Exploring Preferred Dental Services of Swiss Older People for When They Become Dependent (original) (raw)

Exploring Older Swiss People's Preferred Dental Services for When They Become Dependent

Swiss dental journal, 2020

The objective of this study was to explore the preferred dental services of older people for when they become dependent. It aimed to assess their preferred type of health care professional and location of dental service, and relate their preferences to their willingness to pay (WTP) and willingness to travel (WTT). Older people aged 65 years or older were invited to participate in a questionnaire-based discrete choice experiment (DCE), to measure preferences for dental examinations and treatment, defined by two attributes: type of professional and location of the activity. Hypothetical scenarios based attributes were displayed in a projected visual presentation and participants noted their personal preference using a response sheet. Data was analyzed using a random-effects logit model. Eighty-nine participants (mean age 73.7 ± 6.6 years) attended focus group sessions. Respondents preferred that the family dentist (β: 0.2596) or an auxiliary (β: 0.2098) undertake the examination and ...

Preference for dentist’s home visits among older people

Community Dentistry and Oral Epidemiology, 2011

Objectives: To investigate factors associated with older people's preference for a dentist's home visit. Methods: This is a report on 321 homedwelling participants (mean age 81.6) in the population-based Geriatric Multidisciplinary Strategy for Good Care of the Elderly (GeMS) study, conducted in 2004-2005 in the city of Kuopio in eastern Finland. The information about sociodemographic and general health-related factors and the use of social and health services was collected by two study nurses using a structured interview. Each study subject was given a clinical oral examination and an interview about oral health and the use of dental health care services by one of two dentists. Logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI). Results: Of the study subjects, 25.9% preferred a dentist's home visit. The preference for choosing a dentist's home visit was associated with a low score (£24) in the Mini-Mental State Examination, OR 6.1 (CI: 2.9-13.6), and a low score (<8) on the scale of Instrumental Activities of Daily Living, OR 8.0 (CI: 3.6-18.6). It was also associated with living alone, OR 5.9 (CI: 2.7-13.0), and high use of home care services, OR 9.3 (CI: 4.6-19.0). Conclusions: The findings of this study emphasize the need to organize dentists' home visits in order to increase equality in the use of dental health care services among the older people with disabilities.

Key Factors Correlations in Selecting Dental Services

Journal of Medicine and Life

The factors which influence patients in their choice of a dental care office has recently become more complex. Our objective was to assess the correlations between different key factors (demographic aspects, dentists' professionalism, factors related to dental care offices) that influence the selection of a particular dental care office by adult patients. An online questionnaire (self-administered survey) was applied to a random sample of 117 adult dental patients in private clinics in Bucharest, Romania. The survey consisted of 12 questions, and it was conducted during a 2-week period. All the collected data were subjected to statistical analysis. The obtained results revealed statistically significant correlations between studied factors, i.e., elderly patients compared to younger patients considered the use of the state-of-the-art medical devices was important for the dental office (p=0.043, R=0.187). In comparison to women, male patients were searching more often information regarding the dental offices on social media (p=0.002, R=0.284); patients that attached more importance to the dentist's professional degree were the ones that attached more importance to its reputation (p<0.001, R=0.381) and to the dental office location (p=0.022, R=0.211). The results highlighted specific patterns in patients' perception of factors related to the selection of dental offices, as also found in scientific literature. The present study offers a perspective on how to improve dental care and patients' oral health.

Understanding Dental Service Use by Older Adults: Sociobehavioral Factors vs Need

Journal of Public Health Dentistry, 1994

Objectives: This study investigated correlates of dental care use in a representative sample of adults aged 70 and older throughout New England. Methods: Data were collected in in-home interviews and dental examinations. Following Andersen's behavioral model of health services utilization, varied measures of sociodemgraphic characteristics, dental health attitudes and practices, perceived need for care, and need objectively determined by clinical examination were included as potential correlates. Results: Recency of last visit was associated with positive attitudes toward dental care, regular dental hygiene, and having a usual source of care. Among dentulous subjects, recency of last visit also was related to sex and living arrangements. Frequency of visits for dentulous subjects was associated with the same variables, as well as with age and social class or education, in addition to need for care. For edentulous subjects, only a usual sourse of care and higher social class were associated with more frequent visits. Conciusions: Perceived need and attitudes toward dental care are itnpottant influences on use of care. Older persons must be convinced of the importance of regular dental care.

The effect of dental insurance on the ranking of dental treatment needs in older residents of Durham Region's homes for the aged

Journal of the Canadian Dental Association

The effect of dental insurance on the ranking of dental needs in older adults has not been reported previously. We examined this effect using data obtained from a cross-sectional survey of older adults living in homes for the aged in Durham Region, Ontario. History of dental insurance was obtained during interviews. Dental needs, assessed during clinical examinations, were ranked from no need to urgent need according to the guideline of the American Dental Association. The associations between the rank of dental needs, dental insurance and other factors were analyzed with the Kruskal Wallis test, chi-square test, analysis of variance and multiple logistic regression. Of the 252 participants, 80 (31.7%) had been insured continuously since 1974, 69 (27.4%) had no need for dental treatment and 59 (23.4%) needed urgent dental care. More of the continuously insured than the uninsured residents were dentate (46/80 [57.5%] vs. 75/172 [43.6%], p = 0.04). Ranking of the need for care was not...

Dentist preferences for patients: dimensions and associations with provider, practice, and service characteristics

International Journal of Behavioral Medicine, 2006

Provider-patient relations may influence the nature of care provided. The aim of this study was to examine dentist preferences for patients, relate these to characteristics of dentists and practices, and to services provided. A random sample of Australian dentists completed mailed questionnaires (response = 60.3%). Four factor-based subscales and an overall scale (Selectivity) were derived from a 37-item battery. The 4 subscales comprised treatment adherence (behavior relevant to the treatment situation), personal adaptability (willingness to cooperate when expected to do so), social interactiveness (positive affect, communicativeness, and appreciativeness), and enabling characteristics (willing and able to pay, and good dental knowledge). Reliability was adequate (Cronbach's α = 0.71-0.90). Treatment adherence was associated with higher orthodontic rates, but a lower extraction rate; social interactiveness was associated with higher extraction and denture rates; personal adaptability was associated with higher orthodontic rates, but lower general/miscellaneous service rates; enabling characteristics was associated with higher endodontic and crown and bridge rates; selectivity was associated with higher rates of diagnostic, preventive, and total services per visit. The associations with service rates indicated that provider preferences were related to treatment behavior that could affect the mix of services, indicating that the nature of care provided may be influenced by the provider-patient relation.

Factors associated with perceived unmet dental care needs of older adults

Geriatrics & gerontology international, 2017

Although older adults have high dental care needs as a result of prevalent oral health problems, they have high unmet needs. The purpose of the present study was to examine factors associated with unmet dental care needs among older adults living in the community. This study analyzed 1419 adults aged 65 years and older who participated in both the health interview survey and oral examination of the Fifth Korea National Health and Nutrition Examination Survey carried out in 2010. Predisposing (age, sex, education, marital status), enabling (place of residence, work status, income, health insurance) and need (self-rated oral health, difficulty chewing, toothache, number of teeth, dental caries, periodontal disease) factors associated with self-perceived unmet dental care needs were analyzed through multiple logistic regression analysis. Unmet dental care needs accounted for 27.9% in older adults. Age, income, difficulty chewing and the presence of permanent tooth caries were significa...

Predicting Utilization of Dental Services by the Aged

Journal of Public Health Dentistry, 1990

This article reports the results of a study of factors that differentiate among utilizers and nonutilizers of dental services in old age. Two hundred mmmunity-dwelling subjects aged 60-89 were surveyed regarding utilization of dentaf services, dentate status, current treatment needs, recent symptom experiences, and dental fear and anxiety. Discriminant analysis was used to differentiate among utilizers and nonutilizers. Dentate status, perceived need, and recent symptom experiences were the best predictors of utilization. The contribution to accurate classification made by two measures of dental fear and anxiety was marginal at best. When dentate status was removed as a predictor, the role of fear and anxiety became somewhat more important.

Utilization of dental services in old age

2015

Regular utilization of dental services helps to improve and maintain oral and general health, even in old age. However, utilization behavior for dental services changes with age: preventive utilization behavior is often replaced by a symptom-driven one. With age, a decrease in the utilization of dental services can be observed, whilst the frequency of contact with physicians increases. The present review describes the current knowledge regarding the utilization of dental services in old age (frequency, reasons for non-utilization, modifying factors). The reasons for non-utilization of dental services are multidimensional: subjective reasons and other objective modifying factors can be distinguished. The frequency of utilization also differs with personal context and attitude. On the basis of the available evidence no conclusive explanation could be provided. A checklist should allow dental practitioners to monitor the factors that affect the utilization of services within their own ...