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Obstacles to comprehensive dental care in patients with sustained limitations of their decision‐making abilities: findings from a Delphi study
Author(s) -
Blaizot Alessandra,
Catteau Céline,
Delfosse Caroline,
Hamel Olivier,
Trentesaux Thomas
Publication year - 2018
Publication title -
european journal of oral sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.802
H-Index - 93
eISSN - 1600-0722
pISSN - 0909-8836
DOI - 10.1111/eos.12413
Subject(s) - delphi method , context (archaeology) , medicine , dental care , health care , delphi , oral health , psychology , family medicine , medical education , nursing , paleontology , statistics , mathematics , computer science , biology , operating system , economics , economic growth
The objective of this study was to explore the therapeutic limitations experienced by a panel of special‐care dentists in France when treating patients with sustained limitations of their decision‐making abilities. We used a Delphi technique conducted in three rounds from 01 June 2014 to 30 September 2015. A first questionnaire comprising open‐ended questions was addressed to 72 panellists. A content analysis of the returned questionnaires served to draft a second questionnaire comprising closed‐ended questions; this was sent to the 28 panellists who responded in the first round. A third questionnaire was sent to the 20 panellists who responded in the second round to give them an opportunity to reconsider their response in the context of the second‐round response group. Sixteen panellists answered the last round. A large majority agreed on the importance of providing comprehensive care, but they encountered obstacles at two time points: (i) when proposing the care; and (ii) when setting it up. The panel put forward recommendations in two main areas: (i) the training of those involved in oral health decisions; and (ii) dental care management and organization of the care system. The study provided a foundation for building future orientations in health care for patients with limited decision‐making abilities.