Resource implications for oral care of patients with HIV.

OBJECTIVES: The aim was to investigate the attitudes of people with HIV infection towards their own dental care provision and the possible implications for future resource allocation. DESIGN: Sixty-nine HIV positive subjects attending support groups in London were interviewed. Past and current denta...

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Publicado en:Oral Diseases Vol. 4; no. 1; pp. 22 - 26
Autores principales: Gallagher PD, Gealer M, Birnbaum W
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar1998
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        atl: Resource implications for oral care of patients with HIV.
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        au:
          Gallagher PD
          Gealer M
          Birnbaum W
        affil: Dept of Primary Dental Care, King's Dental Institute, Caldecot Road, London SE5 9RW, UK
      sug:
        subj:
          Health Resource Allocation England
          HIV-Positive Persons Psychosocial Factors
          Dental Care for Persons with Chronic Illnesses England
          Dental Care for Persons with Chronic Illnesses Utilization
          Attitude to Health
          Attitude of Health Personnel
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Questionnaires
          England
          Support Groups
          Telephone
          Research Subject Recruitment
          Interviews
          Descriptive Statistics
          Refusal to Treat
          Statistical Significance
          Time Factors
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: OBJECTIVES: The aim was to investigate the attitudes of people with HIV infection towards their own dental care provision and the possible implications for future resource allocation. DESIGN: Sixty-nine HIV positive subjects attending support groups in London were interviewed. Past and current dental visiting behaviour, problems encountered in obtaining dental care and preferred site of delivery for dental care were investigated. RESULTS: Showed that a majority (74%) changed dentist or stopped attending following diagnosis with HIV, either due to fear of or actual refusal of treatment, a desire to attend a more sympathetic dentist or to attend a specialist clinic. Forty-five per cent withheld information about their status. Subjects expressed a desire to receive regular dental care and had definite preferences as to the site of delivery, 45% preferring general practice, 48% specialist clinics. CONCLUSIONS: Future resource allocation should be used for continued support and education of general dental practitioners willing to treat HIV positive patients, and for accessible specialist referral centres. Hospital clinics could also provide regular routine care, especially in areas of large HIV populations. An improved awareness of and access to community dental clinics appears to be needed, with efforts focused on achieving an informed and educated patient population through education programmes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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