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dc.contributor.authorHovden, Ewa Alicja Szyszko
dc.contributor.authorAnsteinsson, Vibeke
dc.contributor.authorVolden Klepaker, Ingrid
dc.contributor.authorWidström, eeva
dc.contributor.authorSkudutyte-Rysstad, Rasa
dc.date.accessioned2021-01-06T12:56:55Z
dc.date.available2021-01-06T12:56:55Z
dc.date.issued2020-10-31
dc.description.abstract<i>Background</i> - The present study aimed to assess dental professionals’ attitudes and experiences related to the dental treatment of drug users and to interprofessional collaboration with the rehabilitation institutions (RIs).<p> <p><i>Methods</i> - The study population comprised 141 dentists and dental hygienists (response rate 73%) working in the Public Dental Service (PDS) in three counties in Norway. All of the participants completed an electronically distributed questionnaire on existing practices and experiences regarding dental treatment for drug users and interprofessional collaboration with RIs. The Norwegian Centre for Research Data (NSD) approved the study.<p> <p><i>Results</i> - Thirty-five percent of the dentists and 10% of the dental hygienists had treated five or more drug users per month (p <  0.05). The majority of dentists and dental hygienists used more time for examination and treatment of drug users compared to other patient groups. Over 70% of dental clinicians considered drug users as demanding patients due to fear, missing appointments, and poor compliance with oral hygiene advice. Multivariable logistic regression analyses showed that attitudes and experiences with dental treatment of drug users were significantly associated with background characteristics of professionals. The overall perception was that drug users often had higher expectations of dental treatment than what could be defined as necessary care and provided by the PDS. One-third of dental professionals reported that they were satisfied with the collaboration they had with RIs. Most of the respondents agreed that personnel from RIs could positively influence interprofessional collaboration by having sufficient knowledge of drug users statutory rights to free of charge dental treatment, as well as by close follow-up and motivation of patients before dental treatment.<p> <p><i>Conclusions</i> - Dental professionals perceived the management of drug users as demanding due to dental fear, difficulties in coping with appointments, poor compliance to preventive measures, and disagreement between dental treatment defined as necessary and drug users’ expectations. Attitudes and experiences related to dental treatment of drug users were significantly associated with background characteristics of clinicians. Organizational barriers regarding leadership, accessibility, and collaborative routines, as well as lack of interprofessional communication, suggest current models of health care delivery to drug users need reviewing.en_US
dc.identifier.citationHovden, Ansteinsson, Volden Klepaker, Widström, Skudutyte-Rysstad. Dental care for drug users in Norway: Dental professionals’ attitudes to treatment and experiences with interprofessional collaboration. BMC Oral Health. 2020en_US
dc.identifier.cristinIDFRIDAID 1844687
dc.identifier.doi10.1186/s12903-020-01240-1
dc.identifier.issn1472-6831
dc.identifier.urihttps://hdl.handle.net/10037/20182
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Oral Health
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Clinical dentistry disciplines: 830en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk odontologiske fag: 830en_US
dc.titleDental care for drug users in Norway: Dental professionals’ attitudes to treatment and experiences with interprofessional collaborationen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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