WHO EMRO | Dentists’ perception of primary health care services in family health and mother and child h PDF version Maha El Tantawi  1 , Maha A. El-Din Hamza  2 and Marwa M. Sabry  3 ﻣﻌارﻒ أﻄﺒاء اﻠأﺴﻨاﻦ ﻋﻦ ﺧدﻤاﺖ اﻠرﻌاﻴﺔ اﻠﺼﺤﻴﺔ اﻠأوﻠﻴﺔ ﻓﻲ ﻧﻈﻢ اﻠرﻌاﻴﺔ اﻠﺼﺤﻴﺔ اﻠﻤﺨﺘﻠﻔﺔ ، ﺑاﻠإﺴﻜﻨدرﻴﺔ ﻣﺼﺮ ﻣﻬﺎ ﻣﺤﻤﺪ ﻋﻠﻰ اﻠﻄﻨﻄاوﻰ، ﻣﻬﺎ ﻋﻠﻰ اﻠدﻴﻦ ﺣﻤزﺔ، ﻣروﺔ ﻣﺤﻤﺪ ﺻﺒرﻰ اﻠﺨﻠاﺼﺔ : ﺗﻬدﻒ ﻫذﻪ اﻠدراﺴﺔ اﻠﻰ اﻠﻤﻘارﻨﺔ ﺑﻴﻦ ﻣﻌارﻒ أﻄﺒاء اﻠأﺴﻨاﻦ ﻓﻰ ﻋﻴاداﺖ ﺻﺤﺔ اﻠأﺴرﺔ ﻣﻦ120 وﻌﻴاداﺖ ﺻﺤﺔ اﻠأﻢ واﻠﻄﻔﻞ ﺗﺠاﻪ اﻠﺨدﻤاﺖ اﻠﻤﻘدﻤﺔ. ﻓﻠﻘﺪ ﺗﻢ ﺗوزﻴﻊ اﺴﺘﺒﻴاﻦ ﻋﻠﻰ ﻋﻴاداﺖ ﺻﺤﺔ اﻠأﻢ واﻠﻄﻔﻞ ﻓﻲ اﻠإﺴﻜﻨدرﻴﺔ، ﻣﺼﺮ ﻓﻲ4 ﻋﻴاداﺖ ﺻﺤﺔ أﺴرﺔ ﻭ7 أﻄﺒاء اﻠأﺴﻨاﻦ ﻓﻲ . ﺗﻀﻤﻦ اﻠاﺴﺘﺒﻴاﻦ ﺗﻘﻴﻴﻢ ﻟﻠﻤﻌﻠوﻤاﺖ اﻠﺸﺨﺼﻴﺔ واﻠﻤﻬﻨﻴﺔ، وﻤﻌارﻒ أﻄﺒاء اﻠأﺴﻨاﻦ ﻋﻦ2012 ﻋاﻢ دورﻬﻢ ﻓﻰ ﻣﺠاﻞ اﻠرﻌاﻴﺔ اﻠﺼﺤﻴﺔ اﻠأوﻠﻴﺔ ، وأﻨواﻊ اﻠﺨدﻤاﺖ اﻠﻤﻘدﻤﺔ، ﻭ اﺴﺘدﻌاء اﻠﻤرﻴﺾ . ﻳرﻰ أﻄﺒاء اﻠأﺴﻨاﻦ ﻓﻰ100٪ وﻨﻈﻢ اﻠإﺤاﻠﺔ وﺠودﺔ اﻠﺨدﻤﺔ. وﻜاﻦ ﻣﻌدﻞ اﻠاﺴﺘﺠاﺒﺔ ﺑﻨﺴﺒﺔ ﻋﻴاداﺖ رﻌاﻴﺔ اﻠأﺴرﺔ أﻦ دورﻬﻢ ﻳﺸﺘﻤﻞ ﺗوﻔﻴﺮ اﻠرﻌاﻴﺔ ﻟﻠأﻄﻔاﻞ واﻠﻨﺴاء اﻠﺤواﻤﻞ. ووﺠﺪ أﻦ ﻣﻦ أﻄﺒاء اﻠأﺴﻨاﻦ. وﻌدﺪ أﻜﺒﺮ ﻣﻦ أﻄﺒاء اﻠأﺴﻨاﻦ90٪ ﺧدﻤاﺖ اﻠﺤﺸﻮ وﺘﻨﻈﻴﻒ اﻠأﺴﻨاﻦ ﻗاﻢ ﺑﻬﺎ ﻓﻰ ﻋﻴاداﺖ رﻌاﻴﺔ اﻠأﺴرﺔ ﻗاﻢ ﺑإﺠراء ﻋﻠاﺠاﺖ اﻠﺨﻠﻊ اﻠﺒﺴﻴﻄﺔ، وﺨﻠﻊ أﺴﻨاﻦ اﻠأﻄﻔاﻞ وﻌﻠاﺞ . ﻓﻲ ﻋﻴاداﺖ ﺻﺤﺔ اﻠأﺴرﺔ، ﺣﻴﺚ ﺗﻢ ﺗﻨﻔﻴﺬ ﻧﻈاﻢ(0.001 ,0.001 ,0.03=P) اﻠﺠذوﺮ اﻠﻤﺘﻌددﺔ اﻠﺤواﻔﺰ اﻠﻘاﺌﻢ ﻋﻠﻰ اﻠأداء، ﺗﻤﺖ ﺧدﻤﺔ وﺘﺤوﻴﻞ ﻋدﺪ أﻜﺒﺮ ﻣﻦ اﻠﻤرﻀﻰ وﻜاﻦ ﻫﻨاﻚ ﺗﺤوﻞ ﻓﻲ ﻧوﻊ اﻠﺨدﻤاﺖ اﻠﻤﻘدﻤﺔ ﻋﻠﻰ اﻠرﻐﻢ ﻣﻦ أﻦ أﻄﺒاء اﻠأﺴﻨاﻦ أﻘﻞ إﻴﺠاﺒﻴﺔ ﻣﻦ ﺣﻴﺚ ادراﻜﻬﻢ ﻟﺠواﻨﺐ اﻠﺠودﺔ ﻓﻰ اﻠﺨدﻤاﺖ اﻠﻤﻘدﻤﺔ. ﻫﻨاﻚ ﺣاﺠﺔ ﻟإﻨﺸاء رﺴاﻠﺔ وﻤﺒادﺊ ﺗوﺠﻴﻬﻴﺔ واﻀﺤﺔ ﻟﻌﻴاداﺖ ﺻﺤﺔ اﻠأﺴرﺔ ﻟﺘﺤدﻴﺪ اﺘﺠاﻪ وأﺴاﻠﻴﺐ ﺗﻘدﻴﻢ اﻠﺨدﻤاﺖ. ABSTRACT This study compared dentists' perceptions of provided services in Family Health (FH) and Mother and Child Health (MCH) clinics. A questionnaire was distributed to 120 dentists in 7 FH and 4 MCH clinics in Alexandria, Egypt in 2012. The questionnaire assessed personal and professional background, perceptions of primary health care (PHC) role, types of services provided, patient recall and referral systems and perception of service quality. The response rate was 100%. More FH dentists perceived their role to include providing care for children and pregnant women. Restorations and scaling were provided by 90% of all dentists. More FH dentists reported providing simple extractions, paediatric extractions and multi-rooted endodontic treatment (P = 0.03, 0.001 and 0.001). In FH clinics, where the performance-based incentive system was implemented, a greater number of patients was served and there was a shift in the type of services provided although dentists had a less positive perception of quality aspects. Thus, there is a need for the establishment of a mission and clear guidelines for the FH 1 / 11