L’accès aux soins dentaires des personnes en situation de handicap en Martinique : enquête auprès des chirurgiens-dentistes et des personnes handicapées

Abstract : Background: Patients with disabilities may require more dental care follow-up given the difficulties that their condition may cause. However, this population faces more difficulties for consulting a dentist than the general population. That is why we wanted to evaluate the renunciation of dental care for people with disabilities in Martinique. We have chosen for this study two audiences: Martinique disabled people, and dental practitioners on the island. Methods: Between January and April 2018, a transversal observational study using questionnaries was conducted in Martinique on 207 people with disabilities and 48 dental surgeons. Results: The questionnary for dentists obtained a participation rate of 25.7%. Our sample contains 15 women and 24 men with an average age of 40.1 years. Three (7.7%) of the surveyed practitioners have already refused giving care of patients with a disability and among them, one (33.3%) could not address these patients because they did not know any colleagues or structures qualified for them. Regarding people with disabilities, we collected 207 responses: 51.7% of women and 48.3% of men aged 18 to 89 years. In our sample, 25.1% of people did not consult a dental practioner in the last three years and 29.5% only consulted in case of pain. 40.6% of people have already given up dental care in Martinique and 23.2% already confronted a refusal to provide care by a dentist. Conclusion: The renunciation of the oral care is important within the people in situation of handicap in Martinique. The rates of renunciation of the care and refusal of care vary in an important way according to the type of handicap and the degree of limitation of the patients. We observed that the patients are often misinformed about their health-care rights. As for the practitioners, they mainly deplored a non-valuation of time granted to the care of these patients and a lack of local correspondents specialized in the management of patients with handicap. The patients cannot move in regions nearby as in mainland France, the implementation of specialized structures turns out to be necessary to reduce the rate of renunciation to the oral care.
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Master Thesis
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Karel Allangba, Laura Derrien. L’accès aux soins dentaires des personnes en situation de handicap en Martinique : enquête auprès des chirurgiens-dentistes et des personnes handicapées. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02139176⟩

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