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A Time Study Analysis of Fluoride Varnish Application in Pediatric Well Visits to Address Health Disparities among Children. 在儿科健康检查中涂抹氟化物保护剂以解决儿童健康差异的时间研究分析。
Pub Date : 2024-06-01 DOI: 10.22105/jarie.2024.436316.1595
Robert S Keyser, Emily Rodriguez-Jacobo, Christina Scherrer

Dental decay is the most common chronic disease in children. Fluoride varnish (FV) is a preventive oral health service with proven effectiveness at reducing dental caries in dental and primary care settings. The objective of this study was to determine how long it takes to apply FV treatments during primary care well visits to address one of the most common barriers as reported by pediatricians - lack of time. FV treatment videos were collected at six clinics in Georgia with rigorous time studies conducted on each video to determine the Standard Time for the FV treatment process as well as the FV Application Component of the process and reasons for delays. Median Standard Times varied by clinic, ranging from 67.7 seconds to 166.9 seconds with an overall median of 109.7 seconds. This results in per FV application labor costs of approximately $2.38 for pediatricians, $1.16 for registered nurses, and $0.53 for medical assistants. Findings from this study support the inclusion of FV applications as a common practice during primary care well visits.

蛀牙是儿童最常见的慢性疾病。氟化物清漆(FV)是一种预防性口腔保健服务,在牙科和初级保健环境中减少龋齿的效果已得到证实。本研究的目的是确定在初级保健检查中涂抹氟化物清漆所需的时间,以解决儿科医生反映的最常见的障碍之一--缺乏时间。研究人员在佐治亚州的六家诊所收集了胎盘早剥治疗视频,并对每段视频进行了严格的时间研究,以确定胎盘早剥治疗过程的标准时间以及该过程中胎盘早剥的应用部分和延迟的原因。各诊所的标准时间中值各不相同,从 67.7 秒到 166.9 秒不等,总体中值为 109.7 秒。因此,儿科医生每次申请 FV 的人工成本约为 2.38 美元,注册护士约为 1.16 美元,医疗助理约为 0.53 美元。这项研究的结果支持在初级保健的健康访视中将静脉输液作为一种常见做法。
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Journal of applied research on industrial engineering
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