Acessibilidade à saúde bucal de pessoas com Deficiência Intelectual na perspectiva do cuidador: uma avaliação qualitativa

Abstract

Objective: to access and identify barriers to oral health care of people with intellectual disabilities (ID), from the caregivers' perspective. Material and Methods: the random sample was composed of 55 caregivers of people with ID and an interview script with a qualitative approach was applied to deepen the understanding of this group about oral health services accessibility. The qualitative analysis was performed through the Discourse of the Collective Subject Method. Results: we observed some barriers to access and care to oral health to patients with disabilities, such as: lack of structure and organization of the service, deficient training of professionals for attendance, among others. In addition, the health care within a practice little paid in and weakly based on health promotion were other factors that compromised the access of people with ID. Conclusion: the access evaluation is extremely important, because it allows the reordering of actions and services according to the users' needs. However, despite the advances, the patient with ID still has been facing barriers, basically to the accessibility to treatment performed by professionals, to reception and low management.

Clinical and Social Variables Association on the Frequency of Intellectual Disability Persons to Dental Care

“…We also suggest that families' low priority to early dental care may be caused by challenges on the part of the guardians because of possible health conditions of these patients who are demanding continuous care for the maintenance of life, do not have easy access to oral health care, leading thus to a high number of adults giving priority to treatment under sedation and/or to general anesthesia [30][31][32].…”

Educational strategies in oral healthcare for the disabled and their effects on dental students’ training

“…In addition to discrimination, stigma, and inequality, PwD face a range of general and systemic health conditions, such as poor oral health, compared to people without disabilities, resulting in reduced access to basic healthcare services. 1,[3][4][5] The dentists' inability to provide adequate dental care for PwD stems from a lack of specialized clinical experience and theoretical knowledge regarding their specific oral care needs. 3 There is an evident shortage of educational opportunities to equip dental students with sufficient expertise in providing dental services to PwD.…”

“…1,[3][4][5] The dentists' inability to provide adequate dental care for PwD stems from a lack of specialized clinical experience and theoretical knowledge regarding their specific oral care needs. 3 There is an evident shortage of educational opportunities to equip dental students with sufficient expertise in providing dental services to PwD. 6 Furthermore, the development of a professional attitude and appropriate future behavior of dental students is directly linked to the cultivation of skills in treating PwD by enabling a positive and satisfactory educational experience.…”

“…Health status is determined by several factors, including socioeconomic, cultural, and environmental factors and access to healthcare services. In addition to discrimination, stigma, and inequality, PwD face a range of general and systemic health conditions, such as poor oral health, compared to people without disabilities, resulting in reduced access to basic healthcare services 1,3–5 …”

“…The dentists’ inability to provide adequate dental care for PwD stems from a lack of specialized clinical experience and theoretical knowledge regarding their specific oral care needs 3 . There is an evident shortage of educational opportunities to equip dental students with sufficient expertise in providing dental services to PwD 6 …”