Introduction

Health information and communication technologies, such as Teledentistry, can help expand access to dental health public services making it more effective. Objective: To analyze the factors that affect the implementation of a Teledentistry system in dental health public services.

Methods

The study follows the Implementation Research methodological framework. A mixed-method approach was applied using a triangulation design–sequential model to collect, analyze, and interpret qualitative and quantitative data about the implementation of a Teledentistry system. A compulsory teleconsultation from the general dentist was planned to access periodontics specialized care. The study was developed in a South Brazilian capital city and the platform of the Santa Catarina Telehealth Center was used. Qualitative and quantitative data were collected sequentially to achieve a better understanding of implementation research issues. Results: In seven months, 68 teleconsulting was performed by 22% of the general dentists, prior to the referrals on periodontics. Only one reported not needing to refer the patient to the periodontist as a result of the teleconsulting guidance. Teledentistry system implementation and usage were influenced by the managers’ political and administrative awareness to deploy and maintain the intervention. Lack of sufficient resource investment, lack of system integration, and internet failures were relevant limiting factors. The teleconsultant guidelines contributed to general dentistry’s better decision-making regarding treatment, urgency of case management, and prioritization of referrals to the periodontists

Conclusion

Identifying the factors that influence the implementation and finding solutions to overcome them, can prevent future failures and improve usage of the system

中文翻译：

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牙科健康公共服务中的远程牙科系统：混合方法干预研究

介绍

远程牙科等健康信息和通信技术可以帮助扩大获得牙科健康公共服务的机会，使其更加有效。目的：分析影响牙科卫生公共服务中远程牙科系统实施的因素。

方法

该研究遵循实施研究方法论框架。使用三角测量设计顺序模型应用混合方法来收集、分析和解释有关远程牙科系统实施的定性和定量数据。计划由普通牙医进行强制性远程会诊，以获得牙周病专业护理。该研究是在巴西南部的一个首府城市开发的，并使用了圣卡塔琳娜州远程医疗中心的平台。定性和定量数据按顺序收集，以更好地了解实施研究问题。结果：在七个月内，22% 的普通牙医在转诊牙周病之前进行了 68 次远程会诊。只有一个报告说，由于远程咨询指导，不需要将患者转诊给牙周病医生。远程牙科系统的实施和使用受到管理人员部署和维护干预的政治和行政意识的影响。缺乏足够的资源投入、缺乏系统集成和互联网故障是相关的限制因素。远程会诊指南有助于普通牙科在治疗、病例管理的紧迫性和转诊给牙周病医生的优先顺序方面做出更好的决策 互联网故障是相关的限制因素。远程会诊指南有助于普通牙科在治疗、病例管理的紧迫性和转诊给牙周病医生的优先顺序方面做出更好的决策 互联网故障是相关的限制因素。远程会诊指南有助于普通牙科在治疗、病例管理的紧迫性和转诊给牙周病医生的优先顺序方面做出更好的决策

结论

确定影响实施的因素并找到克服这些因素的解决方案，可以防止未来出现故障并提高系统的使用率