Oral healthcare for elderly: identifying the needs and feasible strategies for service provision.
Identifieur interne : 011052 ( Main/Exploration ); précédent : 011051; suivant : 011053Oral healthcare for elderly: identifying the needs and feasible strategies for service provision.
Auteurs : Pankaj Goel [Inde] ; Kanwarjit Singh ; Arundeep Kaur ; Mahesh VermaSource :
- Indian journal of dental research : official publication of Indian Society for Dental Research [ 0970-9290 ]
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Attitude envers la santé, Bouche édentée (rééducation et réadaptation), Caries dentaires (), Facteurs de l'âge, Femelle, Humains, Hygiène buccodentaire, Inde, Maladies parodontales (), Mâle, Orientation vers un spécialiste, Prestations des soins de santé, Secteur privé, Services de santé communautaires, Services de santé ruraux (organisation et administration), Services de santé ruraux (utilisation), Soins de santé primaires, Soins dentaires pour personnes âgées (organisation et administration), Soins dentaires pour personnes âgées (utilisation), Sujet âgé, Éducation en santé dentaire, Études de faisabilité, Évaluation des besoins.
- MESH :
- organisation et administration : Services de santé ruraux, Soins dentaires pour personnes âgées.
- rééducation et réadaptation : Bouche édentée.
- utilisation : Services de santé ruraux, Soins dentaires pour personnes âgées.
- Acceptation des soins par le patient, Attitude envers la santé, Caries dentaires, Facteurs de l'âge, Femelle, Humains, Hygiène buccodentaire, Inde, Maladies parodontales, Mâle, Orientation vers un spécialiste, Prestations des soins de santé, Secteur privé, Services de santé communautaires, Soins de santé primaires, Sujet âgé, Éducation en santé dentaire, Études de faisabilité, Évaluation des besoins.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Age Factors, Aged, Attitude to Health, Community Health Services, Delivery of Health Care, Dental Care for Aged (organization & administration), Dental Care for Aged (utilization), Dental Caries (therapy), Feasibility Studies, Female, Health Education, Dental, Humans, India, Male, Mouth, Edentulous (rehabilitation), Needs Assessment, Oral Hygiene, Patient Acceptance of Health Care, Periodontal Diseases (therapy), Primary Health Care, Private Sector, Referral and Consultation, Rural Health Services (organization & administration), Rural Health Services (utilization).
- MESH :
- geographic : India.
- organization & administration : Dental Care for Aged, Rural Health Services.
- rehabilitation : Mouth, Edentulous.
- therapy : Dental Caries, Periodontal Diseases.
- utilization : Dental Care for Aged, Rural Health Services.
- Age Factors, Aged, Attitude to Health, Community Health Services, Delivery of Health Care, Feasibility Studies, Female, Health Education, Dental, Humans, Male, Needs Assessment, Oral Hygiene, Patient Acceptance of Health Care, Primary Health Care, Private Sector, Referral and Consultation.
Abstract
The aim of the present study was to assess the oral health practices, status and treatment needs of the rural elderly in national capital territory of Delhi. An effort was also made to identify patterns of utilization of dental services and test alternate strategies for service provision. A total of 96 elderly subjects (47 males and 49 females) in 5 rural areas were interviewed and clinically examined using Basic Oral Health Survey criteria of W.H.O. This was followed by a community trial in which the 5 villages were divided into control and test groups. Results of the survey found that both traditional as well as modern oral health practices co-exist in the rural community. Dental services were available to a majority (mostly through private sector), and edentulousness was a condition of primary concern among the elderly as a result of unmet treatment needs for dental caries and periodontal diseases. Age was a variable that was statistically significantly associated with edentulousness (p=0.005). Results of the community trial showed that higher utilization of care can be achieved by providing on-site dental care as compared to referring cases to tertiary care centers. Nevertheless provision of treatment alone is not a suitable policy recommendation since many elderly did not avail care even at on-site community dental health programmes that were operated free of cost. This emphasizes the need of health education over treatment in order to empower the elderly, especially the non-ambulatory patients, to practice prevention and develop favourable attitudes towards accepting prompt treatment at primary health care level.
PubMed: 16900890
Affiliations:
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Le document en format XML
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<term>Periodontal Diseases (therapy)</term>
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<term>Caries dentaires ()</term>
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<front><div type="abstract" xml:lang="en">The aim of the present study was to assess the oral health practices, status and treatment needs of the rural elderly in national capital territory of Delhi. An effort was also made to identify patterns of utilization of dental services and test alternate strategies for service provision. A total of 96 elderly subjects (47 males and 49 females) in 5 rural areas were interviewed and clinically examined using Basic Oral Health Survey criteria of W.H.O. This was followed by a community trial in which the 5 villages were divided into control and test groups. Results of the survey found that both traditional as well as modern oral health practices co-exist in the rural community. Dental services were available to a majority (mostly through private sector), and edentulousness was a condition of primary concern among the elderly as a result of unmet treatment needs for dental caries and periodontal diseases. Age was a variable that was statistically significantly associated with edentulousness (p=0.005). Results of the community trial showed that higher utilization of care can be achieved by providing on-site dental care as compared to referring cases to tertiary care centers. Nevertheless provision of treatment alone is not a suitable policy recommendation since many elderly did not avail care even at on-site community dental health programmes that were operated free of cost. This emphasizes the need of health education over treatment in order to empower the elderly, especially the non-ambulatory patients, to practice prevention and develop favourable attitudes towards accepting prompt treatment at primary health care level.</div>
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