估算特殊需求患者牙科保健的不同障碍的程度:系统综述。

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_206_22
Bhaskar Agarwal, Shitij Srivastava, Abhinav Shekhar, Kshitij Arora, Mayank Singh, Lakshya Kumar
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引用次数: 0

摘要

在牙科门诊/诊所中,经常可以看到特殊护理人员的数量与他们的人口数量相比相当少。这可能是由于他们在接受牙科治疗时遇到了一些特殊障碍。我们的目的是通过系统综述找出有特殊需求者在牙科治疗方面遇到的不同障碍,并对其进行量化。我们根据 PRISMA 指南进行了系统性回顾。我们使用预定义的关键词搜索了 PubMed 数据,共检索到 576 条记录。其中包括 2010 年以来以英语发表的、提及牙科保健障碍患者比例的全文研究。在检索全文时,还从其他数据源中发现了三项发表在同行评审期刊上的研究。在总共 576 条 PubMed 和三条附加记录中,共有 22 项研究被纳入系统综述。费用、沟通、物理设施、恐惧/不合作、不了解、地点偏远/交通不便、牙医不愿意、交通和预约困难被确定为九大障碍。不同障碍的汇总比例从 22.75%(可及性;95%CI = 19.96-25.54)到 44.35%(沟通;95%CI = 32.63-56.07A)不等。在固定效应和随机效应模型中,不同研究的异质性都很高。在随机效应模型中,沟通、物质设施和不了解被确定为三个最常见的障碍,其异质性最小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Estimating the magnitude of different barriers to dental care for special needs patients: A systematic review.

Quite often, it is seen that the number of special care individual in the dental OPD/clinics is quite low, as compared to their population. This can be due to specific barriers that restrict them in availing dental treatment. Our aim was to identify different barriers to dental care of persons with special needs through a systematic review and to quantify them. A systematic review was carried out according to PRISMA guidelines. PubMed data was searched with predefined keywords leading to retrieval of 576 records. Full length studies published in English language from 2010 onwards with mention of proportion of persons citing a barrier to dental care were included. Three studies published in peer reviewed journals from other data sources were also identified while retrieving the full length texts. Out of a total of 576 PubMed and three additional records, a total of 22 studies were included in the systematic review. Cost, communication, physical facilities, fear/uncooperativeness, unawareness, distant location/inaccessibility, unwilling dentist, transportation, and difficulty in getting appointment were identified as nine major barriers. Pooled proportions for different barriers ranged from 22.75% (Accessibility; 95%CI = 19.96-25.54) to 44.35% (Communication; 95% CI = 32.63-56.07A). There was a high heterogeneity across different studies for both fixed effects and random effects models. Communication, physical facilities, and unawareness were identified as the three most common barriers showing minimum heterogeneity in random effects model.

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