Access to Care and the Allied Oral Health Care Workforce in Kansas: Perceptions of Kansas Dental Hygienists and Scaling Dental Assistants

2006 ◽  
Vol 70 (3) ◽  
pp. 263-278 ◽  
Author(s):  
Tanya Villalpando Mitchell ◽  
Ralph Peters ◽  
Cynthia C. Gadbury-Amyot ◽  
Pamela R. Overman ◽  
Lauren Stover
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Access To Care ◽  
Oral Health Care ◽  
Dental Hygienists ◽  
Health Care Workforce ◽  
Dental Assistants

scholarly journals Uncertainties around COVID-19 from the perspectives of oral health care workers during the first wave of SARS-CoV-2 infections in British Columbia, Canada

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249186
Author(s):  
Mario Brondani ◽  
Fernanda Almeida ◽  
Denise Cua ◽  
Tala Maragha ◽  
Kavita Mathu-Muju ◽  
...  
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Oral Health ◽  
Health Care Workers ◽  
Oral Health Care ◽  
Qualitative Inquiry ◽  
Dental Hygienists ◽  
Structured Interviews ◽  
Care Workers ◽  
Dental Assistants

Background The first wave of COVID-19 infections caused disturbances in all aspects of personal and professional lives. The aim of this study was to explore the ways in which that first wave of novel coronavirus infections resulted in uncertainties, as experienced by members of the oral health care workforce in British Columbia, Canada. Methods This qualitative inquiry purposefully recruited frontline oral health care workers, including dentists, dental hygienists, certified dental assistants, and administrative staff, via remote semi-structured interviews between April 20 and May 4, 2020. Coding, categories, and themes were inductively assigned. Results A total of 45 interviews, lasting between 39 and 74 minutes each, were conducted involving 18 dentists (6 females), 12 dental hygienists (11 females), 6 certified dental assistants (all females), and 9 administrators/front-desk staff (7 females). Fifty-one hours of audio recordings and more than 650 single-spaced pages of transcripts were produced. Five main themes emerged pertaining to uncertainties surrounding COVID-19, patient care, personal lives and infectiousness, concern for the future, and variations among different pandemics. Certitudes were less evident, but surfaced mostly when considering a potential new normal resulting from the pandemic. Conclusion Participants indicated that the uncertainties they felt were dependent upon what is known, and unknown, about the pandemic and the provision of oral health care during the first wave of infections. Future studies are needed to include the viewpoints of oral health care workers from other provinces, as well the perceptions of patients who received oral health care during the height of the first wave of the pandemic.

scholarly journals The Effect of Multimodal Comprehensive Care Methodology Training on Oral Health Care Professionals’ Empathy for Patients With Dementia

2020 ◽  
Author(s):  
Masaki Kobayashi ◽  
Mio Ito ◽  
Yasuyuki Iwasa ◽  
Yoshiko Motohashi ◽  
Ayako Edahiro ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Oral Care ◽  
Training Programme ◽  
Oral Health Care ◽  
Comprehensive Care ◽  
Dental Hygienists ◽  
People With Dementia

Abstract Background: The prevalence of oral diseases in people with dementia has increased, and patients with dementia have worse oral health than people without dementia. However, in the provision of oral care, these patients often exhibit care-resistant behaviours. Empathy is important for health care professionals who provide dental care for people with dementia. A study was conducted to assess whether a multimodal comprehensive care methodology training programme: HumanitudeTM is associated with an improvement in empathy for people with dementia among oral health care professionals.Methods: This research was a pre-post prospective study. A total of 45 dentists and dental hygienists participated in a 7-hour multimodal comprehensive care methodology training programme. Participants’ empathy for their patients was evaluated with the Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) before the training and one month after the training (primary outcome). Each participant listed 3 patients from his or her clinical practice for whom he or she felt difficulty to provide oral care due to dementia. The oral health of the 3 care-resistant patients listed by each participant was evaluated by the Oral Health Assessment Tool (OHAT) before the training and one month after the training (secondary outcome).Results: The post-training response rate was 87% (21 dentists and 18 dental hygienists). From pre-training to post-training, the multimodal comprehensive care methodology training significantly increased the mean empathy score (from 113.97 to 122.95, P<0.05, effect size=0.9). Regardless of gender, profession and years of clinical experience, all post-training subgroup scores were higher than the pre-training subgroup scores. The tongue, natural teeth, and oral hygiene scores of patients, as assessed by the OHAT, were significantly improved compared with those before the training.Conclusions: Multimodal comprehensive care methodology training was associated with an improvement in oral health professionals’ empathy for patients with dementia and an improvement in the oral health of their patients. These findings suggest that randomized controlled trials with large sample sizes will be needed.Trial registration: UMIN Clinical Trials Registry (UMIN-CTR), UMIN000041687. Registered 4 September 2020 – Retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047586

scholarly journals Accessibility to oral health care of precarious and non precarious populations in Côte d’Ivoire

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A D Sangare ◽  
M Samba ◽  
G D Meless ◽  
J C Guinan ◽  
J F Traore ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Access To Care ◽  
Cote D'ivoire ◽  
Dental Care ◽  
Côte D’Ivoire ◽  
Social Protection ◽  
Oral Health Care ◽  
Health Care Use ◽  
Protection Mechanisms

Abstract Introduction The purpose of any health system is to guarantee access to care for the entire population served. However, the socio-economic insecurity situation of people in precarious situations, raises the problem of their access to oral health care considered to be expensive. The objective of this study was to compare the dental status and modalities of oral health care use by people in precarious situations to group of non-precarious population in Abidjan, in Côte d’Ivoire. Methods The cross-sectional study was conducted at the University Hospital Center of Treichville. It concerned all users of the dental office of this hospital. Subjects in precarious situations were identified using a screening tool. Was considered to be in a precarious situation, a person living with less than 1.5 USD/day, having no fixed address, looking for a job, having no health insurance or having difficulties in dealing with medical and pharmaceutical costs. We have identified variables for the modalities of oral health care use and follow-up. The frequencies of these variables were calculated and comparisons were made between subjects in precarious and non- precarious situations using the Chi2 test. Results 256 people participated in the study. The tool for identifying precariousness made it possible to distinguish 128 subjects classified in precarious situations and 128 others in non- precarious situations. The number of missing teeth in people in precarious situations was twice as high as in non-precarious subjects. Renunciation of dental care was more common in the precarious group (46%) than in the non- precarious group (32%). Absenteeism rates at the first two appointments were higher among the precarious (54%) than among the not precarious (46%). Conclusions These results show the need to sensitize the population on the importance of oral health and the establishment of social protection mechanisms to ensure greater accessibility to care for people in precarious situations. Key messages Improving the oral health of populations, especially vulnerable population groups, requires the establishment of social protection mechanisms to remove the financial barrier to access to care. Educating the public about the importance of oral health for overall good health is essential to improving the use of dental care.

Increasing Use of Dental Services by Children, but Many Are Unable to Secure Needed Care

2014 ◽  
Vol 39 (1) ◽  
pp. 9-11 ◽  
Author(s):  
HB Waldman ◽  
MB Ackerman ◽  
SP Perlman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Access To Care ◽  
Low Income ◽  
Oral Health Care ◽  
Oral Disease ◽  
National Study ◽  
Vulnerable Children ◽  
Dental Services ◽  
National Studies

National studies indicate that an increasing proportion of children are receiving needed oral health care. However, this increase is not uniform throughout all populations of youngsters. Overall national study findings regarding the use of dental services mask the fact that, a significant subset of low-income, minority, medically and developmentally compromised and socially vulnerable children continue to lack access to care and suffer significant and consequential dental and oral disease. In addition, these same children will face continued difficulties in securing needed care as they reach their early adult years.

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