Goode, J and Hoang, Ha and Crocombe, L, Improving access to dental care for adults experiencing homelessness who live outside of capital cities, Rural Health and Collaborative Research Symposium, 2 July, Launceston, Tasmania (2019) [Conference Extract]
Official URL: https://www.utas.edu.au/rural-health/news-all/news...
Background: In Australia, homeless adults have poor oral health. Annual dental-check-ups lead to improved oral health. The barriers and enablers of dental care that influence dental visiting amongst adults experiencing homelessness in non-capital-city areas of Victoria are not well known.
Aims: To explore the factors influencing access to dental services amongst homeless adults and use the findings to design a program that facilitates access to dental care.
Methods: A focus group method explored barriers and enablers of care as perceived by homelessness-support workers. Findings were categorised using a patient-centred-access to health care framework and used to design a dental program.
Results: Barriers included; the organisation of government-funded dental services, multiple competing needs, the cost of care, the fear of being judged, anxiety and managing appointments. Enablers were; outreach-dental-services, Priority Access Cards (PACs) and co-locating health services. A two-phase dental program was designed that utilised outreach-dental-services, PACs, free oral-hygiene products, drop-in appointments and co-located health services. Outreach-dental-services should be organised in collaboration with homelessness-service providers.
Conclusion: The cost of care and organisation of government-funded dental services were barriers to care. Outreach-dental-services, allowing drop-in visits, PACs, free-care, co-located health services and better advertised dental services would enable access to care.
|Item Type:||Conference Extract|
|Keywords:||rural, dental care, homeless, Australia|
|Research Division:||Biomedical and Clinical Sciences|
|Research Field:||Dentistry not elsewhere classified|
|Objective Group:||Specific population health (excl. Indigenous health)|
|Objective Field:||Rural and remote area 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:||UTAS Centre for Rural Health|
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