Observed Factors Affecting Prevention in Dental Practice

牙科实践中影响预防的观察因素

• 批准号: 7222534
• 负责人: STEPHEN WOTMAN
• 金额: $ 10.81万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-12-01 至 2007-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7222534
• 关键词: African American; caucasian American; clinical research; dental health services; dental personnel; dental survey; health care quality; health care service evaluation; health disparity; health services research tag; human subject; preventive dentistry; racial /ethnic difference

DESCRIPTION (provided by applicant): Identification of mutable factors associated with the delivery of preventive services by dentists in general practice is the subject of this study. Identification of such factors will lead to the design, implementation, and evaluation of interventions that will improve preventive services provided in general dental practice. The conceptual framework for factor identification is that provided by Andersen in the Behavioral Model of Health Services Use. This study of dental practice will be focused on 120 Ohio dental practices that are part of the first dental practice research network to be organized in the United States. The methodology includes a direct observation technique developed at UC Davis and utilized at CWRU for the study of Family Medical Practice. Data concerning dental practice will be gathered by two teams of dental hygienists observing dentists and hygienists in each office for 3 days. Approximately 6000 patient visits will be observed. The direct observation will utilize the Davis Observation Code, a well-tested instrument to record physician behavior, adapted to dental practice. Data also will be collected utilizing information from patient questionnaires, practitioner surveys, billing data, and qualitative reporting. Comparison of information gathered by different methods will indicate the least expensive accurate methods for collecting various kinds of information about dental practice. Hypotheses will be tested concerning the association of preventive service delivery with risk for oral disease, delivery of esthetic services, dentists' beliefs about the importance of tobacco counseling, the socioeconomic status of patients, and the ethnicity of the dentist. This first large scale study utilizing a dental practice research network will provide statistically significant data concerning factors that influence provision of preventive services (counseling and procedures) to patients in actual practice settings.

描述（由申请人提供）：本研究的主题是一般实践中与牙医提供预防服务相关的可变因素。此类因素的识别将导致设计，实施和评估干预措施，这些干预措施将改善一般牙科实践中提供的预防服务。因素识别的概念框架是安德森在卫生服务使用的行为模型中提供的概念框架。这项对牙科实践的研究将集中在120个俄亥俄州牙科实践上，这些实践是美国第一个牙科实践研究网络的一部分。该方法包括在加州大学戴维斯分校开发的直接观察技术，并在CWRU中用于研究家庭医疗实践。关于牙科实践的数据将由两个牙科卫生学家团队收集，在每个办公室观察牙医和卫生员3天。将观察大约6000例患者就诊。直接观察将利用《戴维斯观察法》（Davis Observation Code），这是一种经过良好测试的仪器，以记录适合牙科实践的医师行为。还将利用患者问卷，从业者调查，计费数据和定性报告的信息收集数据。通过不同方法收集的信息的比较将表明最便宜的准确方法来收集有关牙科实践的各种信息。将对假设进行预防服务的关联与口腔疾病的风险，审美服务的危险，牙医对烟草咨询的重要性的信念，患者的社会经济地位以及牙医的种族的信念。利用牙科实践研究网络的第一项大规模研究将提供有关在实际实践环境中影响患者提供预防服务（咨询和程序）的因素上具有统计学意义的数据。