措旨在消除口腔保健方面的障碍,改善就医途径,满足老年人的口腔保健需求,同时为学生提供有关不同患者群体和就医因素的宝贵教育经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral health needs of Wampanoag elders on Martha's Vineyard: A comprehensive assessment.

Objectives: Evaluate oral health care access and utilisation, while identifying the specific oral health needs of the Native American Elders within the Wampanoag Tribe of Gay Head (WTGH) on Martha's Vineyard Island.

Background: Elders, particularly the WTGH face notable issues in obtaining oral health care. This study addressed the oral health gaps within the WTGH Elders through a comprehensive community needs assessment.

Methods: Employing a mixed-methods approach, qualitative concept mapping interviews with stakeholders and tribe members, a quantitative survey was conducted, and deidentified billing codes were analysed.

Results: Concept mapping revealed limited availability of services, accessibility and transportation, insurance challenges, lack of a centralised database, tribal/national policy and health-related self-sufficiency. Quantitative data indicated that 65% of Elders faced challenges in accessing oral health care, and 48% reported experiencing an oral health issue in the last 12 months. Additionally, 23% did not receive oral health care during this period, with a significant portion having previously utilised services at the Martha's Vineyard Hospital Oral Health Clinic.

Conclusion: Establishing a formal relationship between the WTGH and an academic institution for creating a portable oral health clinic supervised by faculty and developing a structured referral system is essential. This initiative aims to dismantle barriers to oral health care, improve access, and meet the oral health needs among Elders while offering valuable educational experiences for students regarding diverse patient populations and access-to-care factors.

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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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