Barriers to the treatment of childhood caries perceived by dentists working in different countries.

作者：Cynthia M. Pine, Pauline Adair, Girvan Burnside, Alison D Nicoll, Angela Gillett, Socorro Aída Borges-Yáñez, Zdenek Broukal, John P. Brown, Dominique Declerck, Ping Feng, Tshepo Gugushe, J๋aranya Hunsrisakhun, Edward Chin Man Lo, Sudeshni Naidoo, Ursuline Nyandindi, Vibeke Juul Poulsen, Noëline Razanamihaja, Christian Heinz Splieth, Betty King Sutton, Teo Choo Soo, Helen P. Whelton · 发表于：PubMed · 年份：2004 · 被引用次数：44 · 研究领域：Dental Health and Care Utilization、Dental Anxiety and Anesthesia Techniques、Dental Education, Practice, Research

OBJECTIVE: To explore whether dentists' beliefs and attitudes to providing preventive and restorative dental care for young children can form a barrier to the provision of care. BASIC RESEARCH DESIGN: The Barriers to Childhood Caries Treatment (BaCCT) Questionnaire, a standardised international measure was developed and applied. PARTICIPANTS: Through a research consortium, each site was asked to recruit 100 dentists. The sample participating was not intended to be nationally representative. Dentists were mainly randomly selected and contacted by mail with one or more mailings depending on site. RESULTS: 2,333 dentists in 14 countries and 17 sites participated. Factor analysis identified four factors as potential barriers. Two factors were found to be barriers in many sites. First, in most countries, dentists agreed that young children's coping skills limit their ability to accept dental care. Secondly, dentists with negative personal feelings, for example, that providing care can be stressful and troublesome and that they feel time constrained. Differences in dentists' beliefs can be partly explained by their work profile, with those treating children often, and those working under systems where they feel they can provide quality care being least likely to identify barriers to providing care for children. CONCLUSIONS: The BaCCT Questionnaire was determined to be a valid psychometric measure. Separately, it was found that health systems do impact on dentists' ability to delive...