Barriers in Access and Utilization of Dental Care: Assessment and Recommendations Using Delphi Technique

Ahmad, Wardah; Bukhari, Syeda Farhat; Aslam, Mehmil; Irfan, Fariha; Fatima, Rija; Ali, Maryam

doi:10.25301/jpda.281.13

Cited by 3 publications

(3 citation statements)

References 18 publications

(20 reference statements)

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“…A study done in Nigeria by Ajayi and Arigbede [27] implies that patients choose to defer from seeking treatment for dental-related emergencies as it is their perception that such ailments are not life-threatening, hence it would simply resolve them on their own. Ahmad et al [28] also communicated that patients' refusal for seeking urgent dental treatment includes dental fear, perception of need, sterilization concerns, lack of awareness, and discomfort at the long wait in the emergency or dental outpatient clinic. This is due to the notion that the emergency waiting area could be harboring active COVID-19 patients.…”

Section: Barriers To Early Management Of Dental Trauma During Covid-19mentioning

confidence: 99%

Perspective Chapter: Early Management of Dental Trauma in the Era of COVID-19

Adam¹,

Hassan²,

Subramaniam³

et al. 2023

Dentistry

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Traumatic dental injuries are emergencies that must be treated promptly and properly to reduce the suffering, costs, and time for patients and parents. However, since the coronavirus disease 2019 (COVID-19) outbreak was declared a pandemic on March 11, 2020, most dental care facilities in the affected countries have been completely closed or have been only providing emergency treatment. This can partly be a result of the lack of universal protocol or guidelines regulating the dental care provision during such a pandemic, especially in the management of dental trauma. This lack of guidelines has the potential to both promote the spread of nosocomial COVID-19 through oral health care facilities and deny people in need of immediate treatment. Moreover, ceasing dental care provision during such a period will incense the burden on hospitals’ emergency departments that are already struggling with the pandemic. Therefore, this chapter elaborates on the importance of early management of dental trauma by sharing local guidelines and experience with a proposed algorithm for the early management of dental trauma during the emergence of COVID-19.

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Section: Barriers To Early Management Of Dental Trauma During Covid-19mentioning

confidence: 99%

Perspective Chapter: Early Management of Dental Trauma in the Era of COVID-19

Adam¹,

Hassan²,

Subramaniam³

et al. 2023

Dentistry

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“…10 On the other hand, in developing countries https://doi.org/10.29309/TPMJ/2021.28.08.5044 like India the chief factors were: "No need to visit the dentist unless there is pain" (62.5%), "Dental diseases are not very serious" (51.9%) and "Lack of time" (39.3%). 11 A few surveys have been carried out to explore the determinants for delayed treatment in Pakistani population 12,13 and the most commonly reported findings were financial issues, lack of time, and delayed appointments given by the dentist. 13 However, not enough studies have been conducted in the government setup where most of the patients belong to the low socioeconomic class.…”

Section: Introductionmentioning

confidence: 99%

Reasons for not seeking early dental care in patients presenting in the exodontia department at a Tertiary Care Hospital in Lahore, Pakistan.

Waseem

Hussain

Zahid

et al. 2021

TPMJ

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Objective: The aim was to gain insight on patient factors and administrative shortcomings in the dental health department that prevent patients from seeking timely dental care. Study Design: Cross Sectional Survey. Setting: Punjab Dental Hospital, Lahore, Pakistan. Period: 7 January 2020 to 28 February 2020. Material & Methods: A structured close ended questionnaire was filled by information obtained from 400 patients that presented in the Exodontia OPD requiring extractions due to irreversible tooth damage. The data was collected from 244 (61%) females and 156 (39%) males. It was analyzed using SPSS version 20.0 and post stratification chi-square test was applied to see the significance of all comparative statistics. P value of <0.05 was taken as significant. Results: Out of 400 patients, 350 had not visited a dentist when the symptoms first appeared. Of these n=213 (60.86%) were females and n=137 (39.14%) were males. Majority of the patients were in the age range of 40-65 years and belonged to the low socioeconomic class n=213 (60.9%). The main causes of patients presenting now were pain and swelling. The major reasons reported for delayed visit were: “Self-medication” n=113 (24.57%),” Symptoms will resolve on their own” n=79 (17.17%),” No awareness” n=64 (13.91%),” Non serious and lazy attitude” n=39 (8.48%) and “Busy schedule” n=36 (7.83%). Conclusion: Our findings suggested that only a small proportion of people visited the dentist when the symptoms first appeared. Most of the patients ignored their symptoms to such an extent that the only possible treatment that could be offered was extraction of the concerned tooth. There was a general misconception that dental diseases are not very serious and can be resolved by over the counter medications. Thus, more dental awareness programs should be incorporated in the government health policy to increase focus on oral health.

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“…Access to oral healthcare services in terms of physical availability of the oral healthcare facility, financial affordability, timely availability of services, and quality of oral healthcare services to people living in peri-urban or rural communities results in reduced morbidity and mortality, which helps improve the overall quality of life of a person [6,7]. Along with the factors related to the oral healthcare system, personal factors have a role in oral health practices and health-seeking behaviors [8]. Studies have reported gender as one of the critical determinants for oral healthcare; unfortunately, this is an overlooked aspect of healthcare among both genders, men and women [9].…”

Section: Introductionmentioning

confidence: 99%

Journal of Basic & Clinical Medical Sciences

Javed

Zafar

Javed

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Oral health is one of the significant indicators determining the population’s overall health and well-being status. Good oral health is a fundamental human right irrespective of demographic differences. Therefore, this study compared the barriers to accessing oral healthcare facilities among males and females living in peri-urban communities. This comparative cross-sectional study was conducted in the peri-urban communities of Sargodha. Using the random number method, this study used a simple random sampling technique to identify 320 houses; 160 males and 160 females who met the inclusion and exclusion criteria were interviewed. Data were analyzed using descriptive statistics and a chi-square test. The results showed that more males (78.13%) were users of dental services than females (53.75%); however, a meagre number of both genders were making regular visits to oral healthcare facilities. Expensive treatment was one of the significant barriers to visiting oral healthcare facilities for males (85.00%) and females (75.63%). Moreover, time shortage was a significant barrier, mainly reported by almost three-fourths of the males (72.50%), but fewer females (20.63%) considered it a vital barrier (p < 0.05). Furthermore, for both genders, various barriers varied widely, including fear of the dentist, avoiding treatment, lack of awareness, family pressure to avoid visiting clinics, and reliance on home remedies (p < 0.05). Therefore, this study concluded that more males than females visit oral healthcare services. However, most males and females do not visit oral healthcare facilities for regular checkups but for any oral health problem ailment. Both males and females make out-of-pocket expenditures to afford oral health services. Males preferred private oral healthcare facilities, whereas females preferred public healthcare facilities to provide oral healthcare services. Males and females observed the cost of treatment for oral healthcare issues, shortage of time, and fear as the key barriers to accessing oral healthcare facilities.

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Barriers in Access and Utilization of Dental Care: Assessment and Recommendations Using Delphi Technique

Cited by 3 publications

References 18 publications

Perspective Chapter: Early Management of Dental Trauma in the Era of COVID-19

Perspective Chapter: Early Management of Dental Trauma in the Era of COVID-19

Reasons for not seeking early dental care in patients presenting in the exodontia department at a Tertiary Care Hospital in Lahore, Pakistan.

Journal of Basic & Clinical Medical Sciences

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