Dentists' perceptions of providing care to community-dwelling older people.

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2024-11-06 DOI:10.1111/ger.12795
Lara T Friedlander, Payman Hamadani, Nicholas P Chandler, Ben K Daniel
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Abstract

Objectives: This study explored the attitudes of New Zealand (NZ) general dental practitioners (GDPs) towards older adults living within the community and the barriers and difficulties caring for their oral health needs.

Background: Adults are living longer and retaining teeth. Their dentitions are complex and alongside their dental needs, older adults often experience age-related systemic disease or decline. Ageism and stereotypical views of older adults impedes access to dental care. While there is some understanding of older adults and ageism from the perspective of dental students, there is a paucity of knowledge about dentists' management of this patient demographic.

Materials and methods: A mixed-methods survey questionnaire collected quantitative and qualitative data. Quantitative data were analysed descriptively followed by bivariate analysis. Qualitative data responses to open-ended questions were analysed thematically.

Results: A total of 382 GDPs participated (response rate of 24%) and demonstrated positive attitudes and low levels of ageism towards older adults who they enjoyed treating. Confidence was positively related to clinical experience, and most dentists had engaged in gerodontology updates. Barriers to care for older adults were perceived to be beyond their control and mostly related to cost, chronic disease or age-related change. Consent processes could create difficulty and so collaboration with family or caregivers was important.

Conclusion: The GDPs displayed positive attitudes and confidence towards older adults who are a rewarding patient cohort. Gerodontology education during training and following graduation is critical to enhance oral health outcomes for older patients.

牙医对为社区老年人提供护理的看法。
目的:本研究探讨了新西兰(NZ)全科牙医对生活在社区中的老年人的态度,以及照顾他们口腔健康需求的障碍和困难:本研究探讨了新西兰(NZ)全科牙医(GDPs)对生活在社区内的老年人的态度,以及满足他们口腔健康需求的障碍和困难:背景:成年人寿命越来越长,牙齿也越来越多。背景:老年人的寿命越来越长,牙齿也越来越多。他们的牙科情况很复杂,除了牙科需求外,老年人还经常会出现与年龄有关的全身性疾病或衰退。年龄歧视和对老年人的刻板印象阻碍了他们获得牙科保健。虽然从牙科学生的角度来看,他们对老年人和年龄歧视有一定的了解,但对牙科医生如何管理这一患者群体却知之甚少:混合方法调查问卷收集了定量和定性数据。对定量数据进行描述性分析,然后进行双变量分析。对开放式问题的定性数据回答进行了专题分析:共有 382 名 GDP 参与了调查(回复率为 24%),他们对自己喜欢治疗的老年人表现出积极的态度和较低的年龄歧视。自信心与临床经验呈正相关,大多数牙医都参加过老年牙科的更新培训。老年人在接受治疗时遇到的障碍是他们无法控制的,主要与费用、慢性疾病或与年龄有关的变化有关。同意程序可能会造成困难,因此与家人或护理人员的合作非常重要:GDPs 对老年人表现出了积极的态度和信心,老年人是一个有价值的患者群体。培训期间和毕业后的老年口腔医学教育对于提高老年患者的口腔健康水平至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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