Access to Dental care for Low-Income Adults: Perceptions of Affordability, Availability and Acceptability

Wallace, Bruce; MacEntee, Michael I.

doi:10.1007/s10900-011-9412-4

Cited by 78 publications

(91 citation statements)

References 41 publications

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“…Patients reported lack of advanced dental treatments in PHC centers given that these centers are known for primary dental treatment [10]. While these results may reveal unmet patients’ needs in PHC centers, the issue is common in many countries across the globe [5, 11–15]. …”

Section: Discussionmentioning

confidence: 99%

Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia

Al-Jaber

Da’ar

2016

BMC Health Serv Res

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BackgroundAs primary health care (PHC) centers in Saudi Arabia provide standardized preventive and curative oral health care (OHC) services, challenges remain. In addition, evidence of determinants of OHC seeking behavior is unknown. The aim of this study was to identify common challenges faced by patients seeking OHC in PHC centers and assess determinants of demand for OHC in Riyadh.MethodsAfter institutional approval and piloting, 320 adult patients were sampled at two large PHC centers in October 2015. Using a modified version of General Practice Assessment (GAPQ) and New York State Department of Health (NYSDOH) Questionnaires, information about cumulative number of visits to a dentist, patient profiles, provider characteristics, and challenges were collected. We used descriptive statistics to summarize data and employed ordinal regression for analyzing extent of effects of challenges and determinants of demand for OHC.ResultsOral health condition was reported to be good in 31 % of the patients, very good in 25 % of the patients, and fair in 20 % of the patients. More than half (53 %) of patients visited a dentist in the past 12 months once, 20 % twice, and 25 % at least three times. High cost of private clinic and unavailability of dentists were reported as the most common difficulties in seeing a dentist. Patients who were very satisfied with dental care and treatment plan, those with less than excellent oral health conditions and male patients had less number of cumulative visits to a dentist compared with patients with less satisfaction, patients with perceived excellent oral health, and female patients respectively.ConclusionsOur findings provide a strong evidence of challenges faced by patients and determinants of demand for OHC seeking behavior. The findings can inform policy maker not only in patient satisfaction of OHC, but also implications on facilities and health care systems. We conclude with recommendations for future research, especially on oral health preventive measures in PHC centers that correct inherent dental problems and other underlying challenges.

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Section: Discussionmentioning

confidence: 99%

Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia

Al-Jaber

Da’ar

2016

BMC Health Serv Res

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“…Unmet health care needs are also more pronounced among people with low income; the homeless and vulnerably housed; sexual minorities; women; people with one or more mental disorders, substance dependence or co-occurring disorders; and adults with disabilities. [2][3][4][5][6][7][8][9][10] The reasons people give for not accessing needed health care range from the cost and organization of health services to personal concerns and perceptions. 11 The most commonly reported barriers as worded in the Canadian Community Health Survey (CCHS) Cycle 1.1 are 1) "waiting time too long", 2) "service not available when needed", 3) "too busy", 4) "didn't get around to it/didn't bother", 5) "felt would be inadequate" and 6) "cost".…”

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confidence: 99%

Unmet health care needs among sex workers in five census metropolitan areas of Canada

Benoit

Ouellet

Jansson

2016

Can J Public Health

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OBJECTIVES: This paper examines unmet health care needs in one of Canada's most hard-to-reach populations, adult sex workers, and investigates whether their reasons for not accessing health care are different from those of other Canadians.METHODS: Data gathered in 2012-2013 from sex workers aged 19 and over (n = 209) in five Canadian census metropolitan areas (CMAs) were analyzed to estimate the perceived health, health care access and level of unmet health care needs of sex workers, and their principal reasons for not accessing health care. These data were collected using questions identical to those of the Canadian Community Health Survey (CCHS) Cycle 2.1, 2003. The results were compared with those of residents aged 19 and over in the same CMAs who had participated in the CCHS.RESULTS: Sex workers reported notably worse perceived mental health, poorer social determinants of health (with the exception of income) and nearly triple the prevalence of unmet health care needs (40.4% vs. 14.9%). Those with the greatest unmet health care needs in both groups were younger, unmarried or single and in poorer health, and reported lower income and a weaker sense of community belonging. Even without these within-group risk factors, sex workers were more likely to report unmet health care needs compared with CCHS respondents. Sex workers were also more likely to identify "didn't get around to it", "too busy", "cost", "transportation problems" and "dislike doctors/afraid" as reasons for eschewing care.CONCLUSION: Equity policies that reduce cost and transportation barriers may go some way in helping sex workers access needed health care. Qualitative research is needed to better understand the realities of sex workers' personal and work lives, including the degree of freedom they have in accessing health care when they need it, but also their experiences when they do manage to engage with the health care system. KEY WORDS: Social determinants of health; access to health care; sex workers; unmet health care needs; barriers La traduction du résumé se trouve à la fin de l'article.

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“…15,16 Consequently, DOCS focuses on lessening that disparity for those members of the London community. This disparity highlights a significant public health problem and reinforces a critical issue: What levels of society are responsible for providing essential oral health care to its members?…”

Section: Discussionmentioning

confidence: 99%

Identifying the Spatial Distribution of Dental Outreach Program in London, Ontario

Kalman¹

2017

Journal of Oral Health and Community Dentistry

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The impact of oral health on total health and personal wellbeing has been well documented. Unfortunately, many individuals suffer from the effects of poor oral health and cannot seek dental care due to financial limitations. The Dental Outreach Community Service (DOCS) program at the Schulich School of Medicine & Dentistry at Western University, functions to provide free dentistry to those individuals within an educational context. This report looks at the spatial distribution of family income and the spatial representation of the DOCS program in London, Ontario, between 2008 and 2015. A DOCS spatial distribution map has been generated to illustrate the association.

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Access to Dental care for Low-Income Adults: Perceptions of Affordability, Availability and Acceptability

Cited by 78 publications

References 41 publications

Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia

Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia

Unmet health care needs among sex workers in five census metropolitan areas of Canada

Identifying the Spatial Distribution of Dental Outreach Program in London, Ontario

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