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http://dx.doi.org/10.12655/KADH.2019.15.1.7

TREATMENT BARRIERS OF SPECIAL NEEDS PATIENTS - PART 1. CONSIDERATION FROM THE PERSPECTIVES OF SPECIAL CARE DENTISTS  

Chang, Juhea (Special Care Clinic, Seoul National University Dental Hospital)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.15, no.1, 2019 , pp. 7-13 More about this Journal
Abstract
The aim of this study was to clarify the barriers of dental treatment for special needs patients felt by dentists and to determine the dentist-related factors contributing to the obstacles in treatment planning and decision making. Questionnaires were distributed and responded by dentists working at five public-based special care clinics in South Korea. Factors divided into three parts (dentist demographics, clinical factors, and educational and administrational factors) were assessed and analyzed for correlations between dentist-related factors and dentist-felt burdens for special care treatment. Fisher's exact test and Chi-square test were used at the level of 0.05. A total of 34 dentists responded to the questionnaires. Almost all dentists had obstacles in the treatment of special needs patients in terms of the patients' lack of cooperation (94.1%), proxy communication with caregivers (94.1%), payment reward system (63.6%), deficient workforce (67.7%), and others. The longer dentists had been practicing for special needs patients, the more they were dissatisfied with the reward system and a longer time was spent for communication with patients and their caregivers (p<0.05). For specialists, more obstacles were experienced in treatment planning due to a deficiency in the clinical information obtained from their patients compared to general practitioners (p<0.05). A total of 82.4% of the respondents approved of mandatory educational programs for special care dentists. There were practitioner-based factors related to the amount of obstacles felt by special care dentists. To overcome the treatment barrier of special needs patients, in-depth education and training are required in special care dentistry.
Keywords
Education; Treatment barrier; Special care dentist; Special needs patient; Questionnaires;
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1 Waldman HB, Perlman SP : A special care dentistry specialty: sounds good, but. J Dent Educ, 70:1019-1022, 2006.   DOI
2 보건복지부, 경북대학교 : 장애인구강진료센터 설치, 활성화방안과 치과영역중증장애인 기준 개선을 위한 연구. 2017.
3 Anders PL, Davis EL : Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist, 30:110-117, 2010.   DOI
4 Glassman P, Subar P : Planning dental treatment for people with special needs. Dent Clin North Am, 53:195-205, 2009.   DOI
5 Inglehart MR, Schneider BK, McDonald NJ, et al. : Providing care for underserved patients: endodontic residents', faculty members', and endodontists' educational experiences and professional attitudes and behavior. J Dent Educ, 78:735-744, 2014.   DOI
6 Yeaton S, Moorthy A, Freedman L, et al. : Special care dentistry: how prepared are we? Eur J Dent Educ, 20:9-13, 2016.   DOI
7 Lee HS, Kim YJ, Lee JH : Comparison of dental staff's attitude toward the special health care needs patients between the special dental clinic and the general dental clinic. J Korean Dis Oral Health, 9:85-90, 2013.
8 Watters AL, Stabulas-Savage J, Robbins MR, et al. : Incorporating Experiential Learning Techniques to Improve Self-Efficacy in Clinical Special Care Dentistry Education. J Dent Educ, 79:1016-1023, 2015.   DOI
9 Mac Giolla Phadraig C, Nunn JH, Tornsey O, Timms M : Does Special Care Dentistry undergraduate teaching improve dental student attitudes towards people with disabilities? Eur J Dent Educ, 19:107-112, 2015.   DOI
10 Bayarsaikhan Z, Cruz S, Neff J, Chi DL : Transitioning from Pediatric to Adult Dental Care for Adolescents with Special Health Care Needs: Dentist Perspectives-Part Two. Pediatr Dent, 37:447-451, 2015.
11 Lawton L : Providing dental care for special patients: tips for the general dentist. J Am Dent Assoc, 133:1666-1670, 2002.   DOI
12 Spangler CC : Making Treatment of Special Needs Patients an Important Part of Your Growing Dental Practice. Dent Clin North Am, 60:649-662, 2016.   DOI
13 Faulks D, Freedman L, Dougall A, et al. : The value of education in special care dentistry as a means of reducing inequalities in oral health. Eur J Dent Educ, 16:195-201, 2012.   DOI
14 Lee HS, Jung HI, Lee JH, et al. : Attitudes of Korean Dental Students Toward Individuals with Special Health Care Needs. J Dent Educ, 79:1024-1030, 2015.   DOI
15 Lennox NG, Diggens JN, Ugoni AM : The general practice care of people with intellectual disability: barriers and solutions. J Intellect Disabil Res, 41:380-390, 1997.   DOI
16 Queen AN : Evidence-based Dentistry and Its Role in Caring for Special Needs Patients. Dent Clin North Am, 60:605-611, 2016.   DOI