@article{oai:shinshu.repo.nii.ac.jp:00020869,
 author = {渡部, 義基 and 小笠原, 正 and 岩崎, 仁史 and 伊沢, 正行 and 鈴木, 貴之 and 三井, 達久 and 山田, 晋司 and 篠塚, 功一 and 久野, 喬 and 磯野, 員達 and 望月, 慎恭 and 岡田, 芳幸 and 松尾, 浩一郎},
 issue = {1},
 journal = {松本歯学},
 month = {Jun},
 note = {Background : Periodic dental examinations for persons with special needs will usually be carried out in at dental clinics. However, there are some special needs patients who are difficult to treat. Such patients require special behavior management when receiving general or intravenous anesthesia to treat the teeth in a highly advanced medical institution. If there are objective criteria for referring patients to an advanced medical institution, it provides benefit to the patient and also allows for the effective use of medical resources. Objective : The aim of this study was to create clear, simple and easy referral criteria to a highly advanced medical institution to use for people with special needs. Subjects and Methods : The subjects were 86 people with special needs who required dental care (2 years and 8 months to 70 years old, with an average age of 20.5±18.2 years old). A decision tree analysis was carried out with patients under special behavior management as the dependent variable and a total of 51 independent variables : 9 variables from the patients’ general and oral health histories, 10 variables from disease, 12 variables for strength of the behavior disorder, 12 variables from the kind of dental treatment, 1 variable from going to hospital time, 6 variables from developmental age and 1 variable from the behavior of oral examination. The resulting tree diagram provided a visual representation of the relationship between these input variables and their relative impact on the judgment of need of special behavior management for special needs patients. Results : The highest priority item was adaptability to examination of the oral cavity when judging the need for special behavior management. The second most important item was a development age 3 years and two months old in the field of personal relationships. The hit rate of persons who required a highly advanced medical institution was 93.1%. It was suggested that the two criteria should be used when evaluating patients for referral to an advanced medical institution for clinical pathways of the cycloid−type patients., application/pdf},
 pages = {1--6},
 title = {障害者歯科における高次医療機関への紹介基準の検討−循環型地域連携クリニカルパスのために−},
 volume = {39},
 year = {2013}
}