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目的:定性分析西安市窝沟封闭干预效果的影响因素,为项目质量管理工作提供依据和政策建议,推动项目深入开展和质量持续提高。方法:制定定性访谈提纲,在窝沟封闭项目管理人员、口腔临床专家、窝沟封闭操作医师共32人中开展专题小组讨论。借助MAXqda软件整理、标记、归类转录资料。结果:窝沟封闭预防龋病的主要影响因素有服务供给侧因素、服务需求侧因素和外部管理因素。结论:应加大政府经费投入,完善以学校为基础的项目工作模式,加强定点医疗机构管理和质量督导,以提高窝沟封闭质量。
OBJECTIVE: To qualitatively analyze the influencing factors of the effect of closed-pit and fissure sealant in Xi’an, provide the basis and policy suggestion for project quality management, and promote the project in-depth and the continuous improvement of quality. Methods: To develop the outline of the qualitative interview, to carry out the panel discussion in the pit fissure closed project managers, oral clinical experts, pit and fissure sealers. Organize, tag, and categorize transcripts with MAXqda software. Results: The main factors affecting the prevention of dental caries by pit and fissure sealant were service supply side factors, service demand side factors and external management factors. CONCLUSIONS: Government funding should be increased to improve school-based project work patterns, strengthen the management of designated medical institutions and quality supervision in order to improve the sealing quality of pit and fissure.