Abstract
PURPOSE:
The
purpose of this study was to explore low-income parents' perceptions of
oral health and of mid-level dental providers as a means of improving
access to care. As states increasingly consider adding mid-level
providers to the dental workforce, understanding the views of potential
patients toward such providers is important, since the success of this
strategy will depend, in part, upon the willingness of potential
patients to be treated by them.
METHODS:
Because
little is known about the social acceptability of mid-level dental
providers, the researchers employed a qualitative methodology,
conducting in-depth interviews with 20 low-income parents in order to
assess their perceptions of oral health, access to and need for dental
care, and potential acceptance of mid-level dental providers. Interview
transcripts were analyzed by a team of researchers using interpretive
research methods.
RESULTS:
Respondents'
descriptions of experiences with oral health and dental care
demonstrate their strong desire to maintain their families' oral health,
as well as their perception that they face significant barriers to
receiving needed care. The vast majority of respondents expressed
positive inclinations toward the introduction of mid-level dental
providers, particularly once they understood that such providers would
be fully trained professionals. Though in reality the cost to a patient
would likely not vary, many respondents expressed increased interest in
treatment by mid-level providers if it were less expensive than
treatment by dentists, indicating the significant barrier that cost
posed for many in the sample.
CONCLUSION:
The
low-income parents in this sample would likely seek care from mid-level
dental providers if such providers were introduced in the U.S. The
success of mid-level providers in meeting the needs of this population
would potentially be even greater if public education clearly explained
their training and professionalism.
Comments