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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >Non-financial barriers in oral health care: a qualitative study of patients receiving opioid maintenance treatment and professionals’ experiences
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Non-financial barriers in oral health care: a qualitative study of patients receiving opioid maintenance treatment and professionals’ experiences

机译：口腔医疗保健中的非财力障碍：对接受阿片类药物维护治疗和专业人士经验的患者的定性研究

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摘要

People with substance use disorders often have poor oral health, which can negatively impact their quality of life. Since 2005, patients receiving opioid maintenance treatment (OMT) in Norway have been eligible for free oral health care services offered through public oral health clinics. Despite a large need for oral health services amongst patients in OMT, figures suggest that the use of these services is low amongst this patient group. It has been unclear which barriers that contribute to this. This qualitative study explores the underlying barriers to the use of oral health care services amongst patients in OMT, from the perspective of the patients as well as dental health care workers (DHW). Through a combination of focus group interviews and individual interviews, data were collected from 63 participants; 30 patients in OMT and 33 DHW. Thematic analysis identified key themes for the use (or not) of oral health care services amongst patients in OMT. Both individual and structural barriers prevent OMT patients from using the free oral health care services offered to them. These barriers include struggling to attend appointments, anxiety and fear of dentists, discrepancies between patients’ expectations and the services offered and perceived stigma. OMT patients’ lack of information regarding their rights and access to oral health services was also a barrier, as was DHWs’ lack of knowledge and information of the OMT system and what they can offer patients. OMT patients face several barriers in accessing and using oral health care services. However, through a number of relatively simple measures, it is possible that the use of oral health services amongst OMT patients can be increased.
机译：物质使用障碍的人往往具有差的口腔健康，这可能会对他们的生活质量产生负面影响。自2005年以来，挪威接受阿片类药物维护治疗（OMT）的患者有资格通过公共口腔健康诊所提供的自由口服保健服务。尽管OMT中的患者中对口腔健康服务进行了很大的需求，但是该患者组中，这些服务的使用较低。目前尚不清楚哪些障碍有助于这一点。这种定性研究探讨了在OMT中使用口腔医疗保健服务的潜在障碍，从患者以及牙科医疗保健工作者（DHW）的角度来看。通过聚焦小组访谈和个人访谈的组合，从63名参与者收集数据; 30例患者在OMT和33 DHW中。专题分析确定了OMT中患者中的口腔保健服务的使用（与否）的关键主题。个人和结构障碍都可以防止OMT患者使用向他们提供的自由口腔保健服务。这些障碍包括努力参加约会，焦虑和对牙医的恐惧，患者期望与提供和感知耻辱的服务之间的差异。 OMT患者缺乏关于他们的权利和访问口头健康服务的信息也是一个障碍，而DHWS缺乏OMT系统的知识和信息以及他们可以提供患者的信息。 OMT患者在访问和使用口腔保健服务方面面临几个障碍。然而，通过多种相对简单的措施，可以增加OMT患者之间的口腔健康服务。

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