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Clinical Dental Hygienists' Experience of the Prevention Based Incremental Oral Health Care: Applying Focus Group Interviews

  • Bae, Soo-Myoung (Department of Dental Hygiene, College of Dentistry & Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Lee, Hyo-Jin (Department of Dental Hygiene, College of Dentistry & Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Shin, Bo-Mi (Department of Dental Hygiene, College of Dentistry & Research Institute of Oral Science, Gangneung-Wonju National University)
  • 투고 : 2020.05.21
  • 심사 : 2020.06.13
  • 발행 : 2020.06.30

초록

Background: In this study, we tried to comprehensively explore clinical dental hygienist's experience of a prevention-based incremental oral health care program, which was pilot-operated by dental clinics, define prevention-based incremental oral health care as experienced in the field, and identify factors to be considered. Methods: This study conducted a focus group interview with five dental hygienists who participated in an ongoing oral management pilot project in 2016. The interview was conducted by a researcher, and the co-research team attended as progress assistants and recorded characteristics of the participants, main dictations, and non-verbal characteristics. All interviews were recorded and underwent thematic analysis to examine the questions of the study as the main axis. Results: As a result of the study, 65 meaningful statements were extracted by code, integrated into 24 sub-categories, and structured into 11 categories. Finally, four keywords were drawn: characteristics, facilitating factors, conflicting factors, and improvement measures for prevention-based incremental oral health care. Regarding prevention-based incremental oral health care in dental clinics, dental hygienists were highly aware of the physical and mental burdens of personalized treatment and education for each individual. They were responsible for the patient and for facilitating changes in the behavior of the client, leading to professional satisfaction. The dental team's cooperation and supportive attitude were found essential to continue oral health care in the dental clinic. Conclusion: Through dental team-based treatment philosophy sharing and collaboration, it is possible to provide prevention-based incremental oral health care in dental clinics. In future, it is necessary to develop a system for establishing a sustainable preventative management system for public health promotion.

키워드

참고문헌

  1. Retrieved May 12, 2020, from http://www.who.int/publications/almaata_declaration_en.pdf?ua=1(1978).
  2. World Health Organization: The world health report 2008-primary health care: now more than ever. WHO, Geneva, pp.41-60, 2008.
  3. Sheiham A, Watt RG: The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol 28: 399-406, 2000. https://doi.org/10.1034/j.1600-0528.2000.028006399.x
  4. Shin SC: Clinical preventive dental program by consideration of the characteristics for individual. J Korean Dent Assoc 47: 260-271, 2009.
  5. Won JY, Shin SC, Seo HS, Riew H: A study on the incremental dental cares of giving the first consideration to prevention in dental clinic. J Korean Acad Dent Health 27: 329-346, 2003.
  6. Sung JH, Kim HJ: Evaluation of operation of oral health care program in some adults: focusing on changes in oral pollution (ATP) and O'leary Inde. AJMAHS 9: 501-511, 2019. https://doi.org/10.35873/ajmahs.2019.9.9.043
  7. Choi OS, Kim HJ, Jang SJ: Effect of continuing dental care program by elementary school dental clinic in Gimcheon. J Korean Soc Dent Hyg 15: 705-711, 2015. https://doi.org/10.13065/jksdh.2015.15.04.705
  8. Bowen DM, Pieren JA: Darby and Walsh dental hygiene: theory and practice. 5th ed. Elsevier, Maryland Heights, pp.1-11, 2020.
  9. Birch S: Health human resource planning for the new millennium: inputs in the production of health, illness, and recovery in populations. Can J Nurs Res 33: 109-114, 2002.
  10. Glick M, Monteiro da Silva O, Seeberger GK, et al.: FDI Vision 2020: shaping the future of oral health. Int Dent J 62: 278-291, 2012. https://doi.org/10.1111/idj.12009
  11. Kim AH: Development of patient-centered oral health care model. Unpublished doctoral dissertation, Gangneung-Wonju National University, Gangneung, 2018.
  12. Ryu JI, Jung SH, Bae SM: Current status and development plan for child and adolescent registered dentists. Seoul Metropolitan Government, Shingu University Industry Cooperation Agency, Seoul, pp.27-29, 87-97, 2014.
  13. Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol 3: 77-101, 2006. https://doi.org/10.1191/1478088706qp063oa
  14. Lincoln YS, Guba EG: Naturalistic inquiry. Sage, Newbury Park, pp.187-249, 1985.
  15. OECD: Health reform: meeting the challenge of ageing and multiple morbidities. OECD Publishing, Paris, pp.15-80, 2011.
  16. FDI World Dental Federation: The challenge of oral diseasea call for global action. The oral health atlas. 2nd ed. FDI World Dental Federation, Geneva, pp.78-89, 99-105, 2015.
  17. Marcenes W, Kassebaum NJ, Bernabe E, et al.: Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res 92: 592-597, 2013. https://doi.org/10.1177/0022034513490168
  18. Starfield B, Shi L, Macinko J: Contribution of primary care to health systems and health. Milbank Q 83: 457-502, 2005. https://doi.org/10.1111/j.1468-0009.2005.00409.x
  19. Lee JH, Choi YJ, Volk RJ, et al.: Defining the concept of primary care in South Korea using a Delphi method: secondary publication. Health Policy Manag 24: 100-106, 2014. https://doi.org/10.4332/KJHPA.2014.24.1.100
  20. Donaldson MS, Yordy KD, Lohr KN, Vanselow NA: Primary care: America's health in a new era. National Academies Press, Washington, pp.27-72, 1996.