Domiciliary dentistry clinics: a multiple case study in the province of Quebec, Canada.
Accessibility
Case Study
Disability
Geriatric Dentistry
Mobile Dentistry
Oral Healthcare
Qualitative research
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
15 Sep 2021
15 Sep 2021
Historique:
received:
13
05
2021
accepted:
21
07
2021
entrez:
16
9
2021
pubmed:
17
9
2021
medline:
18
9
2021
Statut:
epublish
Résumé
The demand for more flexible and person-centered models of oral healthcare delivery is increasing and while mobile and domiciliary dental services have the potential to increase access to oral healthcare among dependent elderly and people with disabilities; the uptake of this service model by dentists remains low. Therefore, the aim of this study was to understand how existing domiciliary dental services operate within a particular context. We used a qualitative descriptive multiple case study design. We studied three independent domiciliary dentistry clinics in the province of Quebec, Canada. We completed observations of 27 domiciliary visits, four of which were in private homes and the remaining 23 in LTCFs. We also conducted semi-structured interviews with dental professionals, patients, and caregivers. We performed a qualitative content analysis using a deductive/inductive coding framework. We presented a detailed description of the physical and service features of the studied cases. Physical features included the set-up of the mobile clinics, the portable equipment used, and the domiciliary locations of visits. For service features, we described the roles, attitudes, and interactions among those involved on both the providers' and recipients' sides, as well as, the logistical and financial aspect of the domiciliary dental services. Despite variations in setup and years of practice, the three mobile clinics had similar physical and service features. They also faced common logistic challenges but were able to provide services and respond to the high demand for domiciliary dental services. Additional research in different contexts would further contribute to building evidence-based models to help increase the uptake of this type of practice by current and future dental professionals.
Sections du résumé
BACKGROUND
BACKGROUND
The demand for more flexible and person-centered models of oral healthcare delivery is increasing and while mobile and domiciliary dental services have the potential to increase access to oral healthcare among dependent elderly and people with disabilities; the uptake of this service model by dentists remains low. Therefore, the aim of this study was to understand how existing domiciliary dental services operate within a particular context.
METHODS
METHODS
We used a qualitative descriptive multiple case study design. We studied three independent domiciliary dentistry clinics in the province of Quebec, Canada. We completed observations of 27 domiciliary visits, four of which were in private homes and the remaining 23 in LTCFs. We also conducted semi-structured interviews with dental professionals, patients, and caregivers. We performed a qualitative content analysis using a deductive/inductive coding framework.
RESULTS
RESULTS
We presented a detailed description of the physical and service features of the studied cases. Physical features included the set-up of the mobile clinics, the portable equipment used, and the domiciliary locations of visits. For service features, we described the roles, attitudes, and interactions among those involved on both the providers' and recipients' sides, as well as, the logistical and financial aspect of the domiciliary dental services.
CONCLUSIONS
CONCLUSIONS
Despite variations in setup and years of practice, the three mobile clinics had similar physical and service features. They also faced common logistic challenges but were able to provide services and respond to the high demand for domiciliary dental services. Additional research in different contexts would further contribute to building evidence-based models to help increase the uptake of this type of practice by current and future dental professionals.
Identifiants
pubmed: 34526032
doi: 10.1186/s12913-021-06788-4
pii: 10.1186/s12913-021-06788-4
pmc: PMC8442809
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
972Investigateurs
Linda Gauthier
(L)
Laurent Morissette
(L)
Isabelle Ducharme
(I)
Claire Savage
(C)
Shahrokh Esfandiari
(S)
Richard Hovey
(R)
Mary Ellen Macdonald
(ME)
Belinda Nicolau
(B)
Martine Lévesque
(M)
Kim Farrell
(K)
Tammy Thomson
(T)
Nareg Apelian
(N)
Mario Brondani
(M)
Félix Girard
(F)
Aimée Dawson
(A)
Jean-Noel Vergnes
(JN)
Alessandra Blaizot
(A)
Informations de copyright
© 2021. The Author(s).
Références
Spec Care Dentist. 2001 Jul-Aug;21(4):153-5
pubmed: 11669064
Geriatr Gerontol Int. 2019 Jul;19(7):679-683
pubmed: 31037823
Community Dent Health. 2015 Mar;32(1):39-43
pubmed: 26263591
Int Dent J. 2017 Sep;67 Suppl 2:26-33
pubmed: 29023741
Br Dent J. 2007 May 12;202(9):E23
pubmed: 17273176
J Public Health Dent. 2000 Fall;60(4):321-5
pubmed: 11243054
Dent J (Basel). 2019 Aug 01;7(3):
pubmed: 31374831
Dent J (Basel). 2019 Jun 04;7(2):
pubmed: 31167347
Gerodontology. 2021 Sep;38(3):276-288
pubmed: 33484003
J Calif Dent Assoc. 1999 Sep;27(9):703-8
pubmed: 10740517
J Mass Dent Soc. 2008 Fall;57(3):46-8
pubmed: 19146118
Gen Dent. 2004 Nov-Dec;52(6):520-6
pubmed: 15636278
Spec Care Dentist. 2013 Jul-Aug;33(4):156-63
pubmed: 23795636
Dent Update. 2011 May;38(4):231-4, 237-40, 243-4
pubmed: 21714404
Occup Ther Health Care. 2002;16(1):15-36
pubmed: 23952060