Association Between Mode of Delivery of Dental Consultancy and Economic Considerations

Authors

  • Hareem Mustafa Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan
  • Zohair Ali Badami Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan
  • Narjis Fatima Hussain Research Specialist, The Aga Khan University, Karachi, Pakistan
  • Zehra Merchant Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan
  • Kanza Manzoor Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan
  • Zainab Fatima Zaidi Department of Community & Preventive Dentistry, CMH Lahore Medical College & Institute of Dentistry, Lahore, Pakistan
  • Hassan Rizwan Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan

Keywords:

COVID-19, dental care, socioeconomic status, telehealth, Remove COVID-19, telehealth.

Abstract

Objective: COVID-19 has greatly impacted the dental health delivery system while causing an economic crisis globally. This study aims to assess the relationship between virtual consultancy and physical visits during and after the pandemic, and whether monetary concessions can affect the patient’s decision.

Materials and methods: A self-administered online questionnaire were distributed to a random sample of 271 participants who were part of a descriptive, cross-sectional, observational study that took place in Karachi, Pakistan. This included demographic data, dental history, and preferences. The socioeconomic status was evaluated using the Modified Kuppuswamy Scale. For statistical analysis, SPSS.24 software was used. A p <0.05 was considered statistically significant.

Results: Data was accumulated from 271 participants: Most of them were females (55.7%), had a bachelor’s degree (73.8%), were 21-30 years (61.3%), and belonged to the upper-middle class (36.9%). 50.2% were in favor of a virtual consultation during COVID-19 and when offered a 50% discount, the percentage increased significantly by 8.8%. Alternatively, under post-COVID circumstances, only 31.7% preferred virtual consultation. However, when offered a rebated price, the percentage raised significantly by 11.5%. Chi-square tests identified significant associations between economic considerations (discounts, socioeconomic status) and mode of delivery with a p < 0.001.

Conclusion: The findings shed light on the future of the dental care delivery system. When offered monetary incentives, people preferred virtual consultancy over physical visits. This can establish a new criterion for dental care delivery to serve more people and enhance health equity.

References

Moynihan R, Sanders S, Michaleff ZA, Scott AM, Clark J, To EJ, et al. Impact of COVID-19 pandemic on utilization of healthcare services: a systematic review. BMJ Open [Internet]. 2021 [cited 2022 Jul 30];11(3):e045343. Available from: https://bmjopen.bmj.com/content/11/3/e045343

SeyedAlinaghi SA, Afsahi AM, MohsseniPour M, Behnezhad F, Salehi MA, Barzegary A, et al. Late Complications of COVID- 19; a Systematic Review of Current Evidence. Vol. 9, Archives of Academic Emergency Medicine. Shaheed Beheshti University of Medical Sciences and Health Services; 2020. p. e14.

Klopfenstein T, Kadiane-Oussou NJ, Toko L, Royer PY, Lepiller Q, Gendrin V, et al. Features of anosmia in COVID-19. Medecine et Maladies Infectieuses. 2020 Aug 1;50(5):436–9.

Barabari P, Moharamzadeh K. Novel coronavirus (covid-19) and dentistry–a comprehensive review of literature. Vol. 8, Dentistry Journal. MDPI Multidisciplinary Digital Publishing Institute; 2020.

Nguyen LH, Drew DA, Joshi AD, Guo C-G, Ma W, Mehta RS, et al. Risk of COVID-19 among frontline healthcare workers and the general community: a prospective cohort study. medRxiv [Internet]. 2020 [cited 2022 Jul 30]; Available from: http://dx.doi.org/10.1101/2020.04.29.20084111

Singhal S, Warren C, Hobin E, Smith B. How often are dental care workers exposed to occupational characteristics that put them at higher risk of exposure and transmission of COVID-19? A comparative analysis. J Can Dent Assoc [Internet]. 2021 [cited 2022 Jul 30];87:l16. Available from: https://jcda.ca/l16

Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Vol. 12, International Journal of Oral Science. Springer Nature; 2020.

Ghai S. Teledentistry during COVID-19 pandemic. Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 2020 Sep 1;14(5):933–5.

Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health [Internet]. 2020 [cited 2022 Jul 30];20(1):1193. Available from: http://dx.doi.org/10.1186/s12889-020-09301- 4

JampaniND,NutalapatiR,DontulaBSK,BoyapatiR.Applicationsofteledentistry:Aliteraturereviewandupdate.Vol.1,Journal of International Society of Preventive and Community Dentistry. Wolters Kluwer (UK) Ltd.; 2011. p. 37–44.

Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. International Journal of Environmental Research and Public Health. 2020 Apr 2;17(8).

Dusseja SH, Rao D, Panwar S, Ameen S. Patients’ Views Regarding Dental Concerns and Teledentistry during COVID-19 Pandemic [Internet]. Vol. 5, International Journal of Science and Healthcare Research (www.ijshr.com). Available from: www.ijshr.com

Goswami M, Nangia T, Saxena A, Chawla S, Mushtaq A, Singh SR, et al. Practical Applicability of Teledentistry in Pediatric Patients Amidst Pandemic : A Narrative Review. Frontiers in Dental Medicine [Internet]. 2021 Oct 27;2. Available from: https://www.frontiersin.org/articles/10.3389/fdmed.2021.748089/full

Ahmadi H, Ebrahimi A, Ghorbani F. The impact of the COVID-19 pandemic on dental practice in Iran: a questionnaire-based report. BMC Oral Health. 2020 Dec 1;20(1).

Gerosa T, Gui M, Hargittai E, Nguyen MH. (mis)informed during COVID-19: How education level and information sources contribute to knowledge gaps. Int J Commun [Internet]. 2021 [cited 2022 Aug 1];15(0):22. Available from: https://ijoc.org/index.php/ijoc/article/view/16438

DickmanSL,WoolhandlerS,BorJ,McCormickD,BorDH,HimmelsteinDU.Healthspendingforlow-,middle-,andhigh-income Americans, 1963–2012. Health Aff (Millwood) [Internet]. 2016;35(7):1189–96. Available from: http://dx.doi.org/10.1377/hlthaff.2015.1024

Mold F, Cooke D, Ip A, Roy P, Denton S, Armes J. COVID-19 and beyond: virtual consultations in primary care -reflecting on the evidence base for implementation and ensuring reach: commentary article. Vol. 28, BMJ Health and Care Informatics. BMJ Publishing Group; 2021.

Fagerlund AJ, Holm IM, Zanaboni P. General practitioners’ perceptions towards the use of digital health services for citizens in primary care: A qualitative interview study. BMJ Open. 2019 May 1;9(5).

Farr M, Banks J, Edwards HB, Northstone K, Bernard E, Salisbury C, et al. Implementing online consultations in primary care: A mixed-method evaluation extending normalisation process theory through service co-production. BMJ Open. 2018 Mar 1;8(3).

Randhawa RS, Chandan JS, Thomas T, Singh S. An exploration of the attitudes and views of general practitioners on the use of video consultations in a primary healthcare setting: A qualitative pilot study. Primary Health Care Research and Development. 2018 Jun 18;20.

Saljoughian M, PhD Department of Pharmacy Alta Bates Summit Medical Center Berkeley. The benefits and limitations of telehealth [Internet]. US Pharm. 2021;46(8):5-8.2021 [cited 2022 Aug 1]. Available from: https://www.uspharmacist.com/article/the-benefits-and-limitations-of-telehealth

Chike-HarrisKE,DurhamC,LoganA,SmithG,DuBose-MorrisR.Integrationoftelehealtheducationintothehealthcareprovider curriculum: A review. Telemed J E Health [Internet]. 2021;27(2):137–49. Available from: http://dx.doi.org/10.1089/tmj.2019.0261

Casey M, Shaw S, Swinglehurst D. Experiences with online consultation systems in primary care: Case study of one early adopter site. British Journal of General Practice. 2017 Nov 1;67(664):e736–43.

Gray DP, Freeman G, Johns C, Roland M. Covid 19: a fork in the road for general practice. BMJ. 2020;370:m3709.

Cowie J, Calveley E, Bowers G, Bowers J. Evaluation of a Digital Consultation and Self-Care Advice Tool in Primary Care: A Multi-Methods Study. Int J Environ Res Public Health. 2018;15(5).

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Published

2022-12-30

How to Cite

Mustafa, H., Badami, Z. A., Hussain, N. F. ., Merchant, Z., Manzoor, K., Zaidi, Z. F., & Rizwan, H. (2022). Association Between Mode of Delivery of Dental Consultancy and Economic Considerations. ALTAMASH JOURNAL OF DENTISTRY AND MEDICINE, 1(2), 49–56. Retrieved from https://ajdm.altamash.edu.pk/index.php/ojs3/article/view/19

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