Transitioning from Pediatric to Adult Dental Care for Adolescents with Special Health Care Needs: Adolescent and Parent Perspectives--Part One.

Pediatric dentistry Pub Date : 2015-09-01

Stephanie Cruz, John Neff, Donald L Chi

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Abstract

Purpose: The purpose of this study was to understand transitions from pediatric dental care to adult dental care for adolescents with special health care needs (ASHCNs) from parental and adolescent perspectives.

Methods: Focus groups and interviews were conducted with 59 parents and 13 adolescent-parent dyads to identify factors associated with transitions to adult-centered dental care for ASHCNs.

Results: Most parents believed ASHCNs were at risk for caries, but ASHCNs were not concerned about tooth decay. Parents of adolescents with complex SHCN believed it would be acceptable to continue seeing a pediatric dentist. Parents of Medicaid-enrolled ASHCNs reported lower efficacy in transitioning. ASHCNs desired personalized, adolescent-centered care and were motivated to transition when they felt out of place at the pediatric dentist office. Parents believed pediatric dentists play an important role in initiating and facilitating transitions.

Conclusions: Pediatric dentists are well positioned to implement family and adolescent-centered policies to ensure dental transitions for adolescents with special health care needs and their families.

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有特殊保健需求的青少年从儿童牙科护理向成人牙科护理的转变：青少年和家长的视角——第一部分。

目的：本研究的目的是从父母和青少年的角度了解有特殊医疗保健需求的青少年从儿科牙科护理向成人牙科护理的转变。方法：对59名父母和13名青少年父母进行焦点小组和访谈，以确定与ASHCN向以成人为中心的牙科护理过渡相关的因素。结果：大多数父母认为ASHCN有患龋齿的风险，但ASHCN并不担心蛀牙。患有复杂SHCN的青少年的父母认为继续看儿科牙医是可以接受的。医疗补助注册的ASHCN的父母报告说，过渡期的疗效较低。ASHCN想要个性化的、以青少年为中心的护理，当他们觉得在儿科牙医办公室不合适时，他们会有动力转型。家长们认为，儿科牙医在启动和促进过渡方面发挥着重要作用。结论：儿科牙医能够很好地实施以家庭和青少年为中心的政策，以确保有特殊医疗保健需求的青少年及其家庭的牙科过渡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Pediatric dentistry

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