Original Article

Barriers to the Accessibility of Emergency Pediatric Dental Care Services During the COVID-19 Pandemic: A Qualitative Study in Mashhad, Iran

Abstract

Objectives: The aim of this study was to investigate barriers to the accessibility of emergency pediatric dental care services during the coronavirus disease 2019 (COVID-19) pandemic from the viewpoint of parents in Mashhad, Iran.
Materials and Methods: A qualitative study was conducted on a purposive sample of parents seeking emergency dental care for their children during the COVID-19 pandemic. Data were collected through semi-structured face-to-face interviews. The participants were asked, “Were there any barriers encountered when seeking emergency dental care for your child during the COVID-19 pandemic?”. If any barrier was faced, the parents were asked to explain about it. All interviews were recorded and transcribed verbatim. The thematic content analysis of the transcripts began after the first interview, and the interviews and analysis process continued until data saturation was achieved.
Results: In total, 26 parents were interviewed. The thematic content analysis of the transcripts led to the recognition of three main categories of barriers: “fear of COVID-19”, “financial constraints”, and “dentists’ less occupational activity”. “fear of COVID-19” had two subcategories: “fear of contracting COVID-19” and “fear of transmitting COVID-19 to others”. “financial constraints” also had two subcategories: “increased costs” and “decreased income”.
Conclusion: From the viewpoint of parents seeking emergency dental care for their children in Mashhad, Iran, there were various barriers to the accessibility of emergency pediatric dental care services during the COVID-19 pandemic. The barriers were not limited to the fear of COVID-19 and were partly outside the control of dentists and parents.

 

1. Aquilanti L, Gallegati S, Temperini V, Ferrante L, Skrami E, Procaccini M, et al. Italian Response to Coronavirus Pandemic in Dental Care Access: The DeCADE Study. Int J Environ Res Public Health. 2020 Sep 24;17(19):6977.
2. Bai J, Xu T, Ji AP, Sun W, Huang MW. Impact of COVID-19 on Oral Emergency Services. Int Dent J. 2021 Feb;71(1):27-31.
3. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020 Mar;55(3):105924.
4. Zimmermann P, Curtis N. Coronavirus Infections in Children Including COVID-19: An Overview of the Epidemiology, Clinical Features, Diagnosis, Treatment and Prevention Options in Children. Pediatr Infect Dis J. 2020 May;39(5):355-368.
5. Ministry of Health and Medical Education, Iranian Dental Association. The guideline for providing emergency dental care services during the COVID-19 epidemic. Available at: http://corona.behdasht.gov.ir/files/site1/files/Dental_Protocol.pdf. [Accessed July 20, 2022]
6. Pope C, Ziebland S, Mays N. Qualitative research in health care: Analysing qualitative data. BMJ: British Medical Journal. 2000 Jan 1;320(7227):114.
7. Burnard P, Gill P, Stewart K, Treasure E, Chadwick B. Analysing and presenting qualitative data. Br Dent J. 2008 Apr 26;204(8):429-32.
8. Sood S. Psychological effects of the Coronavirus disease-2019 pandemic. Res. Hum. Med. Educ. 2020 Apr 1;7(11):23-6.
9. Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J Pediatr. 2020 Jun;221:264-266.e1.
10. Demaria F, Vicari S. COVID-19 quarantine: Psychological impact and support for children and parents. Ital J Pediatr. 2021 Mar 9;47(1):58.
11. Akkermans J, Richardson J, Kraimer ML. The Covid-19 crisis as a career shock: Implications for careers and vocational behavior. J Vocat Behav. 2020 Jun;119:103434.
12. Binigha M, Balasubramaniam A. Mother’s knowledge, attitude and fear about dental visit during Covid-19 pandemic. NVEO-Natural Volatiles Essential Oils J. 2021 Nov 11:6149-60.
13. Farsi D, Farsi N. Mothers’ Knowledge, Attitudes, and Fears About Dental Visits During the COVID-19 Pandemic: A Cross-sectional Study. J Int Soc Prev Community Dent. 2021 Jan 30;11(1):83-91.
14. Moffat RC, Yentes CT, Crookston BT, West JH. Patient Perceptions about Professional Dental Services during the COVID-19 Pandemic. JDR Clin Trans Res. 2021 Jan;6(1):15-23.
15. Campagnaro R, Collet GO, Andrade MP, Salles JPDSL, Calvo Fracasso ML, Scheffel DLS, et al. COVID-19 pandemic and pediatric dentistry: Fear, eating habits and parent’s oral health perceptions. Child Youth Serv Rev. 2020 Nov;118:105469.
16. Majeed MM, Siddiqui Z, Tabbasum U, Sarwar H, Minhas S, Bhatia MR. Psychological barriers among dental patients during the COVID-19 crisis. Rawal Med. J. 2021 Mar 19;46:7-10.
17. Vanka S, Jan AS, Alhazmi ST, Alsubhi BM, Allehyani RS, Wali O, Vanka A, Gajdhar SK. Barriers of dental services utilization during COVID-19 pan-demic. Int J Med Dentist. 2020 Oct 1;24(4):523-30.
18. Burgette JM, Weyant RJ, Ettinger AK, Miller E, Ray KN. What is the association between income loss during the COVID-19 pandemic and children’s dental care? J Am Dent Assoc. 2021 May;152(5):369-376.
19. Faccini M, Ferruzzi F, Mori AA, Santin GC, Oliveira RC, Oliveira RCG, et al. Dental Care during COVID-19 Outbreak: A Web-Based Survey. Eur J Dent. 2020 Dec;14(S 01):S14-S19.
IssueVol 20 (Continuously Published Article-Based) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/fid.v20i41.14023
Keywords
Pediatric Dentistry Emergency Medical Services Health Services Accessibility COVID-19 Qualitative Research Iran
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How to Cite
1.
Khorakian F, Parisay I, Zare Incheh Sabelagh A, Keshavarz H. Barriers to the Accessibility of Emergency Pediatric Dental Care Services During the COVID-19 Pandemic: A Qualitative Study in Mashhad, Iran. Front Dent. 2023;20.