Perceptions of access to preventive oral health care at a community-based dental hygiene clinic for women impacted by the criminal justice system
department or school: Dentistry, Faculty of
data provider: DSpace
degree campus: UBCV
creator: Herlick, Kathleen
issued: 2019-07-02T17:24:18Z
issued: 2019
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Objective: Women impacted by the criminal justice system experience barriers accessing oral health care. In 2013, the Elizabeth Fry Society of Greater Vancouver (EFry) and the University of British Columbia implemented a dental hygiene clinic at EFry at which dental hygiene students provide preventive care to women and children. This study aimed to describe the population utilizing the clinic and identify clients’ and EFry staff’s perceptions about how this clinic has influenced access to preventive oral care for women at EFry. Methods: Ninety-nine dental charts were reviewed retrospectively to determine client demographics, oral health status, services and referrals provided, and clinic attendance, and descriptive univariate statistical analyses were performed. Sixty-two satisfaction surveys were reviewed and three focus groups and three interviews with twelve clients and one focus group with four staff were conducted to identify perceptions of access to care. Focus groups and interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. The concept of access proposed by Penchansky and Thomas (1981) and Saurman (2015) was used to organize themes. Results: Ninety-three women and six children attended the clinic over three years. This clinic addressed women’s preventive care needs through the provision of on-site dental hygiene services. The clinic’s close proximity and services offered for which women did not need to pay out-of-pocket allowed women to access preventive care that would otherwise be inaccessible due to costs of care and transportation. The person-centered and trauma-informed care further facilitated access. Thirty-three women were referred for dental care, however access was limited by cost and likely issues of stigmatization from other dental care providers. Clinic aesthetics, communication related to time needed for care, and clinic communication strategies and advertisement precluded access. Conclusion: This clinic fac…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/70870
note: PERCEPTIONS OF ACCESS TO PREVENTIVE ORAL HEALTH CARE AT A COMMUNITY-BASED DENTAL HYGIENE CLINIC FOR WOMEN IMPACTED BY THE CRIMINAL JUSTICE SYSTEM by Kathleen Herlick B.Sc., The University of British Columbia, 2017 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Craniofacial Science) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) June 2019 © Kathleen Herlick, 2019 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, a thesis/dissertation entitled: Perceptions of access to preventive oral health care at a community-based dental hygiene clinic for women impacted by the criminal justice system submitted by Kathleen Herlick in partial fulfillment of the requirements for the degree of Master of Science in Craniofacial Science Examining Committee: Leeann Donnelly, Oral Biological and Medical Sciences Supervisor Mario Brondani, Oral Health Sciences Supervisory Committee Member Ruth Elwood Martin, School of Population and Public Health Supervisory Committee Member Kavita Mathu-Muju, Oral Health Sciences Additional Examiner Additional Supervisory Committee Members: Supervisory Committee Member Supervisory Committee Member iii Abstract Objective: Women impacted by the criminal justice system experience barriers accessing oral health care. In 2013, the Elizabeth Fry Society of Greater Vancouver (EFry) and the University of British Columbia implemented a dental hygiene clinic at EFry at which dental hygiene students provide preventive care to women and children. This study aimed to describe the population utilizing the clinic and identify clients’ and EFry staff’s perceptions about how this clinic has influenced access to preventive oral care for women at EFry. Methods: Ninety-nine dental charts were reviewed retrospectively to determine client demographics, oral health status, services and r…
has type: Thesis/Dissertation
date issued: 2019-09
is shown at: 10.14288/1.0379711
language: eng
degree discipline: Craniofacial Science
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/70870