Krishnan Lakshmi, Iyer Kiran, Madan Kumar P D
Department of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2020 May-Jun;31(3):486-493. doi: 10.4103/ijdr.IJDR_542_18.
Disabled population accounts for 2.86 Crore of total Indian population. Among these 27.4% of population consists of children within age group of age 0 to 19 years. Studies have shown oral health status of children with special needs is lower than children without special needs. Though there are various attributing factors, access to dental care delivery and difficulties faced during dental treatment delivery are of major concern. Therefore the aim of this systematic review was set to assess the barriers faced by children with special needs during utilization of dental services; through caregiver's perception.
For this review MEDLINE, EBSCO, COCHRANE, EMBASE and Google Scholar were the electronic data bases searched based on the PICO. PRISMA guidelines were followed for final inclusion of articles.
The search generated a total of 259 articles from five different electronic bases: PUBMED, EMBASE, EBSCO, COCHRANE and GOOGLE SCHOLAR. Based on inclusion criteria, 7 articles made it to final analysis. All the 7 studies reported that dentist were unwilling to treat children with special needs as a major barrier followed by fear towards dentist by the children with special needs.
The cross sectional studies of this review were assessed for quality using a modified Newcastle Ottawa Scale, proposed by Egger et al. in 2003. Even though the available literature forms a lower standard of evidence, further evaluation of barriers are recommended using better designed studies to substantiate the in equal access to healthcare facilities by these marginalized population.
印度残疾人口占总人口的2860万。其中，27.4%的人口为0至19岁的儿童。研究表明，有特殊需求儿童的口腔健康状况低于无特殊需求的儿童。尽管存在各种影响因素，但获得牙科护理服务的机会以及在提供牙科治疗过程中面临的困难是主要关注点。因此，本系统评价的目的是通过照顾者的认知来评估有特殊需求儿童在使用牙科服务时所面临的障碍。
本次评价基于PICO在MEDLINE、EBSCO、Cochrane、EMBASE和谷歌学术等电子数据库中进行检索。遵循PRISMA指南以最终纳入文章。
从五个不同的电子数据库（PUBMED、EMBASE、EBSCO、Cochrane和谷歌学术）共检索到259篇文章。根据纳入标准，7篇文章进入最终分析。所有7项研究均报告称，牙医不愿意治疗有特殊需求的儿童是主要障碍，其次是有特殊需求的儿童对牙医的恐惧。
本评价中的横断面研究使用了Egger等人在2003年提出的改良纽卡斯尔渥太华量表进行质量评估。尽管现有文献的证据标准较低，但建议使用设计更好的研究对障碍进行进一步评估，以证实这些边缘化人群在获得医疗保健设施方面的不平等情况。
