Disability and oral health in association of south east Asians - A survey for conceptualisation and development

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL
Guang Xu David Lim, Siti Hamzah, Ricca Rocco Mae Bernardino, Patcharawan Sukhumalind, N. S. Ishak, Adiningrum Wiradidjaja Adiwoso
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Abstract

Background All member states in the Association of South East Asians (ASEAN) are ratified signatories of the UN Convention on the Rights of Persons with Disabilities. However, disability and oral health (DOH) can be an elusive ambition for developing nations. Objectives This survey aims to conceptualise ‘barriers’, ‘improvements’, ‘challenges in dental practice’, and ‘ways to collaborate’, to inform policy development for DOH within ASEAN. Methods The survey employed a novel quasi-qualitative design. It was electronically distributed to dentists with DOH specialty training in ASEAN within the International Association of Disability and Oral Health’s network from September 2018 to June 2020. The ‘barriers’ and ‘improvements’ would be categorised into five dimensions of healthcare - a framework by Levesque and colleagues (2013). Results 21 valid responses were received from Brunei, Indonesia, Malaysia, Philippines, Singapore and Thailand. From the care provider’s perspective, adequate training (appropriateness) was most prioritised. From the patient’s aspect, low oral health literacy (ability to perceive) was the most significant. ‘Social perception’ was collectively ranked as the key ‘challenge in dental practices’. Suggested ‘ways to collaborate’ could be categorised into five areas: engagement; advocacy; policies; specialty, and; upskilling. Conclusions The findings suggest an urgent need to address low oral health prioritisation, a drive to upskill providers, a challenge of ‘social perceptions’, and a consensual appeal for state-level support. A multi-sector collaboration is needed to align current strategies in order to achieve equity for DOH in ASEAN.
东南亚人的残疾和口腔健康——概念化和发展调查
东南亚联盟(东盟)的所有成员国都是《联合国残疾人权利公约》的批准签署国。然而,残疾和口腔健康(DOH)可能是发展中国家难以实现的目标。本调查旨在概念化“障碍”、“改进”、“牙科实践中的挑战”和“合作方式”,为东盟卫生部的政策制定提供信息。方法采用新颖的准定性设计。从2018年9月至2020年6月,在国际残疾和口腔健康协会的网络内,将其以电子方式分发给在东盟接受过卫生部专业培训的牙医。Levesque及其同事(2013)将“障碍”和“改进”分为医疗保健的五个维度。结果共收到来自文莱、印度尼西亚、马来西亚、菲律宾、新加坡和泰国的有效回复21份。从护理提供者的角度来看,充分的培训(适当性)是最优先考虑的。从患者的角度来看,口腔健康素养(感知能力)低是最显著的。“社会认知”被列为“牙科实践面临的主要挑战”。建议的“合作方式”可以分为五个方面:参与;宣传;政策;专业,;upskilling。研究结果表明,迫切需要解决口腔健康优先级低的问题,推动提高服务提供者的技能,挑战“社会观念”,并一致呼吁国家层面的支持。需要开展多部门合作,协调当前战略,以便在东盟实现卫生保健的公平性。
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
Proceedings of Singapore Healthcare
Proceedings of Singapore Healthcare MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
42
审稿时长
15 weeks
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