在万隆社区卫生中心实施2019冠状病毒病大流行期间的远程牙科

Syarifa Salsabila Assagaff, Netty Suryanti, A. S. Setiawan
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摘要

作为一种替代性创新解决方案,远程牙科在牙医中越来越受欢迎,可以最大限度地降低COVID-19传播和其他感染的风险。自从政府在大流行期间发布了牙科和口腔卫生服务参考资料以来,万隆社区卫生中心的牙医已经开始实施远程牙科。本研究的目的是基于政府发布的参考资料,分析远程牙科在社区卫生中心的实施情况。人群包括在2019冠状病毒病大流行期间在万隆社区卫生中心实施远程牙科的牙医。有26名受访者作为研究样本,他们是使用非概率抽样技术选择的。这是一项横断面描述性研究,根据印度尼西亚共和国卫生部的《牙科和口腔卫生服务技术准则》,使用了一份关于实施远程牙科的在线调查问卷。远程医学的实施包括远程会诊、远程诊断、远程分诊、远程监测、远程教育、通信工具、提供处方和转诊、服务费和医疗记录。通过展示远程医学实施结果进行数据分析,即牙医实施远程医学的类型为远程会诊100%、远程诊断92.3%、远程分诊76.9%、远程监护7.7%、远程教育92.3%;100%通过短信远程就诊,76.9%开过处方,80.7%转诊,84.6%不收取任何服务费用,仅有57.6%记录病历。在新冠肺炎大流行期间,万隆社区卫生中心实施的远程牙科服务并不理想,因为监管没有很好地社会化。此外,在印度尼西亚还没有关于远程医学的法律确定性和法律。
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Implementation of teledentistry during the COVID-19 pandemic at Bandung community health centers
Teledentistry has gained an increasing popularity among dentists as an alternative innovative solution to minimize the risk of the transmission of COVID-19 and other infections. Dentists at the Bandung community health center have started implementing teledentistry since the government issued a reference for dental and oral health services during the pandemic. The purpose of this study was to analyze the implementation of teledentistry in community health centers based on the references issued by the government. The population consisted of dentists who implemented teledentistry during the COVID-19 pandemic at the Bandung community health centers. There were 26 respondents as the research samples who were selected using a non-probability sampling technique. This was cross-sectional descriptive research which used an online questionnaire regarding the implementation of teledentistry based on the Technical Guidelines for Dental and Oral Health Services from the Ministry of Health of the Republic of Indonesia. The implementation of teledentistry includes teleconsultation, telediagnosis, teletriage, telemonitoring, teleeducation, communication tools, provision of prescriptions and referrals, service fees, and medical records. The data analysis was carried out by presenting the results of the teledentistry implementation, namely the types of teledentistry implemented by the dentists were teleconsultation 100%, telediagnosis 92.3%, teletriage 76.9%, telemonitoring 7.7%, teleeducation 92.3%; 100% carried out teledentistry via short messages, 76.9% had given prescriptions, and 80.7% had given referrals, 84.6% did not charge any service fee, and only 57.6% recorded medical records. The implementation of the teledentistry services during the COVID-19 pandemic at the Bandung Community Health Centers has not been optimal because the regulation has not been well socialized. In addition, there has been no legal certainty and laws governing teledentistry in Indonesia.
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