关键词: Palliative care focus groups medical practitioners oral health patient care health referrals

Mesh : Humans Palliative Care / methods Oral Health Qualitative Research Australia Health Personnel

来  源:   DOI:10.1177/02692163241233974   PDF(Pubmed)

Abstract:
UNASSIGNED: Oral health problems are common, but often overlooked, among people receiving palliative care.
UNASSIGNED: To better understand how oral health can be addressed in this population, this study aimed to explore the perceptions of oral health care among medical practitioners who provide palliative care to inform the development of a palliative oral health care program.
UNASSIGNED: A descriptive qualitative design was adopted.
UNASSIGNED: A single focus group was conducted with 18 medical practitioners at a palliative care facility in Sydney, Australia. All participants had experience providing palliative care services to clients. The focus group was audio recorded, transcribed and thematically analysed.
UNASSIGNED: The results from the inductive thematic analysis identified four themes. The themes highlighted that participants were aware of the oral health needs of people receiving palliative care; however, they also reflected on the complexity in delivering oral health care across the healthcare settings, as well as the challenges around cost, lack of appropriate dental referral pathways, time constraints and limited awareness. Participants also provided recommendations to improve the delivery of oral health care to individuals receiving palliative care.
UNASSIGNED: To improve the provision of oral health care in this population, this study highlighted the need for oral health training across the multidisciplinary team, standardised screening assessments and referrals, a collective responsibility across the board and exploring the potential for teledentistry to support oral health care provision.
摘要:
口腔健康问题很常见,但经常被忽视,在接受姑息治疗的人群中。
为了更好地了解如何在该人群中解决口腔健康问题,本研究旨在探讨提供姑息治疗的医生对口腔保健的看法,以指导姑息性口腔保健计划的制定。
采用描述性定性设计。
在悉尼的姑息治疗机构对18名医生进行了一个单一的焦点小组,澳大利亚。所有参与者都有为客户提供姑息治疗服务的经验。焦点小组被录音,转录和主题分析。
归纳主题分析的结果确定了四个主题。主题强调,参与者了解接受姑息治疗的人的口腔健康需求;然而,他们还反映了在整个医疗机构中提供口腔保健的复杂性,以及围绕成本的挑战,缺乏适当的牙科转诊途径,时间限制和意识有限。参与者还提供了建议,以改善接受姑息治疗的个人的口腔保健服务。
为了改善该人群的口腔保健,这项研究强调了跨多学科团队的口腔健康培训的必要性,标准化筛查评估和转介,全面承担集体责任,并探索远程医疗支持口腔保健提供的潜力。
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