Strategies to improve access to and uptake of dental care by people experiencing homelessness in Australia: a grey literature review

2020 ◽  
Vol 44 (2) ◽  
pp. 297
Author(s):  
Jacqueline Goode ◽  
Ha Hoang ◽  
Leonard Crocombe
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Service Providers ◽  
Grey Literature ◽  
Homeless People ◽  
Dental Service ◽  
Dental Services ◽  
Free Care ◽  
Improve Access

Objectives The poor oral health of Australians experiencing homelessness negatively affects their quality of life. Better oral health is associated with having annual dental check-ups. Because there is limited peer-reviewed literature describing strategies that improve access to and uptake of dental care by homeless people, in this study we searched the grey literature to discover what strategies are used. Methods The Informit database and Google and Bing search engines were searched using the keywords ‘homeless and oral and dental services’. Bing and Google were searched unrestricted by site and Google was searched for sites ending in ‘org.au’. Searches were restricted to Australia from June 2008 to June 2018. The first 300 websites were read, and those describing or linking to pages describing a strategy that improved access to or uptake of dental care were included in the study. The content of the webpages was evaluated and summarised, with common strategies reported as a narrative description. Results Nineteen programs were described. Common strategies were providing free care, in-reach care, outreach care and the need to work closely with support organisations. Conclusions To improve access to and uptake of dental care by people experiencing homelessness, dental services need to be free and organised in collaboration with support organisations. What is known about the topic? The peer-reviewed literature describing strategies used to improve access to and uptake of dental care by people experiencing homelessness in Australia is limited. The authors could only locate two such studies, one based in Melbourne and one in Brisbane. Both programs had a similar aim, but used different strategies to achieve it, suggesting a lack of consensus about the best way to encourage dental visiting by people experiencing homelessness. What does this paper add? This paper used the grey literature to describe common strategies used in Australia to improve access to and uptake of dental care by people experiencing homelessness. What are the implications for practitioners? Dental service providers aiming to increase access to and uptake of dental care by people experiencing homelessness need to work collaboratively with support organisations and provide care free of charge.

scholarly journals Homeless adults' access to dental services and strategies to improve their oral health: a systematic literature review

2018 ◽  
Vol 24 (4) ◽  
pp. 287 ◽  
Author(s):  
Jacqueline Goode ◽  
Ha Hoang ◽  
Leonard Crocombe
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Service Providers ◽  
Homeless People ◽  
Developed Countries ◽  
Inclusion Criteria ◽  
Treatment Needs ◽  
Dental Services ◽  
Homeless Adults ◽  
Dental Staff

Homeless people have poor oral health and high treatment needs, yet tend to make problem-based dental visits. This review aimed to determine how and where homeless adults receive oral health care, the barriers that prevent homeless adults accessing dental care and find strategies to promote oral health to homeless adults. The databases MEDLINE via OvidSP, PubMed, CINAHL and Scopus were searched using the keywords: homeless, roofless, houseless, rough sleeper, couch surfer, shelter, hostel, dental and oral health. The inclusion criteria were: participants over the age of 17 years, studies written in English, based in developed countries and published after 2003. Selected articles were assessed using the Mixed Methods Appraisal Tool and data extracted were thematically analysed. Twenty-two studies met the inclusion criteria. Five main themes were found: how homeless people accessed dental care; factors affecting the uptake of care; strategies used to improve access to care; the effect of non-dental staff on dental care; and challenges with providing care to homeless people. Dental care for homeless adults was affected by numerous factors. Improving their access to dental services requires collaboration between support service providers, dental care to be near homeless populations and flexibility by dental services.

scholarly journals Profile of users of the oral health service in Comendador Levy Gasparian/RJ

2020 ◽  
pp. 73-91
Author(s):  
Renata Patrícia Pereira de Melo ◽  
Natália Leal da Silva ◽  
Fátima Lúcia Cartaxo Machado ◽  
Rafael de Souza
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
The Elderly ◽  
Dental Service ◽  
Descriptive Statistics ◽  
Urban Center ◽  
Dental Services ◽  
Study Population ◽  
Basic Health Units

The health of teeth and the oral cavity affects people’s quality of life, as it interferes with the ability to eat, communicate, aesthetics and prevent other diseases. The aim of this research is to identify the profile of users of oral health services in basic health units in the municipality of Comendador Levy Gasparian/RJ. The study population was composed of all users of the dental service of the municipality and the sample size for collection used a nonparametric sampling of the type for convenience. The research was carried out using the quantitative approach and data analysis using Descriptive Statistics. To facilitate analysis and compression, graphs were constructed with univary and bidata data. The results showed women, young people, the elderly, people of the yellow race and patients with Higher Education represent groups that least use the dental services of the municipality and strategies that attract such audiences can increase access to the service. The units near the urban center of the municipality received a larger number of participants.

DENTAL SERVICES

PEDIATRICS ◽  
1953 ◽  
Vol 12 (3S) ◽  
pp. 26-28
Keyword(s):  
Dental Care ◽  
Health Program ◽  
Dental Health ◽  
The United States ◽  
Dental Service ◽  
Minimal Amount ◽  
Major Theme ◽  
Dental Services ◽  
True Relationship

WHEN the Study was first projected, its content was a major theme of discussion. It is of interest that the Study Committee unanimously gave children's dental care a high priority among the items for examination. This decision was significant because pediatricians and general practitioners as a group are not particularly interested or wellinformed in this area of medicine. It may have been their very lack of dental knowledge which promoted this part of the Study. The question might be asked, "Is the over-all health of children correlated in any way with the condition of their teeth?" In one of the state reports, a correlation was made between the quality of medical services and dental facilities but this does not answer the question of the true relationship between dental health and over-all health. However, the Committee felt that dental health is generally accepted as an important item in a health program for children. Although the exact cause of tooth decay is not yet determined, it is known that restoration of cavities prolongs the life of the tooth. Areas of Need The findings of the Study do not tell precisely how much dental care is actually required by children in various sections and communities in the country. However, even without exact information on the amount of dental care needed, it is evident that at present not even a minimal amount of dental service can be offered to every child in the United States. The study of dental facilities for children shows that even states and counties which have the highest service ratings are unable to provide adequately for their entire child population.

scholarly journals Determinants of Dental Care Attendance during Pregnancy: A Systematic Review

2018 ◽  
Vol 52 (1-2) ◽  
pp. 139-152 ◽  
Author(s):  
Juliana Schaia Rocha ◽  
Letícia Yumi Arima ◽  
Renata Iani Werneck ◽  
Samuel Jorge Moysés ◽  
Márcia Helena Baldani
Keyword(s):  
Oral Health ◽  
Latin American ◽  
Dental Care ◽  
Dental Service ◽  
Behavioral Factors ◽  
Service Usage ◽  
Dental Services ◽  
Perceived Need ◽  
Utilization Of Dental Services ◽  
Year 2000

Despite the fact that dental care attendance during pregnancy has been recommended by guidelines and institutions, the demand for dental services is still low among pregnant women. The aim of this study was to identify and analyze the determinants of dental care attendance during pregnancy. We performed a systematic literature search in the electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Brazilian Library in Dentistry, Cumulative Index to Nursing and Allied Health Literature, and Medline using relevant keywords. Studies were filtered by publication year (2000-2016) and language (English, Portuguese, Spanish, and French). The included studies were assessed for quality. Their characteristics and statistically significant factors were reported. Fourteen papers were included in the review. The prevalence of dental service usage during pregnancy ranged from 16 to 83%. Demographic factors included women's age, marital status, parity, and nationality. The socioeconomic factors were income, educational level, and type of health insurance. Many psychological and behavioral factors played a role, including oral health practices, oral health and pregnancy beliefs, and health care maintenance. Referred symptoms of gingivitis, dental pain, or dental problems were perceived need. Demographic, socioeconomic, psychological, behavioral factors and perceived need were associated with the utilization of dental services during pregnancy. More well-designed studies with reliable outcomes are required to confirm the framework described in this review.

scholarly journals DENTAL HEALTHCARE IN RUSSIA: A COMPARISON OF THE POLICY OF OBLIGATORY MEDICAL INSURANCE AND PRIVATE SERVICES IN THE DENTAL PRACTICE

2021 ◽  
Vol 10 (34) ◽  
Author(s):  
D.S TISHKOV ◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Oral Health ◽  
Dental Care ◽  
Dental Health ◽  
Health Indicators ◽  
Medical Insurance ◽  
Dental Practice ◽  
Dental Services

Compulsory health insurance is an integral part of health care. Dental care is provided in two forms: private dental services and public dental services based on budget clinics. The purpose of this study is to study dental health in Russia by comparing the policy of compulsory medical insurance and private services in dental practice. During the study, dental health indicators were studied at three levels: indicators for monitoring the oral health of children and adolescents. In the second part, indicators for monitoring oral health in the General population were studied. In the third part, indicators for monitoring the quality of life of the oral cavity were studied. Statistical data processing included implementation of correlation analysis of the obtained data. The results show that social health insurance provides people with equal opportunities for dental services, and health care reforms have improved oral health. Thus, the data obtained indicate the need to Finance the health care system in view of improving the quality of dental care for children and adults, as well as through the introduction of primary and secondary prevention programs.

scholarly journals Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

2020 ◽  
Vol 11 (1) ◽  
pp. 23-33
Author(s):  
Richie Kohli ◽  
Sonya Howk ◽  
Melinda M. Davis
Keyword(s):  
African American ◽  
Oral Health ◽  
Qualitative Study ◽  
Low Income ◽  
Dental Care ◽  
Insurance Coverage ◽  
Barriers And Facilitators ◽  
Dental Services ◽  
Cross Sectional ◽  
Free Care

Objective: To identify African-American seniors’ perceptions of the barriers and facilitators to their dental care. Materials and Methods: In this cross-sectional qualitative study, we conducted in-depth interviews with 16 community-based, self-identified African-American seniors from March 2017 to August 2017 in Oregon. We coded data in ATLAS.ti and used thematic analysis to identify emergent themes within the social ecological framework and a cross-case comparative analysis to explore variation by participant characteristics. Results: Regardless of dental insurance status, cost and perceived urgency of treatment were the primary drivers of participant’s ability and interest in seeking dental care. Participants identified four solutions to improve oral health care in African-American seniors: affordable/free care and vouchers for dental work, better oral health education at a younger age, onsite community dental services, and navigators who can educate patients about insurance and dental providers who see low-income patients. Conclusions: Oral health decisions by African-American seniors were primarily driven by cost and perceived urgency irrespective of insurance coverage. Affordable dental care, early intervention, on-site services, and navigation may help to address key barriers and reduce oral health disparities faced by African-Americans.

scholarly journals Factors Affecting Dental Services Quality in the Private Sector From Patients’ Perspective in Amman-Jordan

2020 ◽  
Vol 11 (5) ◽  
pp. 71
Author(s):  
Jihad M. Saadeh ◽  
Mohammad A. Tarawneh
Keyword(s):  
Significant Relationship ◽  
Service Providers ◽  
Dental Service ◽  
Research Papers ◽  
Dental Services ◽  
Five Dimensions ◽  
Factors Affecting ◽  
Patients Satisfaction ◽  
Definition Of

Introduction: The world has been rapidly evolving with a high pace towards clients’ satisfaction. Service providers strive for clients’ satisfaction as it has become more obvious that this is the key to maintain a growing and successful businessObjectives: The objective of this study is to investigate the relationship between the five dimensions of quality of patients’ satisfaction and the quality of dental services.Materials & Methods: Several databases were searched for relevant articles and research papers with an objective revolving around the factors affecting client satisfaction from dental services provided at either a certain clinic, group of clinics, or had a population of a whole city. The articles and research papers covered parts of Eastern Asia, the Middle East, South/North America, and Europe.Multiple regression analysis was performed to study this relationship. The results showed significant relationship between each of the five dimensions of quality with the following weights: Tangibility = 17.7%, Empathy= 17.2%, Responsiveness= 15.6%, Assurance= 14.7% and Reliability= 5.8%. Overall R square = 75.3% adjusted R square is 73.2% with R = 0.868.Conclusion: The unique aspect of this study, which makes it different from other studies, is that it will not only evaluate the dental service received by patients but will also clearly state how a patient defines a good quality dental service according to their priorities to help in reaching of mutual understanding and definition of a good quality service provider.The multiple regression models showed significant relationship between the five dimensions of quality and patients’ satisfaction

Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012–2015

2021 ◽  
pp. 238008442110285
Author(s):  
H. Lee ◽  
E. Tranby ◽  
L. Shi
Keyword(s):  
Risk Assessment ◽  
Oral Health ◽  
Prenatal Care ◽  
Service Utilization ◽  
Dental Care ◽  
White Women ◽  
Dental Service ◽  
Pregnancy Risk ◽  
Lower Odds ◽  
Dental Visits

Objectives: This study aimed to update dental service utilization during pregnancy and to evaluate whether there are persistent disparities in dental care during pregnancy by race/ethnicity and Medicaid status. Methods: This retrospective secondary data analysis examined dental service utilization during and prior to pregnancy and met dental or oral health needs using the Pregnancy Risk Assessment Monitoring System (PRAMS) data sets on 75,876 women between 2012 and 2015. Results: Only about half of the women (51.7%) reported that they had at least 1 dental visit for cleaning during their most recent pregnancy. One of 5 women (19.7%) experienced dental problems during pregnancy, and 34.4% of these women did not visit dentists to address the problems. Non-Hispanic Black women had 14% lower odds of visiting dentists for cleaning during pregnancy compared to non-Hispanic White women (odds ratio [OR], 0.86; 95% CI confidence interval [CI], 0.80–0.92). There was no difference in dental visits prior to pregnancy between non-Hispanic Black and White women. Women enrolled in Medicaid showed significantly lower odds of visiting dentists for cleaning during pregnancy compared to women covered by private health insurance (OR, 0.55; 95% CI, 0.52–0.58). Conclusion for Practice: Oral health, as an integral part of primary care, needs to be included in the standard prenatal care through oral health education and timely dental care during pregnancy. With mounting evidence of persisting disparities in dental service utilization during pregnancy, both public and private prenatal programs and policies should address specific barriers in accessing and using dental care during pregnancy, especially for women from socially disadvantaged backgrounds. Knowledge Transfer Statement: The current study updated the previous findings with more recent multiyear PRAMS data (2012–2015) and found the Black-White disparity and disparity among Medicaid-enrolled women in visiting dentists during pregnancy persist. The results of this study can be used by policymakers and practitioners to integrate oral health into prenatal care for pregnant women from marginalized backgrounds to achieve oral health parity.

scholarly journals Is the negative evaluation of dental services among the Brazilian elderly population associated with the type of service?

2014 ◽  
Vol 17 (1) ◽  
pp. 71-90 ◽  
Author(s):  
Andréa Maria Eleutério de Barros Lima Martins ◽  
Lorena Amaral Jardim ◽  
João Gabriel Silva Souza ◽  
Carlos Alberto Quintão Rodrigues ◽  
Raquel Conceição Ferreira ◽  
...  
Keyword(s):  
Oral Health ◽  
The Elderly ◽  
Epidemiological Survey ◽  
Negative Evaluation ◽  
Dental Services ◽  
Frequency Of Use ◽  
Perceived Pain ◽  
Main Independent Variable ◽  
Independent Variable

This study aimed at identifying the prevalence of the negative evaluation of dental services among elderly Brazilians and at investigating whether the prevalence was higher among those using public or philanthropic provider services than among those paying privately or using private health plans. Additionally, factors associated with this negative assessment were identified. Interview and survey data were collected in the residences of participants by trained and calibrated examiners as part of a national epidemiological survey of oral health conditions of the Brazilian population in 2002/2003. The dependent variable was obtained in response to questions regarding whether the participant had ever used dental services, the frequency of use, and the quality of this service. Potential responses to the questions regarding the quality of service were very poor or poor, fair, and good or very good. The main independent variable was the system of health care used with potential responses being health plan or private, public, and philanthropic services. We conducted univariate (linear tendency χ2test) and multiple descriptive analyses, and the partial proportional Odds model for ordinal logistic regression. Among the elderly, 196 (3.7%) evaluated the provided services negatively (very poor or poor). Participants with the following responses were more likely to evaluate the services negatively: those who had used public or philanthropic services, men, those with higher education, the ones who had not received information about preventing dental problems, those who perceived pain in their teeth and gums in the last six months, and those who self-reported their oral health and speech was poor. In conclusion, elderly Brazilian users of public and philanthropic services were more likely than users of private or insurance-based plans to evaluate their dental services negatively, regardless of the other investigated variables.

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