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The experience of medical clinicians implementing fluoride varnish in Connecticut

机译：医学临床医生在康涅狄格州实施氟化物清漆的经验

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Purpose: The purpose of this study was to evaluate the success and barriers encountered by Connecticut medical clinicians providing and billing for infant oral health screenings and fluoride varnish. Methods: Clinicians trained and registered in providing oral health services were surveyed about practice demographics, training effectiveness, and implementation barriers. Results: Fifty-seven of 156 surveys (37 percent) were returned and analyzed. Most respondents were female (61 percent), worked at least 10 years (74 percent), and had at least 25 percent of their patients on Medicaid (79 percent). Respondents varied in how prepared they felt to offer services (P<.00). Sixty percent felt "well prepared" to provide oral screenings vs. 40 percent and 39 percent for fluoride varnish and billing services, respectively. Only 30 percent of respondents provided fluoride varnish. Clinicians were more likely to provide fluoride varnish and bill for the services if they felt well prepared after the training (P<.00). Referrals for an age one dental visit were not routine; 23 percent of clinicians did not refer, and 50 percent reported barriers. Conclusions: Few trained and registered clinicians provide fluoride varnish and bill for oral health services, despite feeling prepared to provide them. Additional support is required to help medical clinicians provide oral health services more consistently.
机译：目的：本研究的目的是评估为婴儿口腔健康检查和氟化物清漆提供费用的康涅狄格州医学临床医生的成功和遇到的障碍。方法：对接受过提供口腔卫生服务的培训和注册的临床医生进行了调查，包括实践人口统计学，培训效果和实施障碍。结果：156份调查中的57份（占37％）被退回并进行了分析。大多数受访者是女性（61％），至少工作了10年（74％），并且至少有25％的患者接受了医疗补助（79％）。受访者对提供服务的准备方式有所不同（P <.00）。 60％的人认为“准备充分”可以提供口头检查，而氟化物清漆和计费服务分别为40％和39％。只有30％的受访者提供了氟化清漆。如果临床医生在培训后准备充分，则他们更有可能提供氟化物清漆和服务费用（P <.00）。一岁就诊的转诊不是常规的; 23％的临床医生没有转诊，而50％的医生报告了障碍。结论：尽管有准备提供氟化物清漆和口腔保健服务的账单，但很少有经过培训和注册的临床医生提供。需要其他支持以帮助医学临床医生更一致地提供口腔保健服务。

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