Obstacles to comprehensive dental care in patients with sustained limitations of their decision-making abilities: findings from a Delphi study.
Eur J Oral Sci
; 126(3): 222-233, 2018 06.
Article
in En
| MEDLINE
| ID: mdl-29676806
ABSTRACT
The objective of this study was to explore the therapeutic limitations experienced by a panel of special-care dentists in France when treating patients with sustained limitations of their decision-making abilities. We used a Delphi technique conducted in three rounds from 01 June 2014 to 30 September 2015. A first questionnaire comprising open-ended questions was addressed to 72 panellists. A content analysis of the returned questionnaires served to draft a second questionnaire comprising closed-ended questions; this was sent to the 28 panellists who responded in the first round. A third questionnaire was sent to the 20 panellists who responded in the second round to give them an opportunity to reconsider their response in the context of the second-round response group. Sixteen panellists answered the last round. A large majority agreed on the importance of providing comprehensive care, but they encountered obstacles at two time points (i) when proposing the care; and (ii) when setting it up. The panel put forward recommendations in two main areas (i) the training of those involved in oral health decisions; and (ii) dental care management and organization of the care system. The study provided a foundation for building future orientations in health care for patients with limited decision-making abilities.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Mental Competency
/
Comprehensive Dental Care
/
Health Services Accessibility
Type of study:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limits:
Aged
/
Child
/
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Eur J Oral Sci
Journal subject:
ODONTOLOGIA
Year:
2018
Type:
Article
Affiliation country:
France