Dental care provision for people with neurodevelopmental disorders in Iran; a qualitative study of barriers.

Autor: Ghorbani Z; Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Raeesi P; Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Vahdati A; Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Karimi M; Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Rostamigooran N; Secretariat of Supreme Council of Health and Food Security, Ministry of Health and Medical Education, Tehran, Iran., Attaran Kakhki N; Oral Health Science, Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada.
Jazyk: angličtina
Zdroj: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [Spec Care Dentist] 2023 Sep-Oct; Vol. 43 (5), pp. 628-634. Date of Electronic Publication: 2022 Dec 29.
DOI: 10.1111/scd.12818
Abstrakt: Introduction: One of the most underserved populations among dental patients is the people with Neurodevelopmental Disorders (PNDs). This study aimed to explore the barriers to dental care provision for PNDs from the viewpoint of stakeholders in provision in Iran.
Methods: We arranged a qualitative study based on an individual in-depth, semi-structured interview between October 2019 and February 2020. We interviewed 30 participants using a snowball sampling strategy with three groups: dentists who provided dental care for PNDs, dental public health professionals, and policymakers/managers in dental care provision in Iran. The interviewer used an interview framework based on Levesque's model of patient-centered access. The main question was: "How do you assess the barriers to the provision of dental services to PNDs in Iran?" The data were analyzed by the qualitative content analysis method described by Graneheim and Lundman.
Results: From the 30 interviewees (11 women), there were 11 dentists, nine dental public health professionals, and 10 participants who worked as policymakers/managers. They were aged 35-62 years and had working experience between 4 and 25 years. In the content analysis, 60 meanings units were extracted, and later classified into 14 subthemes, and four main themes.
Conclusion: Four main barriers were traced regarding access, financial, competency-related, and policy-making aspects.
(© 2022 Special Care Dentistry Association and Wiley Periodicals LLC.)
Databáze: MEDLINE
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