Factors affecting dental services accessibility: a qualitative study.
Introduction: Access to dental services is a basic right included in the compulsory health insurance for patients and thus an important part of the healthcare system in Slovenia. The purpose of this research was to identify and explore the factors that have the greatest impact on the accessibility o...
| Publicado en: | Obzornik Zdravstvene Nege Vol. 53; no. 4; pp. 269 - 280 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Zbornica zdravstvene in babiske nege Slovenije
2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Introduction: Access to dental services is a basic right included in the compulsory health insurance for patients and thus an important part of the healthcare system in Slovenia. The purpose of this research was to identify and explore the factors that have the greatest impact on the accessibility of dental services from the perspective of the system stakeholders in Slovenia. Methods: A qualitative study was conducted based on the focus group method. The focus group consisted of relevant system stakeholders, namely two representatives of the regulator, provider and payer, a total of six participants. A thematic analysis was carried out in order to identify the patterns and themes within the qualitative data obtained. Results: The results of the focus group revealed the views of system stakeholder on the accessibility of dental services in Slovenia. According to the system stakeholders' perspective, accessibility of dental services in Slovenia is not optimal and significant changes in terms of financing and organisation are required. Discussion and conclusion: We found that the lack of adequate human resources, insufficient health insurance and payment for services are the crucial factors in providing adequate access to dental health in Slovenia. In order to increase its accessibility, the dental programme needs to be expanded and the number of teams for its implementation increased. Uvod: Dostopnost do zobozdravstvenih storitev je osnovna pravica iz obveznega zdravstvenega zavarovanja pacientov in je tako pomemben del zdravstvenega sistema v Sloveniji. Namen raziskave je bil ugotoviti in raziskati dejavnike dostopnosti, ki z vidika sistemskih deležnikov najbolj vplivajo na dostopnost zobozdravstvenih storitev v Sloveniji. Metode: Izvedena je bila kvalitativna raziskava z metodo fokusne skupine V njej so sodelovali relevantni sistemski deležniki, in sicer po dva predstavnika regulatorja, izvajalca in plačnika -- skupaj šest deležnikov. Uporabljena je bila tematska analiza, ki omogoča prepoznavanje vzorcev in ključnih tem na podlagi kvalitativnih podatkov. Rezultati: Ugotovitve fokusne skupine razkrivajo stališča sistemskih deležnikov o dostopnosti zobozdravstvenih storitev v Sloveniji. Vidik sistemskih deležnikov nakazuje, da dostopnost do zobozdravstvenih storitev ni optimalna, zato so potrebne spremembe, še posebej z vidika financiranja in organizacije. Diskusija in zaključek: Ugotovljeno je bilo, da so pomanjkanje ustreznega kadra, nezadostno zdravstveno zavarovanje in plačevanje storitev najpomembnejši dejavniki pri zagotavljanju ustreznega dostopa do zobozdravstvenega zdravja v Sloveniji. Da bi povečali dostopnost, je treba dentalni program razširiti in povečati število timov za njegovo izvajanje. |
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