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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >‘There’s a Wall There—And That Wall Is Higher from Our Side’: Drawing on Qualitative Interviews to Improve Indigenous Australians’ Experiences of Dental Health Services
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‘There’s a Wall There—And That Wall Is Higher from Our Side’: Drawing on Qualitative Interviews to Improve Indigenous Australians’ Experiences of Dental Health Services

机译：那里有一堵墙 - 从我们的一侧越高：借鉴质量采访以改善土着澳大利亚人的牙科医疗服务经验

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Indigenous Australians experience high levels of untreated dental disease compared to non-Indigenous Australians. We sought to gain insight into barriers that prevent Indigenous Australians from seeking timely and preventive dental care. A qualitative study design was implemented, using face-to-face interviews conducted December 2019 to February 2020. Participants were 20 Indigenous Australians (10 women and 10 men) representing six South Australian Indigenous groups; Ngarrindjeri, Narungga, Kaurna, Ngadjuri, Wiramu, and Adnyamathanha. Age range was middle-aged to elderly. The setting was participants’ homes or workplaces. The main outcome measures were barriers and enablers to accessing timely and appropriate dental care. The findings were broadly grouped into eight domains: (1) fear of dentists; (2) confusion regarding availability of dental services; (3) difficulties making dental appointments; (4) waiting times; (5) attitudes and empathy of dental health service staff; (6) cultural friendliness of dental health service space; (7) availability of public transport and parking costs; and (8) ease of access to dental clinic. The findings indicate that many of the barriers to Indigenous people accessing timely and appropriate dental care may be easily remedied. Cultural competency training enables barriers to timely access and provision of dental care to Indigenous Australians to be addressed. The findings provide important context to better enable health providers and policy makers to put in place appropriate measures to improve Indigenous people’s oral health, and the Indigenous oral health workforce in Australia.
机译：与非土着澳大利亚人相比，土着澳大利亚人经历了高水平的未经治疗的牙科疾病。我们试图深入了解阻止土着澳大利亚人正在寻求及时和预防性牙科护理的障碍。利用2019年12月至2月20日期间的面对面访谈实施了定性研究设计。参与者是占六个南澳大利亚土着群体的土着澳大利亚人（10名妇女和10名男子）; Ngarrindjeri，Narungga，Kaurna，Ngadjuri，Wiramu和Adnyamathanha。年龄范围是老年人。该设置是参与者的房屋或工作场所。主要结果措施是障碍和使能力和适当的牙科护理的支持者。调查结果大致被分成了八个域名：（1）对牙医的恐惧; （2）关于牙科服务可用性的混乱; （3）牙齿约会的困难; （4）等待时间; （5）牙科卫生服务人员的态度和同理心; （6）牙科卫生服务空间的文化友好性; （7）公共交通和停车费用的可用性; （8）易于访问牙科诊所。结果表明，可能很容易弥补获得及时和适当牙科护理的土着人民的许多障碍。文化能力培训使障碍能够及时访问和提供牙科护理到要解决的土着澳大利亚人。这些调查结果为更好的环境提供了重要的背景，以更好地使健康提供者和决策者能够制定适当的措施，以改善土着人民的口腔健康，以及澳大利亚的土着口腔健康劳动力。

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