The impact of COVID-19 on access to dental care for people with disabilities: a global survey during the COVID-19 first wave lockdown.
Journal
Medicina oral, patologia oral y cirugia bucal
ISSN: 1698-6946
Titre abrégé: Med Oral Patol Oral Cir Bucal
Pays: Spain
ID NLM: 101231694
Informations de publication
Date de publication:
01 Nov 2021
01 Nov 2021
Historique:
received:
16
03
2021
accepted:
16
07
2021
pubmed:
21
8
2021
medline:
3
11
2021
entrez:
20
8
2021
Statut:
epublish
Résumé
It is unclear what immediate impact the COVID-19 pandemic has had on delivery of oral healthcare to people with disabilities worldwide. To report the international impact of COVID-19 lockdown on oral healthcare provision for people with disabilities before, during and after the first lockdown (March to July 2020). Cross-sectional online self-administered survey of dentists who treat people with disabilities completed 10th to 31st of July 2020. Responses allowed comparison from before, during and immediately after the first wave lockdowns of the COVID-19 pandemic. Data were analysed using McNemar's test to compare reported practice before to during lockdown, and before to after lockdown. Four-hundred-thirty-six respondents from across global regions reported a significant reduction from before to during and from before to after lockdown regarding: the proportion of dentists treating people with all types of disability (p <0.001) and the number of patients with disabilities seen per week (p<0.0001). The proportion reporting no availability of any pharmacological supports rose from 22% pre-lockdown to 61% during lockdown (p < 0.001) and a persistent 44% after lockdown (p < 0.001). An increase in teledentistry was observed. During the first COVID-19 lockdown, there was a significant negative impact on the delivery of dental care to people with disabilities. Oral healthcare access was significantly restricted for people with disabilities with access to sedation and general anaesthesia particularly affected. There is now an increased need to ensure that no-one is left behind in new and existing services as they emerge post-pandemic.
Sections du résumé
BACKGROUND
BACKGROUND
It is unclear what immediate impact the COVID-19 pandemic has had on delivery of oral healthcare to people with disabilities worldwide.
AIM
OBJECTIVE
To report the international impact of COVID-19 lockdown on oral healthcare provision for people with disabilities before, during and after the first lockdown (March to July 2020).
MATERIAL AND METHODS
METHODS
Cross-sectional online self-administered survey of dentists who treat people with disabilities completed 10th to 31st of July 2020. Responses allowed comparison from before, during and immediately after the first wave lockdowns of the COVID-19 pandemic. Data were analysed using McNemar's test to compare reported practice before to during lockdown, and before to after lockdown.
RESULTS
RESULTS
Four-hundred-thirty-six respondents from across global regions reported a significant reduction from before to during and from before to after lockdown regarding: the proportion of dentists treating people with all types of disability (p <0.001) and the number of patients with disabilities seen per week (p<0.0001). The proportion reporting no availability of any pharmacological supports rose from 22% pre-lockdown to 61% during lockdown (p < 0.001) and a persistent 44% after lockdown (p < 0.001). An increase in teledentistry was observed.
CONCLUSIONS
CONCLUSIONS
During the first COVID-19 lockdown, there was a significant negative impact on the delivery of dental care to people with disabilities. Oral healthcare access was significantly restricted for people with disabilities with access to sedation and general anaesthesia particularly affected. There is now an increased need to ensure that no-one is left behind in new and existing services as they emerge post-pandemic.
Identifiants
pubmed: 34414999
pii: 24742
doi: 10.4317/medoral.24742
pmc: PMC8601643
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e770-e777Références
Sci Data. 2020 Aug 27;7(1):285
pubmed: 32855430
EClinicalMedicine. 2020 Aug;25:100464
pubmed: 32838237
J Dent Res. 2020 May;99(5):481-487
pubmed: 32162995
Haemophilia. 2020 Nov;26(6):984-990
pubmed: 32997849
Community Dent Oral Epidemiol. 2018 Jun;46(3):231-237
pubmed: 29399858
Lancet. 2020 Mar 21;395(10228):931-934
pubmed: 32164834
Lancet Reg Health West Pac. 2020 Aug;1:100004
pubmed: 34173590
Int J Environ Res Public Health. 2021 Mar 14;18(6):
pubmed: 33799369
Spec Care Dentist. 2010 Mar-Apr;30(2):35-45
pubmed: 20415799
Disabil Health J. 2021 Jan;14(1):101014
pubmed: 33158795
Ann Stomatol (Roma). 2017 Jan 10;7(3):52-59
pubmed: 28149451
BMC Oral Health. 2020 Oct 8;20(1):275
pubmed: 33032593
Healthcare (Basel). 2020 Oct 22;8(4):
pubmed: 33105613
Lancet. 2020 Apr 25;395(10233):1382-1393
pubmed: 32277878
Community Dent Health. 2020 Nov 30;37(4):236-238
pubmed: 33269826
Spec Care Dentist. 2020 Sep;40(5):525-527
pubmed: 32614970
J Intellect Disabil Res. 2019 Nov;63(11):1359-1378
pubmed: 31119825
Aust Dent J. 2009 Sep;54(3):204-11
pubmed: 19709107
J Am Stat Assoc. 1948 Dec;43(244):572-4
pubmed: 18123073
BMJ. 2020 Mar 17;368:m1066
pubmed: 32184233
Disabil Health J. 2021 Jan;14(1):101015
pubmed: 33184022
PLoS One. 2014 Nov 24;9(11):e113393
pubmed: 25420015
Disabil Health J. 2020 Jul;13(3):100943
pubmed: 32499132
Nat Microbiol. 2020 Apr;5(4):536-544
pubmed: 32123347
Healthcare (Basel). 2021 Jan 05;9(1):
pubmed: 33466552
Community Dent Health. 2020 Nov 30;37(4):239-241
pubmed: 33269827
Br Dent J. 2020 Apr;228(7):503-505
pubmed: 32277203
Int J Environ Res Public Health. 2020 Dec 04;17(23):
pubmed: 33291719
Dent Clin North Am. 2009 Jul;53(3):537-48
pubmed: 19482128
Spec Care Dentist. 2020 May;40(3):216-218
pubmed: 32463960