Hamilton By Seniors: A Case Study

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PURPOSE

• To describe the current status of the utilization of dental programs in Hamilton by seniors.
• To investigate the reasons why seniors do not seek dental care.
• To provide recommendations that would increase the utilization of dental programs in Hamilton by seniors.

BACKGROUND & CURRENT STATUS

Seniors have been identified as a high risk group for dental disease. (Hamilton Oral Health Report 2013)Although they are more likely to have dental disease they are less likely to seek regular care. (Paper 7) In the city of Hamilton there are approximately 115,000 seniors. Of these 55% have had a dental visit in the previous 12 months and 36% visit the dentist for emergencies only. The current dental programs available to seniors are the Dental Health Bus, Special Supports Program, Public Health Services Dental Clinic and Ontario Works. These programs primarily address financial and physical barriers to accessing dental care but are not targeted specifically for seniors. Insert usage stats

BARRIERS TO ACCESSING DENTAL CARE

The literature has shown that there are many factors that influence why seniors do
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A lack of providers willing to treat this population further adds to this inequity. Those who have limited mobility, are homebound or isolated from social supports face transportation challenges as well. (Paper 8,13) Access to dental treatment for seniors living in long-term care facilities is even more restrictive. (HOHR). Dental offices that lack wheelchair accessibility, railings or elevators limit access as well. (Paper 6) Health status can also be a barrier to seeking dental care. Poor systemic health and multiple comorbidities leading to impaired activities of daily living make a trip to a dental office quite difficult. (Paper 2) Cognitive decline and reduced ability to tolerate procedures are factors as well. (Paper

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