scholarly journals Workforce and Contents of Home Dental Care in Japanese Insurance System

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Yoshiaki Nomura ◽  
Ayako Okada ◽  
Erika Kakuta ◽  
Ryoko Otsuka ◽  
Hideaki Saito ◽  
...  
Keyword(s):  
Home Care ◽  
Dental Care ◽  
Oral Care ◽  
Dental Service ◽  
Infrastructure Development ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Part Time ◽  
Dental Home

Background. In Japan’s super-aging society, it is required to establish a home dental service provision system. It is necessary to analyze the current state of visiting dentistry. Methods. A cross-sectional survey was conducted using a self-administered postal mail questionnaire distributed to all members of the Iwate Dental Association. We analyzed the implementation status of dental care at home/nursing facilities, the number of dental clinic staff, and the contents of dental home care. Correspondence analysis, item response theory, and zero-inflated model were used for the analysis. Results. Of the 354 dental clinics, 187 (52.8%) performed visiting dental care and 195 (55.1%) implemented dental care in a nursing home. Visit dentistry was mainly performed by part-time workers. Denture treatment and oral care were common treatments for dental home care. Conclusion. More than half of the dental clinics did not offer visiting dentistry. In order to fully provide dental visiting services, infrastructure development is necessary. Specifically, human resources are most important, even if they are part-time workers.

Factors affect on implementation of home dental care

2019 ◽  
Author(s):  
Yoshiaki Nomura ◽  
Erika Kakuta ◽  
Ayako Okada ◽  
Ryoko Otsuka ◽  
Hideaki Saito ◽  
...  
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Dental Care ◽  
Care Service ◽  
Oral Care ◽  
Postal Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Dental Home

Abstract Background In Japanese super aging society, there is a need to establish home dental care service supply system. Current situation of home dental care should be analyzed.Methods A cross-sectional survey was conducted using a self-administered postal questionnaire distributed to all members of Iwate Dental Association. Implementation of home and nursing home dental care, number of staffs of dental clinic and the contents of dental home care were analyzed. For the analysis, correspondence analysis, item response theory, and zero-inflated model were used.Results Among 354 dental clinics, 187 (52.8%) were implemented home dental care and 195 (55.1%) were implemented nursing home dental care. Dental clinics handle home dental care by part-time workers. Denture treatment and oral care was the common treatment of dental home care.Conclusion More than half of the dental clinics were not managed the home dental care. Infrastructure improvement is necessary for the sufficient supply of dental home care service.

scholarly journals Perspectives from Dentists, Dental Assistants, Students, and Patients on Dental Care Adapted to the COVID-19 Pandemic: A Cross-Sectional Survey

2021 ◽  
Vol 18 (8) ◽  
pp. 3940
Author(s):  
Maximiliane Amelie Schlenz ◽  
Alexander Schmidt ◽  
Bernd Wöstmann ◽  
Andreas May ◽  
Hans-Peter Howaldt ◽  
...  
Keyword(s):  
Patient Care ◽  
Dental Care ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Measures ◽  
Dental Clinics ◽  
Positive Perspective ◽  
Dental Assistants

Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.

Perceived Oral Health Literacy, Behaviors, and Oral Health Care among Caregivers to the Homebound Population

2021 ◽  
pp. 108482232110084
Author(s):  
Agata Wilk ◽  
Lisa LaSpina ◽  
Linda D. Boyd ◽  
Jared Vineyard
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Literacy ◽  
Oral Care ◽  
Oral Health Care ◽  
The Body ◽  
Current Evidence ◽  
Oral Health Literacy ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.

scholarly journals Investigating unmet need for healthcare using the European Health Interview Survey: a cross-sectional survey study of Luxembourg

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048860
Author(s):  
Valerie Moran ◽  
Marc Suhrcke ◽  
Maria Ruiz-Castell ◽  
Jessica Barré ◽  
Laetitia Huiart
Keyword(s):  
Dental Care ◽  
Unmet Need ◽  
Mental Healthcare ◽  
Wait Times ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Interview Survey ◽  
European Health ◽  
Prescribed Medicines ◽  
European Health Interview Survey

ObjectivesWe investigate the prevalence of unmet need arising from wait times, distance/transportation and financial affordability using the European Health Interview Survey. We explore associations between individual characteristics and the probability of reporting unmet need.DesignCross-sectional survey conducted between February and December 2014.Setting and participants4004 members of the resident population in private households registered with the health insurance fund in Luxembourg aged 15 years and over.Outcome measuresSix binary variables that measured unmet need arising from wait time, distance/transportation and affordability of medical, dental and mental healthcare and prescribed medicines among those who reported a need for care.ResultsThe most common barrier to access arose from wait times (32%) and the least common from distance/transportation (4%). Dental care (12%) was most often reported as unaffordable, followed by prescribed medicines (6%), medical (5%) and mental health (5%) care. Respondents who reported bad/very bad health were associated with a higher risk of unmet need compared with those with good/very good health (wait: OR 2.41, 95% CI 1.53 to 3.80, distance/transportation: OR 7.12, 95% CI 2.91 to 17.44, afford medical care: OR 5.35, 95% CI 2.39 to 11.95, afford dental care: OR 3.26, 95% CI 1.86 to 5.71, afford prescribed medicines: OR 2.22, 95% CI 1.04 to 4.71, afford mental healthcare: OR 3.58, 95% CI 1.25 to 10.30). Income between the fourth and fifth quintiles was associated with a lower risk of unmet need for dental care (OR 0.29, 95% CI 0.16 to 0.53), prescribed medicines (OR 0.38, 95% CI 0.17 to 0.82) and mental healthcare (OR 0.17, 95% CI 0.05 to 0.61) compared with income between the first and second quintiles.ConclusionsRecent and planned reforms to address waiting times and financial barriers to accessing healthcare may help to address unmet need. In addition, policy-makers should consider additional policies targeted at high-risk groups with poor health and low incomes.

scholarly journals Psychological Impact of the COVID-19 Pandemic on Licensed Full-Time Practicing Nurses Undertaking Part-Time Studies in Higher Education: A Cross-Sectional Study

2021 ◽  
Vol 18 (16) ◽  
pp. 8569
Author(s):  
Siu-Ling Chan ◽  
Naomi Takemura ◽  
Pui-Hing Chau ◽  
Chia-Chin Lin ◽  
Man-Ping Wang
Keyword(s):  
Higher Education ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brief Cope ◽  
Resilience Scale ◽  
Patient Health ◽  
Part Time

Frontline nurses face an unpreceded situation with the coronavirus disease (COVID-19) pandemic, and many report suffering from physical and psychological stress. This online, cross-sectional survey used questionnaires, such as the Generalized Anxiety Disorder (GAD-7) questionnaire, the Patient Health Questionnaire (PHQ-2), the Connor–Davidson Resilience Scale, stress-related questions, and Brief Coping Orientation to Problems Experienced (Brief-COPE), to determine the psychological impact of COVID-19 on licensed full-time practicing nurses undertaking part-time studies in higher education. Recruitment commenced from August to September 2020; 385 students were approached, and 124 completed the survey (response rate: 32%). Most of the respondents were frontline nurses working in public sectors (89.5%), 29% of whom reported symptoms of depression, and 61.3% reported mild to severe levels of anxiety. The GAD-7 was significantly associated with the resilience score (β = −0.188; p = 0.008) and exhaustion (β = 0.612; p < 0.001). The PHQ-2 was significantly associated with ‘anxiety about infection’ (β = 0.071; p = 0.048). A lower anxiety level was significantly associated with a higher resilience level and a lower level of exhaustion, and a lower depression level was significantly associated with a lower anxiety about infection. Nursing programs incorporating resilience building may mitigate psychological distress of the study population.

scholarly journals Medical Emergency in Dental Clinic - An update

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 831-839
Author(s):  
Aksha sharen Arul Edwin ◽  
Lakshmi T ◽  
Karthik Ganesh Mohanraj
Keyword(s):  
Dental Students ◽  
Medical Emergency ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Emergency Situations ◽  
Emergency Procedures ◽  
Dental Clinics ◽  
Dental Practitioners ◽  
Medical Emergencies ◽  
Spss Software

In general, one of the convincing methods to tackle an emergency is to be well-organized and prepared priory. The intention of the study is to analyze the availability of medical emergency procedures and equipment in dental clinics. Also, the aim is to determine the level of awareness, knowledge, perceptions, individual experiences and preparedness of the dental practitioners and dental students for the management of medical emergency situations in their hospitals or clinics. A cross-sectional survey based study was done from April to among 100 dental students in Chennai. The self-structured well-designed questionnaire containing the protocols and emergency procedures followed in their clinic. The questionnaire forms were circulated online through Google forms. The data from all the participants were collected and analyzed through SPSS software. In the present study, it was inferred that the majority of the population are aware about the medical emergencies in dental clinics (99%) and the remaining 1% of the population are not aware of it. The conclusion of this study is that the above statistical analysis about knowledge awareness on recent advances in the treatment of medical emergencies in dental clinics has provided an alarming situation about the capability of dentists to deal with such conditions for the betterment of patients .

scholarly journals A Cross-Sectional Analysis of Oral Health Spending Over the Lifespan in Commercial and Medicaid Insured Populations

2021 ◽  
Author(s):  
Eric Tranby ◽  
Julie Frantsve-Hawley ◽  
Myechia Minter-Jordan ◽  
James Thommes ◽  
Matt Jacob ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Cancer ◽  
Dental Care ◽  
Care Delivery ◽  
Health Spending ◽  
Dental Service ◽  
Fee For Service ◽  
Cross Sectional ◽  
Medical Spending ◽  
Ibm Watson

Background: Life course theory creates a better framework to understand how oral health needs and challenges align with specific phases of the lifespan, care models, social programs, and changes in policy. Methods): Data are from the 2018 IBM Watson Multi-State Medicaid Marketscan Database (31 million claims) and the 2018 IBM Watson Dental Commercial and Medicare Supplemental Claims Database (45 million claims). Analysis compares per enrollee spending fee-for-service dental claims and medical spending on dental care from ages 0 to 89. Results: Dental utilization and spending are lower during the first 4 years of life and in young adulthood than in other periods of life. Stark differences in the timing, impact, and severity of caries, periodontal disease, and oral cancer are seen between those enrolled in Medicaid and commercial dental plans. Early childhood caries and oral cancer occur more frequently and at younger ages in Medicaid populations. Conclusions: This unique lifespan analysis of the U.S. multi-payer dental care system demonstrates the complexities of the current dental service environment and a lack of equitable access to oral healthcare. Practical Implications: Health policies should be focused on optimizing care delivery to provide effective preventive care at specific stages of the lifespan.

IMPACT OF COVID-19 ON PATIENTS' ATTITUDE TOWARDS THEIR DENTAL NEEDS

2021 ◽  
pp. 63-65
Author(s):  
Sonia Khatri ◽  
Indiresha H Narayana ◽  
Soumyadeep Ghosh ◽  
Kavimalar Kavimalar ◽  
Arbiya Anjum ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Descriptive Statistics ◽  
Dental Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dental Clinics ◽  
Validated Questionnaire ◽  
Dental Setting ◽  
Precautionary Measures ◽  
Dental Needs

The Covid-19 has changed the life of the entire world and its wave has affected all elds of medicine and dentistry. The concern about coronavirus transmission and dental practice has been widely recognized around the world.The purpose of this survey was to investigate the inuence of coronavirus disease on patients' views with regards to their dental treatment requirements. Materials and methods: It is a cross-sectional survey conducted over 430 patients seeking dental treatment in Ramaiah dental college and hospital Bangalore, Karnataka, India. This survey has been conducted through electronic communication applications such as WhatsApp and Gmail, for three months. A structured and validated questionnaire was administered to the study subjects. Collected data were analyzed by using descriptive statistics. Results:Atotal of 1000 patients were selected for the survey, in this only 43% of subjects completed the survey. Out of 430 responses, 50.1% of the subjects had dental problems. 38.3% of subjects expressed the unavailability of dental clinics and hospitals during Covid-19, 31.4% unavailability of the dentist. Of the 42.9% of patients who visited the dental clinic during the covid-19 pandemic, 38% of subjects observed the increase in treatment cost, only 30.5% of subjects were provided with emergency treatment. The majority of subjects (75.7%) expressed that dentists are practicing good precautionary measures such as wearing PPE kits, mouth masks etc. Conclusion: During the coronavirus pandemic, the patients demonstrated good knowledge and an optimistic attitude towards the precautionary modications in regard to minimize the spread of COVID-19 in the dental setting.

The older person as a client, customer or service user?

2019 ◽  
Vol 24 (1) ◽  
pp. 19-26
Author(s):  
Tinna Elfstrand Corlin ◽  
Ali Kazemi
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Elderly Care ◽  
Care Staff ◽  
Survey Study ◽  
Older Person ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Care Approach

Purpose The purpose of this paper is to describe three different approaches to work in elderly care (i.e. professional, market-oriented and person-centred) and examine whether these theoretically derived approaches can be confirmed empirically. Additional aims were to examine the endorsement of these approaches and whether there were differences in the endorsement of these approaches in nursing home vs home care and municipality vs privately run care units. Design/methodology/approach Data were collected using a cross-sectional survey study of frontline care staff (n=1,342). Exploratory factor analysis was used to investigate the empirical validity of the proposed approaches to work in elderly care. A series of paired and independent samples t-tests were conducted to analyse mean differences between the proposed approaches to work. Findings A principal axis factoring analysis yielded three theoretically meaningful factors as proposed. These results indicated that the respondents were able to differentiate between three distinct but related approaches to work with older persons. The results also showed that the professional care approach was the highest endorsed and the market-oriented the lowest endorsed approach. No notable differences in approaches to work were observed in nursing home vs home care and municipality vs privately run care units. Originality/value This is the first study to examine multiple approaches to work in elderly care as previous research studies mainly have investigated the person-centred care approach. Current findings indicate that these approaches to work often coexist in various combinations and that the care staff adopts all these approaches but to varying degrees. The approaches differ in several important respects (e.g. legitimacy and view of the older person) and most likely affect the way care staff treats the older person and how the older person perceives their relationship with the care staff. Knowledge about these differences facilitates management of the care staff’s work situation and helps to improve the quality of care.

Sign in / Sign up

Export Citation Format

Share Document