scholarly journals “Does this dental mob do eyes too?”: perceptions and attitudes toward dental services among Aboriginal Australian adults living in remote Kimberley communities

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jilen Patel ◽  
Angela Durey ◽  
Steven Naoum ◽  
Estie Kruger ◽  
Linda Slack-Smith
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Western Australia ◽  
Remote Communities ◽  
Dental Services ◽  
Aboriginal Communities ◽  
Primary Health ◽  
Perceptions And Attitudes ◽  
Primary Health Services ◽  
Oral Health Services

Abstract Background Australian Aboriginal and Torres Strait Islander people continue to experience significant disparities in oral health and there remains an urgent need to improve services to rural and remote communities. Quantitative research has typically been used to highlight the disease burden and severity experienced by those living in remote communities, but this data does little to explore the lived reality and psychosocial nuances that impact on care. The Kimberley region of Western Australia is home to over 150 Aboriginal communities spread out across 400,000 square kilometres. The success and sustainability of oral health services to these remote communities relies on respect and reciprocity achieved through shared knowledge, decision making and involvement of Aboriginal people in discussions around oral health services and their delivery. This, study aimed to investigate the perceptions and attitudes toward dental services among Aboriginal Australian families living in remote Kimberley communities. Methods Semi-structured interviews and yarning circles were carried out following purposive sampling of Aboriginal adults living in the East Kimberley region of Western Australia. Interviews were recorded, transcribed, and analysed guided by a constructivist grounded theory approach. Results In total, 80 community members participated in the yarning process. Enablers to care included: promotion of existing services, integration with primary health services, using mobile dental services and volunteers to extend care. Barriers to care included transportation, cost of treatment, the complexity of appointment systems and shame associated with health-seeking behaviours. Conclusions Reassessing the prevailing operative model of dental care to remote Aboriginal communities is warranted to better address the overwhelming structural barriers that impact on oral health. Integration with existing primary health services and schools, the use of mobile units to extend care and increasing community engagement through clinical yarning are recommended in improving the current state of dental services to communities in the Kimberley.

Socio-Demographic Determinants Of Utilization Of Dental Services Among Secondary School Students

2015 ◽  
Vol 9 (2) ◽  
pp. 55-59 ◽  
Author(s):  
JE Enabulele ◽  
NM Chukwumah
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Health Services ◽  
Secondary School ◽  
Secondary School Students ◽  
Demographic Factor ◽  
School Students ◽  
Dental Services ◽  
Oral Health Services ◽  
Utilization Of Dental Services

ABSTRACT Objective This study evaluated the socio demographic determinants of utilization of dental services among secondary school students. Method A cross-sectional study of secondary school students attending schools in the immediate vicinity of a tertiary health facility that provides dental services. The analysis was done using frequency distribution, logistic regression, cross tabulations and test of significance with chi square. P< 0.05 was considered statistically significant. Results A total of 741 students participated in the study with 207 (27.9%) reporting dental visits mainly when they had dental problems. There was statistically significant association between the type of student, class and utilization of oral health services. Logistic regression showed no socio demographic factor was predictive of utilization of oral health services. Conclusion Although knowledge of who a dentist is was high, utilization of dental services was poor with no socio demographic factor being a predictor of utilization of dental services.

scholarly journals A Survey About Dental Instruments at the Primary Health Care in Brazil

2018 ◽  
Vol 29 (5) ◽  
pp. 500-506
Author(s):  
Joyce Lopes ◽  
Andréa Clemente Palmier ◽  
Marcos Azeredo Furquim Werneck ◽  
Antônio Thomaz Gonzaga da Matta-Machado ◽  
Mauro Henrique Nogueira Guimarães de Abreu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Services ◽  
Social Issues ◽  
Organizational Characteristics ◽  
Care Organization ◽  
Dental Instruments ◽  
Primary Health ◽  
Oral Health Services

Abstract This study describes the structure of oral health services in primary health care in Brazil and the instruments available for the provision of oral health care and to compare the number of instruments according to organizational characteristics of health services and among the macroregions. Of the 23,251 oral health teams (OHTs) in the Public Health System, 17,513 (75.3%) participated in this study. Trained researchers observed the structures of the health services and determined the presence of and whether a sufficient quantity of 36 dental instruments existed. The score of each oral health service was determined by the sum of the number of dental instruments present in sufficient quantity (0 to 36). Central tendency measures were compared along with the variability in these scores according to the organizational characteristics of the services and according to the Brazilian macroregion. No instrument was found to be present in all evaluated services. Basic, surgical and restorative instruments were the most frequently found. Periodontal, endodontic and prosthetic instruments exhibited the lowest percentages. The mean and median numbers of dental instruments were higher for teams that operated over more shifts, those with an oral health technician and those in the South and Southeast regions. The oral health services were equipped with basic, surgical and restorative instruments. Instruments designed for periodontal diagnosis, emergency care and denture rehabilitation were less frequently found in these services. The worst infrastructure conditions existed in the OHTs with the worst forms of care organization and in regions with greater social issues.

Universal access to oral health care for Australian children: comparison of travel times to public dental services at consecutive census dates as an indicator of progressive realisation

2020 ◽  
Vol 26 (2) ◽  
pp. 109
Author(s):  
Gillian Jean ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Travel Time ◽  
World Health ◽  
Travel Times ◽  
Dental Clinic ◽  
Spatial Access ◽  
Dental Services ◽  
Disadvantaged Groups ◽  
Oral Health Services

Progressive realisation of equitable access to health services is a fundamental measure of a state’s resolve to achieve universal health coverage. The World Health Organization has reprioritised the importance of oral health services as an integral element of the roadmap towards health equity. This study sought to determine whether there is an indication of progressive realisation of equitable spatial access to public dental services for Australians &lt;18 years of age through a comparison of travel times to the nearest public dental clinic at successive census dates. The distribution of children classified by rural remoteness and level of socioeconomic disadvantage, as well as the location of public dental clinics at the 2011 and 2016 Australian Bureau of Statistics censuses, was mapped using geographic imaging software. OpenRouteService software was used to calculate the travel time by car between each statistical census district and the nearest public dental clinic. There has been an improvement in the percentage of the population &lt;18 years of age living within a reasonable travel time of a public dental clinic. The most socioeconomically disadvantaged groups in more densely populated areas have better spatial access to publicly funded dental services than less disadvantaged groups. Children living in very remote areas continue to experience lengthy travel times to access fixed oral health services.

Self reported oral diseases, Oral hygiene and utilisation of Oral health services among pregnant women attending antenatal clinic at New Masala Clinic, Ndola, Zambia:cross-functional study (Preprint)

2019 ◽  
Author(s):  
Thandiwe Phiri
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Oral Cavity ◽  
Pregnant Women ◽  
Oral Care ◽  
Antenatal Clinic ◽  
Oral Diseases ◽  
Dental Services ◽  
Oral Symptoms ◽  
Oral Health Services

UNSTRUCTURED Background: Pregnancy is associated with the development of oral cavity disorders and diseases due to the increase in the levels of the hormones Estrogen and Progesterone, which predispose the oral cavity of the pregnant woman to diseases. Some of the common self-reported oral diseases in pregnancy are gingivitis, dental caries, periodontitis, pregnancy tumors and many more. In most developing countries research on the oral health during pregnancy has not been done leading to limited information to general public. The main objective of this study is to determine the self-reported oral diseases, oral hygiene and utilization of oral health services among pregnant women attending antenatal clinic at New Masala Clinic. Methods: A descriptive cross-sectional study was conducted among 208 pregnant women attending antenatal clinic at New Masala Clinic of Ndola town. All participants completed a questionnaire with following parameters; socio-demographics, self-oral care, oral symptoms during pregnancy and utilization of oral health services during pregnancy. The data collected was then analyzed using SPSS software version 20 statistical software. Chi-square test was used to determine significant associations. Results: over one third of participants reported to experience bleeding gums, 85.1% reported to have been brushing regularly at least twice or more daily. None (0%) used floss while majority (80.3%) of the participants reported use of toothpick. Majority (80.8%) had never visited a dentist in their entire life while 7.2% of the participants reported to have visited a dental clinic in less than 1 year ago. Majority (99%)of the participants had never visited a dentist during their pregnancy Conclusion and recommendations: Despite the high level of self-reported oral care among pregnant women there is great need for radical sensitization and awareness about oral health during pregnancy and utilization of dental services among pregnant women. Social economic status and education back ground do not influence dental services utilization or development of oral health diseases and. However the age of gestation has great influence of the development of certain oral symptoms and diseases.

Changes in the Balance between Dentists, Patients and Funders in the NHS and their Consequences

2008 ◽  
Vol os15 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Wayne Richards ◽  
Tony Gear
Keyword(s):  
Oral Health ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
Professional Culture ◽  
Dental Services ◽  
England And Wales ◽  
The Future ◽  
Oral Health Services

This paper explores aspects of professional culture in dentistry that may impact on the delivery of equitable dental services in the future. After 2009, commissioners will have to ration National Health Service budgets for health services and dentistry will compete with other services. Therefore, the delivery of equitable oral health services may be an advantage in the case for dentistry and subsequent funding. We report our opinions on the changes currently occurring in dentistry in England and Wales, based on the evidence available to us from the literature, and consider the risks and opportunities that have arisen.

scholarly journals Structural characteristics of oral health services in Brazilian Primary Health Care

2021 ◽  
Vol 35 ◽  
Author(s):  
Maria Tereza Abreu SCALZO ◽  
Antônio Thomaz Gonzaga MATTA-MACHADO ◽  
Mauro Henrique Nogueira Guimarães ABREU ◽  
Renata Castro MARTINS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Services ◽  
Structural Characteristics ◽  
Primary Health ◽  
Oral Health Services

scholarly journals Penetapan Dokter Gigi Layanan Primer di Indonesia

2014 ◽  
Vol 21 (2) ◽  
pp. 109
Author(s):  
Iwan Dewanto
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Health Services ◽  
National Health ◽  
Tertiary Care ◽  
Dental Services ◽  
Health Security ◽  
Primary Health Services ◽  
General Dentist

Pelaksanaan jaminan kesehatan nasional (JKN) di Indonesia yang di implementasikan pada tahun 2014 merupakan tantangan untuk dapat melakukan perubahan pelayanan yang lebih terstruktur. Konsep pelayanan sistem jaminan kesehatan nasional di Indonesia membagi pelayanan menjadi 3 struktur layanan yaitu pelayanan primer, pelayanansekunder dan pelayanan tersier. Pola pembiayaan yang digunakan untuk pelayanan primer adalah sistem kapitasi, sedangkan untuk pelayanan sekunder dan tersier menggunakan sistem DRG (Diagnosis Related Group) yang di Indonesia digunakan istilah Indonesia Case-Based Group (INA CBG`s). Kondisi kesadaran masyarakat Indonesia untuk kesehatangigi dan mulut masih belum baik, sehingga memerlukan perbaikan proses, aksesibilitas, dan konsep pelayanan yang lebih baik. Perbaikan tersebut dapat dilaksanakan dalam bentuk pelayanan primer kedokteran gigi, dengan konsep kendali mutu dan kendali biaya. Tujuan dari penulisan telaah ilmiah ini adalah memberikan kajian pada penetapan pelayanan di bidang kedokteran gigi menjadi pelayanan primer dalam sistem JKN, sesuai dengan kaedah, kondisi dan peraturan yang berlaku. Dokter gigi layanan primer sebagai first professional degree yang peran dan fungsinya adalah di pelayanan tingkat primer (primary health services) berfungsi sebagai gate-keeper pada pemberi pelayanan kesehatan gigi dan mulut yang diharapkan dapat menertibkan sistem rujukan dalam Sistem Kesehatan Nasional. Dokter gigi layanan primerdiharapkan dapat menyelesaikan keluhan masyarakat akan kesehatan gigi yang termasuk dalam batas kompetensi dan kewenangannya, sehingga masyarakat tidak perlu mengorbankan sumber daya yang lebih besar untuk mendapatkan perawatan tingkat spesialis yang sesungguhnya tidak mereka perlukan. Peningkatan kualitas dan kuantitas pelayanan kesehatan gigi dan mulut kepada masyarakat merupakan hal yang mutlak diperlukan oleh masyarakat Indonesia di masa yang akan datang. Determination Of Primary Dental Services In Indonesia. The implementation of Indonesia National Health Security (JKN) is a challange from developing a better structure of healthcare. The structure of health services is divided into three tiered system, which is primary care, secondary care, and tertiary care. Model of financing used for the primary care is capitation system, while for secondary and tertiary care system is claim system based on Indonesia Case-Based Group (CBG INA `s). Improvement of oral health services by general dentist can be carried out in the form of primary care dentistry by quality and cost control.The aim of this study is to provide a scientific study on the determination of dental services offered by general dentist as primary care in National Health Security system, according to the rules, conditions and regulations. Primary care dentists have function at the main level of care (primary health services) as a gate-keeper. They are expected to enforce referral system in the National Health Security System. Primary care dentist issupposed to resolve oral health problem within their competence and authority, so people do not need to go to specialist care that is not needed. Thus, improving the quality of oral health services provided for the public is a must.

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