Collaborative Relationship between Dialysis Facilities without a Dental Department and Dental Facilities

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  • YOSHIOKA Masami
    Department of Oral Health Science and Social Welfare, Institute of Biomedical Sciences, Tokushima University Graduate School
  • SHIRAYAMA Yasuhiko
    Department of Community Medicine and Welfare, Institute of Biomedical Sciences, Tokushima University Graduate School
  • IMOTO Issei
    Department of Human Genetics, Institute of Biomedical Sciences, Tokushima University Graduate School
  • YANAGISAWA Shizuko
    Department of Oral Health Science and Social Welfare, Institute of Biomedical Sciences, Tokushima University Graduate School
  • HINODE Daisuke
    Department of Hygiene and Oral Health Science, Institute of Biomedical Sciences, Tokushima University Graduate School

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Other Title
  • 歯科併設のない人工透析実施医療機関における医科歯科連携
  • シカ ヘイセツ ノ ナイ ジンコウ トウセキ ジッシ イリョウ キカン ニ オケル イカ シカ レンケイ

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Description

 As dialysis patients are predisposed to various oral health problems, preventive dental care should be considered very important for this population. The aim of this study was to investigate the status of collaborative relationships between dialysis facilities without a dental department and dental facilities, with the purpose of quantifying and promoting preventive dental visits for dialysis patients. We statistically analyzed data from a nationwide survey of 1,142 dialysis facilities without a dental department, under the descriptive terms: "having a registered collaborative dental clinic," "having an ordinal collaborative relationship with a dental facility," and "further prospect of a collaborative relationship with a dental facility," according to the facility size. Additionally, the support for measures to promote dental visits among dialysis patients was analyzed. Significant differences between "having a registered collaborative dental clinic" and "having an ordinal collaborative relationship with a dental facility" were detected for all facility sizes (p<0.01, chi-square test). Regarding measures to promote dental visits for dialysis patients, "educational activities for medical staff at dialysis facilities" and "strengthening the collaboration between medical and dental facilities" had the highest support. Furthermore, "strengthening the collaboration between medical and dental facilities" was highly supported by facilities with an ordinal collaborative relationship with a dental facility in comparison with those lacking such a collaborative relationship (p<0.01, Mann-Whitney U test). It is suggested that having a registered collaborative dental clinic might be a first step toward promoting a collaborative relationship between medical and dental facilities. Regarding dialysis facilities and collaborative dental facilities, routinely strengthening the collaboration between medical and dental facilities might be an effective measure to promote preventive dental visits for dialysis patients.

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