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Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration

BACKGROUND: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs). METHODS: The study population comprised 141 dentists and dental hygienists (r...

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Autores principales: Hovden, Ewa S., Ansteinsson, Vibeke E., Klepaker, Ingrid Volden, Widström, Eeva, Skudutyte-Rysstad, Rasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7603759/
https://www.ncbi.nlm.nih.gov/pubmed/33129288
http://dx.doi.org/10.1186/s12903-020-01240-1
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author Hovden, Ewa S.
Ansteinsson, Vibeke E.
Klepaker, Ingrid Volden
Widström, Eeva
Skudutyte-Rysstad, Rasa
author_facet Hovden, Ewa S.
Ansteinsson, Vibeke E.
Klepaker, Ingrid Volden
Widström, Eeva
Skudutyte-Rysstad, Rasa
author_sort Hovden, Ewa S.
collection PubMed
description BACKGROUND: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs). METHODS: The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study. RESULTS: Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p <  0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs. Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment. CONCLUSIONS: Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.
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spelling pubmed-76037592020-11-02 Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration Hovden, Ewa S. Ansteinsson, Vibeke E. Klepaker, Ingrid Volden Widström, Eeva Skudutyte-Rysstad, Rasa BMC Oral Health Research Article BACKGROUND: The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs). METHODS: The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study. RESULTS: Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p <  0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs. Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment. CONCLUSIONS: Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing. BioMed Central 2020-10-31 /pmc/articles/PMC7603759/ /pubmed/33129288 http://dx.doi.org/10.1186/s12903-020-01240-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Hovden, Ewa S.
Ansteinsson, Vibeke E.
Klepaker, Ingrid Volden
Widström, Eeva
Skudutyte-Rysstad, Rasa
Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
title Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
title_full Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
title_fullStr Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
title_full_unstemmed Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
title_short Dental care for drug users in Norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
title_sort dental care for drug users in norway: dental professionals’ attitudes to treatment and experiences with interprofessional collaboration
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7603759/
https://www.ncbi.nlm.nih.gov/pubmed/33129288
http://dx.doi.org/10.1186/s12903-020-01240-1
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