scholarly journals Patient-, organization-, and system-level barriers and facilitators to preventive oral health care: a convergent mixed-methods study in primary dental care

BDJ ◽  
2017 ◽  
Vol 222 (2) ◽  
pp. 92-92
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Oral Health ◽  
Dental Care ◽  
Oral Health Care ◽  
Mixed Methods Study ◽  
Barriers And Facilitators ◽  
System Level ◽  
Patient Organization

scholarly journals Oral health care-seeking behaviour and influencing factors among 18-34 years old women in Kochi, India

2020 ◽  
Vol 7 (11) ◽  
pp. 4478
Author(s):  
Nija M. A. ◽  
Geethu Gireesh ◽  
Minu Maria Mathew ◽  
Ramanarayanan Venkitachalam
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Dental Health ◽  
Oral Health Care ◽  
System Level ◽  
Health Seeking ◽  
Factors Affecting ◽  
Dental Health Care ◽  
Personal Level

Background: Oral health, though an integral part of general health, is accorded low priority and remains an issue of neglect. Women during their reproductive years suffer from various oral problems that warrant timely utilization of care. Understanding factors affecting health-seeking behavior is necessary. The objective of this study was to determine the personal level and system-level factors that affect utilization of oral health care among 18-34 year-old women visiting a dental health care facility.Methods: A cross-sectional questionnaire-based study was conducted among 18-34 year old women. Participants were recruited using convenience sampling from a tertiary dental health care facility. A Chi-square test was used to determine the association of sociodemographic variables on factors affecting the utilization of oral care.Results: A total of 194 responses were obtained. The mean age of study participants was 27.1±5.2 years. Around 62% of women suffered from multiple dental problems in the past year of which tooth decay and swelling of gums were most common. About 68% of them sought treatment with a dentist. Half of the respondents were themselves responsible for making health care decisions. 55% of the participants reported barriers in availing dental care. The cost of dental treatment, fear of pain, and lack of time were the most commonly reported barriers.Conclusions: Oral health-seeking behaviour among women was found to be good with regard to dental attendance. Personal level barriers were greater than system-level barriers in availing dental care.

Programs and Policies Targeted to Improve Access to Dental Care for Low Income Adults and Children in the US: An Integrative Literature Review

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Davis AL ◽  
◽  
Zare H ◽  
Kanwar O ◽  
McCleary R ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Literacy ◽  
Literature Review ◽  
Low Income ◽  
Dental Care ◽  
Oral Health Care ◽  
Oral Health Literacy ◽  
The Us ◽  
Access To Dental Care

Objective: The authors conducted an integrative literature review of recent studies that explored the impact of interventions implemented in the U.S. that focused on improving access to dental care for low-income and vulnerable populations. Methods: The authors conducted an integrative literature review of studies published between 2012-2018 that addressed six oral health policy spheres. 1) Community-based dental access programs; (2) Medicaid reimbursement and expansion; (3) Student loan support; (4) Oral health services in non-traditional settings and dental residency programs; (5) Programs to improve oral health literacy; and (6) Use of dental therapists. Results: The authors included 39 articles for qualitative synthesis. Numerous public health initiatives and programs exist in the US aimed at increasing access to quality oral health care. Medicaid expansion, increased Medicaid fee-for-service reimbursement rates, and state loan repayment programs have demonstrated some success in improving access among underserved populations. A diversified dental workforce, with community dental health workers and mid-level providers like dental therapists, as well as interprofessional training of nurses and primary-care physicians in oral health have also shown positive impacts in advancing health equity. Further studies are needed to understand how oral health literacy programs can affect access and utilization of dental services. Conclusions: Improvements to the oral health care safety net will require a holistic and multifaceted approach in order to reduce oral health disparities. Policy levers should work, not in isolation, but rather in complementary fashion to one another.

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.

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