建立学生诊所为未参保病人提供免费牙科服务的模式

Elizabeth Nguyen, Heather Stewart, Marissa Maldonado, Elizabeth Cook, Bianca L Arboleda, Elizabeth Simoneit, S. H. Palakurty, Alexander Shahin, Eduardo Gonzalez
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摘要

背景:本文详细介绍了通过与健康希望项目(HHP)和当地牙科志愿者的合作,在佛罗里达州希尔斯伯勒县建立关系和致力于获得平等的倡议医疗保健诊所(BRIDGE)内建立一个免费牙科诊所的情况。诊所的目的是为BRIDGE患者提供一般牙科服务。它记录了第一家牙科诊所提供的患者人口统计、手术类型和护理总成本。方法:通过HHP招募了9名牙医、2名牙科保健师和1名牙科助理,以及29名当地志愿者参加诊所。BRIDGE诊所的患者通过短信联系,告知他们有机会接受牙科护理。举行了一次分诊活动,以进行初步评估并确定所需的服务。接下来的一周,被分流的患者返回接受牙科服务。提供的程序包括用氟化物清漆、提取物和填充物进行预防。结果:71名患者被分诊,62名患者接受了手术。平均年龄49±10岁。在被分诊的患者中,87%(62)接受了至少一次手术,72%(51)接受了清漆预防,18%(13)接受了提取,39%(28)接受了填充。完成的手术总数为126次,其中包括51次预防、28次提取和47次填充。所提供服务的总成本为31065美元,每位患者的平均成本为438美元。结论:该项目证明了在一个已建立的免费初级保健诊所的背景下,免费牙科诊所试点的成功实施。它提供了关于免费牙科诊所的结构和成本的信息,以及如何实施该诊所为没有保险的患者提供牙科护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Establishing a Model for Free Dental Care for Uninsured Patients Served by a Student-Run Clinic
Background: This paper details the establishment of a free dental clinic within the Building Relationships and Initiatives Dedicated to Gaining Equality (BRIDGE) Healthcare Clinic, a student-run free clinic, in Hillsborough County, Florida through collaboration with Hope in Health Project (HHP), and local dental volunteers. The purpose of the clinic is to provide general dental service to BRIDGE patients. It notes the patient demographics, procedure types, and total cost of care provided at the first dental clinic. Methods: Nine dentists, two dental hygienists, and one dental assistant were recruited through HHP as well as 29 local volunteers to participate in the clinic. BRIDGE Clinic patients were contacted via text message informing them of the opportunity to receive dental care. A triage event was held for initial evaluation and to determine services needed. The following week, triaged patients returned to receive dental services. Procedures offered included prophylaxis with fluoride varnish, extractions, and fillings. Results: 71 patients were triaged and 62 received a procedure. The average age was 49±10 years. Of patients triaged, 87% (62) received at least one procedure, 72% (51) received prophylaxis with varnish, 18% (13) received extractions, and 39% (28) received fillings. Total number of procedures completed was 126, which included 51 prophylaxis, 28 extractions, and 47 fillings. The total cost for the services provided was 31,065 United States Dollar (USD) with an average cost per patient of 438 USD. Conclusion: This project demonstrates the successful implementation of a pilot free dental clinic in the context of an established free, primary healthcare clinic. It provides information on the structure and cost of a free dental clinic and how it can be implemented to provide dental care to uninsured patients.
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