Goode, J and Hoang, Ha and Crocombe, L, Homeless adults: Dental care access outside of captital cities in Australia, IADR/AADR/CADR General Session & Exhibition, 19-22 June, Vancouver, Canada (2019) [Conference Extract]
Official URL: https://iadr2019.zerista.com/event/member/581187
Objectives: In Australia, the oral health of adults experiencing homelessness is poor and they face multiple barriers to making dental visits. Having annual dental check-ups leads to improved oral health outcomes. Most programs designed to reduce barriers and enable dental visiting for homeless adults are capital-city based. There is a paucity of information about the barriers faced by non-capital-city based homeless adults. Programs facilitating dental visiting are designed in close collaboration with homelessness-support organisations. This study explored the perceptions of a non-capital-city based homelessness and housing support organisationís staff towards the barriers and enablers of dental care existing for their clients.
Methods: A qualitative approach using a focus group method and qualitative content analysis was employed. The study was based in a regional city in Victoria, Australia. Barriers and enablers of care, identified in a systematic literature review, were discussed during three focus group meetings by staff from the cityís homelessness and housing support organisation. A topic guide was used, focus groups were audio recorded, transcribed verbatim and analysed using qualitative content analysis. A narrative description of common themes was written.
Results: Six themes relating to barriers emerged; the organisation of government-funded dental services, multiple competing needs, the cost of care, the fear of being judged, anxiety and managing appointments. Themes relating to perceived enablers of care were; outreach dental services, Priority Access Cards (PACs) and co-locating health services. Information about accessing dental services could be delivered by support staff at an appropriate time.
Conclusions: Barriers to dental care that exist in capital-cities also existed in a non-capital city area of Victoria, Australia. The organisation of government-funded dental services was a barrier to care. Outreach services allowing drop-in visits, PACs and collocated health services were perceived as being enablers of access to care.
|Item Type:||Conference Extract|
|Keywords:||rural, homeless, dental care|
|Research Division:||Medical and Health Sciences|
|Research Field:||Dentistry not elsewhere classified|
|Objective Group:||Specific Population Health (excl. Indigenous Health)|
|Objective Field:||Rural Health|
|UTAS Author:||Goode, J (Dr Jacqueline Goode)|
|UTAS Author:||Hoang, Ha (Dr Ha Hoang)|
|UTAS Author:||Crocombe, L (Associate Professor Leonard Crocombe)|
|Deposited By:||Centre for Rural Health|
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