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. 2014 Oct 10:14:472.
doi: 10.1186/1472-6963-14-472.

Providing care to people on social assistance: how dentists in Montreal, Canada, respond to organisational, biomedical, and financial challenges

Christophe Bedos  1 , Christine Loignon, Anne Landry, Lucie Richard, Paul J Allison
Affiliations

Providing care to people on social assistance: how dentists in Montreal, Canada, respond to organisational, biomedical, and financial challenges

Christophe Bedos et al. BMC Health Serv Res. .

Abstract

Background: Dentists report facing difficulties and experiencing frustrations with people on social assistance, one of the social groups with the most dental needs. Scientists ignore how they deal with these difficulties and whether they are able to overcome them. Our objective was to understand how dentists deal with critical issues encountered with people on social assistance.

Methods: We conducted in-depth, semi-structured interviews with 33 dentists practicing in Montreal, Canada. The interview guides included questions on dentists' experiences with people on social assistance and potential strategies developed for this group of people. Analyses consisted of interview debriefing, transcript coding, and data interpretation.

Results: Dentists described strategies to resolve three critical issues: missed appointments (organisational issue); difficulty in performing non-covered treatments (biomedical issue); and low government fees (financial issue). With respect to missed appointments, dentists developed strategies to maximise attendance, such as motivating their patients, and to minimise the impact of non-attendance, like booking two people at the same time. With respect to biomedical and financial issues, dentists did not find any satisfactory solutions and considered that it was the government's duty to resolve them. Overall, dentists seem reluctant to exclude people on social assistance but develop solutions that may discriminate against them.

Conclusions: The efforts and failures experienced by dentists with people on social assistance should encourage us to rethink how dental services are provided and financed.

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References

    1. Bailit H, D’Adamo J. State case studies: improving access to dental care for the underserved. J Public Health Dent. 2012;72(3):221–34. doi: 10.1111/j.1752-7325.2012.00346.x. - DOI - PubMed
    1. Sweet M, Damiano P, Rivera E, Kuthy R, Heller K. A comparison of dental services received by Medicaid and privately insured adult populations. J Am Dent Assoc. 2005;136:93–100. doi: 10.14219/jada.archive.2005.0034. - DOI - PubMed
    1. Bedos C, Brodeur J-M, Benigeri M, Olivier M. Inégalités sociales dans le recours aux soins dentaires. Rev Epidemiol Sante Publique. 2004;52:261–270. doi: 10.1016/S0398-7620(04)99051-7. - DOI - PubMed
    1. Bedos C, Brodeur J-M, Benigeri M, Olivier M. Dental care pathway of Quebecers after a broken filling. Community Dent Health. 2004;21:277–284. - PubMed
    1. US General Accounting Office . Oral Health: Dental Disease is a Chronic Problem among Low-Income Populations. Washington, DC: Publication GAO/ HEHS-00-72; 2000.
Pre-publication history
    1. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6963/14/472/prepub

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