Satisfaction with Dental Case Management Among People Living with HIV/AIDS
We evaluated access to and satisfaction with dental services for people living with HIV/AIDS receiving services from a dental case manager (DCM). People living with HIV/AIDS who had received dental services at two Community Dental Centers on Cape Cod, Massachusetts were eligible to participate in a mailed, anonymous return, Dental Satisfaction Survey (N = 160). Overall, respondents were satisfied with the dental care they had received. Most patients (58%) were new to the practice and were more likely to report that they had not been seen by a dental provider for more than 12 months (OR 3.0, P = 0.044). The majority of respondents reported that they heard about the clinic from local agencies. Of respondents recognizing they had a DCM, almost all answered that their DCM had helped them receive the care they needed. Respondents who agreed that they sometimes avoided going to the dentist due to pain were significantly more likely to report that they had a dental case manager than patients who disagreed (OR 3.42, P = 0.027). When patients were asked how their DCM had helped them, themes identified included: assisting with access to dental care, conducting a needs assessment, and providing comfort. People living with HIV/AIDS often have unmet needs regarding dental care. The addition of the DCM to the dental facility appears to facilitate access to dental care for those connected to medical care through community outreach/partnerships and provides some respondents with an identified dental advocate.
KeywordsDental case management HIV/AIDS Survey
The authors would like to acknowledge the assistance of Rebecca Kuklinski and Suzanne North in the implementation of the survey used in this study. The first author would also like to thank her MPH Project Committee members, J. Lee Hargraves, PhD and Suzanne B. Cashman, ScD, for their contribution to this project. This study was funded by Health Resources and Service Administration, Special Projects of National Significance.
- 1.U.S. Department of Health and Human Services. (2000). Oral health in America: A report of the surgeon general-executive summary (pp. 1–13). Rockville, MD: US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health.Google Scholar
- 2.Beinecke R, Matava S, Rivers N, Awunti N. (2004). Voices of Experience 2003 Data Book. Suffolk University Center for Public Management, pp. 1–30.Google Scholar
- 3.Rand Health Research Highlights. (2005). Do people with HIV get the dental care they need: Results of a HCSUS Study, pp. 1–5.Google Scholar
- 6.Heslin, K. C., Cunningham, W. E., Marcus, M., Coulter, I., Freed, J., Der-Martirosian, C., et al. (2001). A comparison of unmet needs for dental and medical care among persons with HIV infection receiving care in the United States. Journal of Public Health Dentistry, 61(1), 14–21.CrossRefPubMedGoogle Scholar
- 7.National Institute of Dental and Craniofacial Research. (2007). Mouth problems and HIV. Available at: www.nidcr.nih.gov/NR/rdonlyres/D8E70B65-6F27-46BC-8043-30C309508B5F/0/MouthProblemsAndHIV.pdf. Accessed February 10, 2009.
- 9.Katz, M. H., Cunningham, W. E., Fleishman, J. A., Anderson, R. M., Kellogg, T., Bozzette, S. A., et al. (2001). Effect of case management on unmet needs and utilization of medical care and medications among HIV-infected persons. Annals of Internal Medicine, 16(135), 557–565.Google Scholar
- 12.Kushel, M. B., Colfax, G., Ragland, K., Heineman, A., Palacio, H., & Bangsberg, D. R. (2006). Case management is associated with improved anti retroviral adherence and CD4+ cell counts in homeless and marginally housed individuals with HIV infection. Clinical Infectious Diseases, 43(2), 234–242.CrossRefPubMedGoogle Scholar
- 13.Dillman, D. A. (2007). Mail and internet surveys: The tailored design method (2nd ed., pp. 3–194). Hoboken, NJ: John Wiley.Google Scholar
- 14.Agency for Healthcare Research and Quality. (2007). CAHPS dental plan survey. Rockville, MD. https://www.cahps.ahrq.gov/content/products/Dental/CAHPS_Dental_Plan_Survey_1-30.html. Accessed June 16, 2007.
- 15.American University of Sharjah. University Health Center. Customer satisfaction questionnaire. www.aus.edu/admin/forms/docs/UHC%20%20Medical%20Clinic%20Customer%20Satisfaction%20-%20FA-UHC-039.pdf. Accessed June 16, 2007.
- 16.Samera Limited. (2007). Customer service survey. http://www.samera.co.uk/pdf_files/Customer%20 satisfaction%20questionnaire.pdf. Accessed June 16, 2007.
- 17.LoBiondo-Wood, G., & Haber, J. (2002). Nursing research: Methods, critical appraisal, and utilization (5th ed., pp. 73–85). St. Louis, MO: Mosby.Google Scholar
- 18.Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw Hill.Google Scholar
- 19.Aday, L. A., & Cornelius, L. J. (2006). Designing and conduction of health surveys: A comprehensive guide (3rd ed., pp. 43–65). San Francisco: Jossey-Bass.Google Scholar