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首页> 外文期刊>The British journal of general practice: the journal of the Royal College of General Practitioners >Patients’ reasons for consulting a GP when experiencing a dental problem: a qualitative study
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Patients’ reasons for consulting a GP when experiencing a dental problem: a qualitative study

机译:患者在遇到牙齿问题时咨询全科医生的原因:定性研究

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Background There are approximately 380 000 dental consultations in UK general practice every year.Aim To explore the reasons why patients may consult a GP rather than a dentist when experiencing problems with their teeth or gums.Design and setting A qualitative semi-structured interview study with adults who had consulted a UK GP with a dental problem in the previous 12 months.Method Participants were recruited via print and social media; internet adverts; HealthWise Wales, the Welsh national population research cohort; and word of mouth. In total, 39 telephone interviews were conducted, and transcripts thematically analysed.Results Participants’ consultation behaviour was influenced by their interpretation of their symptoms; their perceptions of the scope of practice of primary care practitioners; the comparative ease of navigating medical and dental care systems; previous experiences of dental care, including dental anxiety and dissatisfaction with prior treatment; and willingness and ability to pay for dental care.Conclusion There are several reasons why patients may consult a GP with a dental problem. Effective interventions will need to break down the barriers preventing access to dental care. Accessible public-facing information on where to seek care for dental problems is required, and general practice teams should be able to signpost patients who present with dental problems, if appropriate. Dental providers should also be encouraged to maintain timely access to urgent care for their patients.
机译:背景技术每年在英国的全科医生中大约有38万例牙科咨询。目的探讨患者在遇到牙齿或牙龈问题时可以咨询全科医生而不是牙医的原因。设计和设置定性的半结构化访谈研究在过去的12个月中曾就牙齿问题向UK GP咨询过的成年人。方法参与者是通过印刷和社交媒体招募的;互联网广告;威尔士国民人口研究队列HealthWise Wales;和口碑。总共进行了39次电话访问,并进行了主题分析的笔录。结果参与者的咨询行为受到他们对症状的解释的影响。他们对基层医疗从业者执业范围的看法;导航医疗和牙科保健系统相对容易;先前的牙科护理经验,包括牙科焦虑症和对先前治疗的不满;结论为何患者可能会向全科医生咨询有牙科问题的原因有很多。有效的干预措施将需要打破阻碍获得牙科护理服务的障碍。需要有关在哪里寻求牙科问题护理的可访问的面向公众的信息,如果需要,全科医疗团队应能够对有牙科问题的患者进行路标。还应鼓励牙科提供者为患者提供及时的紧急护理。

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