Oral healthcare for elderly: identifying the needs and feasible strategies for service provision.
Identifieur interne : 002825 ( PubMed/Corpus ); précédent : 002824; suivant : 002826Oral healthcare for elderly: identifying the needs and feasible strategies for service provision.
Auteurs : Pankaj Goel ; Kanwarjit Singh ; Arundeep Kaur ; Mahesh VermaSource :
- Indian journal of dental research : official publication of Indian Society for Dental Research [ 0970-9290 ]
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
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pubmed:16900890Le document en format XML
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<author><name sortKey="Goel, Pankaj" sort="Goel, Pankaj" uniqKey="Goel P" first="Pankaj" last="Goel">Pankaj Goel</name>
<affiliation><nlm:affiliation>Department of Community Dentistry, Maulana Azad Dental College & Hospital, New Delhi, India.</nlm:affiliation>
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<author><name sortKey="Singh, Kanwarjit" sort="Singh, Kanwarjit" uniqKey="Singh K" first="Kanwarjit" last="Singh">Kanwarjit Singh</name>
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<author><name sortKey="Kaur, Arundeep" sort="Kaur, Arundeep" uniqKey="Kaur A" first="Arundeep" last="Kaur">Arundeep Kaur</name>
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<author><name sortKey="Verma, Mahesh" sort="Verma, Mahesh" uniqKey="Verma M" first="Mahesh" last="Verma">Mahesh Verma</name>
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<affiliation><nlm:affiliation>Department of Community Dentistry, Maulana Azad Dental College & Hospital, New Delhi, India.</nlm:affiliation>
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<term>Aged</term>
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<term>Delivery of Health Care</term>
<term>Dental Care for Aged (organization & administration)</term>
<term>Dental Care for Aged (utilization)</term>
<term>Dental Caries (therapy)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Health Education, Dental</term>
<term>Humans</term>
<term>India</term>
<term>Male</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Needs Assessment</term>
<term>Oral Hygiene</term>
<term>Patient Acceptance of Health Care</term>
<term>Periodontal Diseases (therapy)</term>
<term>Primary Health Care</term>
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<term>Referral and Consultation</term>
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<term>Rural Health Services</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dental Caries</term>
<term>Periodontal Diseases</term>
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<keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Dental Care for Aged</term>
<term>Rural Health Services</term>
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<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Community Health Services</term>
<term>Delivery of Health Care</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Health Education, Dental</term>
<term>Humans</term>
<term>Male</term>
<term>Needs Assessment</term>
<term>Oral Hygiene</term>
<term>Patient Acceptance of Health Care</term>
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<term>Private Sector</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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<DateCompleted><Year>2006</Year>
<Month>09</Month>
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<Title>Indian journal of dental research : official publication of Indian Society for Dental Research</Title>
<ISOAbbreviation>Indian J Dent Res</ISOAbbreviation>
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<ArticleTitle>Oral healthcare for elderly: identifying the needs and feasible strategies for service provision.</ArticleTitle>
<Pagination><MedlinePgn>11-21</MedlinePgn>
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<Abstract><AbstractText>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.</AbstractText>
</Abstract>
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<MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName>
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<MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName>
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<MeshHeading><DescriptorName UI="D019035" MajorTopicYN="N">Rural Health Services</DescriptorName>
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<QualifierName UI="Q000656" MajorTopicYN="N">utilization</QualifierName>
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