最近的研究支持识别和排除潜在牙科手术的策略

Q4 Dentistry Revista Romana de Stomatologie Pub Date : 2022-06-30 DOI:10.37897/rjs.2022.2.7
O. Almășan
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引用次数: 0

摘要

我怀着极大的热情仔细阅读了Chivor R.和合著者(Chivor R、Badea IC、Dascalu(Rusu)LM)的研究。预防牙科过度治疗:原因、类型和如何避免。Ro J Stomatol。2022年;68(2):63-68)关于识别和预防可能的牙科手术的技术[1]。我想赞扬作者们深思熟虑的评论,并提出更多的想法。根据引用的研究,必须尽快认识和确定潜在过度治疗的原因,并采取专业的行为,在预防过度治疗方面取得积极成果。研究结果强调,除了与经济利润或组织增长有关的过度尝试外,大多数过度尝试都是无意中进行的[1]。当代鼓励并激励牙科行业克服非必要的治疗干预措施。Conquest等人评估了世界范围内关于政府牙科护理采用的收费上限和服务收费资助策略的相关研究。研究表明,在按服务收费的方法中,过度治疗更为常见,而在收费模式中,治疗不足更为常见[2]。为了准确识别过度治疗,考虑到指南、认证和一般协议策略的要求,建议构建一种基本牙科护理模式,包括紧急和基本牙科医疗,以增强专业一致性[3]。需要制定策略来扩大具有临床意义的治疗的可用性,提供具有成本效益的保险政策体系,并鼓励以患者为中心的口腔健康,因此牙医必须积极参与重大的框架改革[4]。作为未来的方向,人工智能在协同决策中的集成可能值得仔细考虑[5]。由于“无口腔”原则也适用于牙科,因此提倡对患者健康进行最高标准的治疗[6]。
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Recent research supports the strategies for identifying and precluding potential dental procedures
With considerable enthusiasm, I perused the research by Chifor R. and co-authors (Chifor R, Badea IC, Dascalu (Rusu) LM). Preventing overtreatment in dentistry: causes, types and how to be avoided. Ro J Stomatol. 2022;68(2):63-68) on techniques for identifying and preventing possible dental procedures [1]. I would like to compliment the authors for their thoughtful review and give a few more thoughts. According to the cited study, it is essential to recognize and identify the rationales of potential overtreatments as soon as feasible and to behave professionally to accomplish positive outcomes in preventing them. The results of the study highlight that besides ones relating to economic profit or organizational growth, the majority of the overtreatments were performed inadvertently [1]. The contemporary period encourages and motivates the dental profession to overcome unessential therapeutic interventions. Conquest et al. evaluated the relevant worldwide research on capped-fee and fee-for-service funding strategies employed by government dentistry care. The study indicated that overtreatment was more frequent in the fee-for-service approach, whereas undertreatment was more common in the feecapped model [2]. To accurately identify overtreatment, given the requirement for guidelines, certification, and general agreement strategies, it is recommended to construct a paradigm of essential dental care that encompasses urgent and fundamental dental medical treatment to enhance professional congruence [3]. Strategies are required to broaden the availability of clinically significant treatment, provide cost-effective insurance policy systems, and encourage patient-centered oral health, therefore dentists must actively engage in significant, framework reforms [4]. As future directions, the integration of artificial intelligence in collaborative decision-making may warrant careful consideration [5]. Since the principle of “primum non-nocere” also pertains to dentistry, the highest standard of treatment for the patient’s health is advocated [6].
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