장애인 구강진료 접근성 제약 - Part 1. 장애인 치과 의료진 측면에서의 고찰
TREATEMENT BARRIERS OF SPECIAL NEEDS PATIENTS - PART 1. CONSIDERATION FROM THE PERSPECTIVES OF SPECIAL CARE DENTISTS
장주혜,
소속 상세정보
장주혜 ( Chang Ju-Hea ) - 서울대학교치과병원 스페셜케어클리닉
Abstract
The aim of this study was to clarify the barriers of dental treatment for special needs patients felt by dentists and to determine the dentist-related factors contributing to the obstacles in treatment planning and decision making. Questionnaires were distributed and responded by dentists working at five public-based special care clinics in South Korea. Factors divided into three parts (dentist demographics, clinical factors, and educational and administrational factors) were assessed and analyzed for correlations between dentist-related factors and dentist-felt burdens for special care treatment. Fisher’s exact test and Chi-square test were used at the level of 0.05. A total of 34 dentists responded to the questionnaires. Almost all dentists had obstacles in the treatment of special needs patients in terms of the patients’ lack of cooperation (94.1%), proxy communication with caregivers (94.1%), payment reward system (63.6%), deficient workforce (67.7%), and others. The longer dentists had been practicing for special needs patients, the more they were dissatisfied with the reward system and a longer time was spent for communication with patients and their caregivers (p<0.05). For specialists, more obstacles were experienced in treatment planning due to a deficiency in the clinical information obtained from their patients compared to general practitioners (p<0.05). A total of 82.4% of the respondents approved of mandatory educational programs for special care dentists. There were practitioner-based factors related to the amount of obstacles felt by special care dentists. To overcome the treatment barrier of special needs patients, in-depth education and training are required in special care dentistry.
키워드
Education;Treatment barrier;Special care dentist;Special needs patient;Questionnaires
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