Saudi Cultural Missions Theses & Dissertations
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Item Restricted PATIENT’S VIEWS ON ACCESS TO DENTAL CARE: A SERVICE EVALUATION TO INFORM HEALTH SYSTEMS STRENGTHENING AT KING'S COLLEGE DENTAL HOSPITAL(King's College London, 2024-08) Alblayhd, Maysam; Gallagher, JenniferAim: To explore the views of patients who attend King’s College Dental Hospital on the current hospital service and accessibility to hospital dental services in Southeast London. Materials and Methods: A descriptive cross-sectional study was conducted on a consecutive sample of patients (including parents of patients) over 13 weeks (April-July 2024). The study used a validated self-administered questionnaire with five domains informed by the Penchansky and Thomas model of access. The first domain examined overall satisfaction, the second examined accessibility, the third domain was on the availability of services, the fourth investigated accommodation, and the fifth collected demographic information, and additional comments from the participants. The questionnaire was piloted and tested for content validity. This service evaluation study has been approved by the King's College Hospital NHS Foundation Trust audit and service evaluation team (Reference: DENT-M-01-23). Results: In total, 230 patients responded to the survey, of which 56% were female and 57% were adults (25-74 years old). The study found high overall satisfaction with the hospital’s services, with particular appreciation for staff and students professionalism and friendliness. However, issues related to accessibility, such as long travel times and inadequate physical infrastructure, were identified as areas needing improvement. While most patients reported satisfaction with the availability of services, concerns were noted regarding appointment scheduling and waiting times. Demographic analysis revealed variations in satisfaction levels across different groups, highlighting the need for targeted improvements in service delivery, especially regarding waiting time. Conclusion: The findings suggest that while King’s College Dental Hospital generally receives a high satisfaction rate. There are significant areas for enhancement, particularly in accessibility and accommodation. Addressing these issues could improve the overall quality of care. Future efforts should focus on reducing travel-related barriers, optimising appointment management, and addressing infrastructure concerns to better meet patient needs and expectations.23 0Item Restricted Relationship between Oral health Profile, Service utilization and Locations: Building a Model for School Dental Services(Saudi Digital Library, 2023-11-08) Aqeeli, Amal; Kruger, Estie; Tennant, Marc; Alsharif, AllaAim: This research project aims to provide an update on dental caries profile of 9-to-12-year- old schoolchildren in Al- Madinah, Saudi Arabia (SA); to investigate the factors associated with dental care utilization including sociodemographic characteristics, and oral health needs; to examine regular dental visit and its association with sociodemographic, clinical, and behavioural characteristics; to assess the distribution and accessibility of primary public dental services in Al-Madinah in comparison with that in Jeddah; and to develop a geographic model for school dental services (SDS) in Al-Madinah, SA, geographic information system (GIS)-based on the distribution of child population density. Methods: Data from 1,000 schoolchildren aged 9–12 years old from a cross-sectional oral health survey in Al-Madinah, SA was obtained and analysed. Clinical, sociodemographic and behavioural data were extracted from the survey. Descriptive and inferential statistics were calculated to estimate caries prevalence and severity and their association with sociodemographic factors. A multiple logistic regression model was used to assess the factors influencing dental care use. For geographic analysis, primary public dental services locations; the location of primary public schools and the number of students in each school were mapped using GIS. Analysis of primary public dental services distribution in Al-Madinah compared to Jeddah was conducted. And building a geographic theoretical model for SDS in Al-Madinah, SA was designed. Results: Caries prevalence in primary or permanent teeth was 85.1%, with untreated caries at 76.1%. The mean dmft was 2.66 ± 2.63 while the mean DMFT was 1.43 ± 1.73. Approximately a iii quarter of all participants (23.8%), have never received dental care before while only 9.2% of the sample reported regular dental visits. Pain or trouble with teeth was the most common reason for visiting the dentist (49.4%). The multiple logistic regression model showed that children from low-income families had a reduced likelihood of receiving dental care (OR=0.571, P=0.014). Children who have caries and who reported having toothache in the past 12 months were more likely to visit the dentist (OR=1.599, P=0.028) & (OR=2.188, P>0.001). In addition, regular dental visits were associated with gender (female: OR = 1.715; p = 0.041), high family income (middle income: OR = 0.464; p = 0.024; and low income: OR = 0.517; p = 0.015), and the consumption of sugary food and drinks (almost daily: OR = 0.438; p = 0.017; and several times a week: OR = 0.511; p = 0.050). An uneven distribution of dental services was found, with services concentrated in certain districts in both cities and other districts with far fewer or no dental services. Furthermore, the future locations for SDS were studied: the areas with the higher number of schools; higher number of students; and dense child population as presented in the map suggest the future location of SDS. The total number of dentists required to work in SDS settings was 415 for the first model, and 277 for the second model. Conclusion: Dental caries persists as a public health challenge among schoolchildren in Al- Madinah, SA, with high prevalence and severity among schoolchildren. Dental care utilization is mainly driven by symptomatic dental care and regular dental visits are uncommon behaviour. Establishing SDS is suggested as a solution to this health issue in Al-Madinah and SA in general. A theoretical model was proposed for SDS with the future SDS locations and the number of dentists to hire for the services to meet the child population's oral health needs.17 0