2023-09-28 14:46:10 +00:00
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abstract: 'Objectives: This report describes an initiative developed and
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implemented by a low-income, urban, Canadian community to respond to
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their children''s dental problems. Methods: The first strategy pursued by
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the community was the development of the Community Dental Facilitator
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Project. This project facilitated children''s access to existing
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government funding for dental treatment, and subsequently facilitated
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access to treatment at local dental offices. Children in need of
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treatment were identified by a school dental screening. The facilitation
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work was done by three lay workers hired from within the community who
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represented the community''s predominant ethnic groups. Results: Parents
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revealed that barriers to dental care in local dental offices were lack
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of information about funding programs, language, inflexible work
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situation, and mistrust of bureaucracy. By the project''s end, with the
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assistance of the facilitators, a significantly increased number of
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children had been enrolled for government dental benefits (<.001). In
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addition to the 123 children identified at the screening as needing
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treatment, another 30 children ``self-referred{''''} to the program. At
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the end of the project''s original funding period, dental appointments
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had been made for 68 children: 60 (48.8\%) of the ``screened{''''} group,
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8 (26.7\%) of the ``self-referred{''''} group. One-year telephone
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follow-up to parents of the screened children revealed that 42 of 59
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(71.1\%) had completed treatment. Conclusions: Barriers to dental care
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for low income children go beyond `economics. A community facilitation
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model can improve low-income children''s access to existing dental
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services and may reduce the barriers to care for some children requiring
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treatment.'
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affiliation: 'Harrison, RL (Corresponding Author), Univ British Columbia, Div Pediat
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Dent, Fac Dent, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada.
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Univ British Columbia, Div Pediat Dent, Fac Dent, Vancouver, BC V6T 1Z3, Canada.
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Strathcona Hlth Soc, Vancouver, BC, Canada.'
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author: Harrison, RL and Li, J and Pearce, K and Wyman, T
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author_list:
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- family: Harrison
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given: RL
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- family: Li
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given: J
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- family: Pearce
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given: K
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- family: Wyman
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given: T
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da: '2023-09-28'
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files: []
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issn: 0022-4006
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journal: JOURNAL OF PUBLIC HEALTH DENTISTRY
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keywords: 'health services accessibility; dental health services; dental care for
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children; medically underserved area; consumer participation; ethnology'
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language: English
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month: SPR
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note: 6th National Health Promotion Conference, VICTORIA, CANADA, APR, 2002
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number: '2'
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number-of-cited-references: '1'
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orcid-numbers: Harrison, Rosamund/0000-0003-1467-6231
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pages: 126-128
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papis_id: 54705955747dba966e5fcff9fe39cf21
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ref: Harrison2003communitydental
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times-cited: '13'
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title: 'The Community Dental Facilitator Project: Reducing barriers to dental care'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000183372200010
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '63'
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web-of-science-categories: 'Dentistry, Oral Surgery \& Medicine; Public, Environmental
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\&
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Occupational Health'
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year: '2003'
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