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Best practice models for dental care delivery for people experiencing homelessness
Stefan Serban1, Natalie Bradley2, Ben Atkins3
1School of Dentistry, Faculty of Medicine and Health, University of Leeds, UK; Public Health Directorate, NHS England North West Region, Manchester, UK; School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, United Kingdom. Stefan.Serban@glasgow.ac.uk.
Abstract:
People experiencing homelessness have been encountering significant barriers in accessing healthcare services, including dental care services. There are several definitions for homelessness: it includes people sleeping rough but also people living in temporary accommodation. These categories are dynamic and individuals often find themselves on a continuum oscillating between sleeping rough and living in temporary accommodation. Their health-seeking behaviours are shaped by their living arrangements; therefore, one single model of dental care service delivery might not capture the needs of all those experiencing homelessness within an area. The service models presented in this paper are based on primary care delivery, mobile dental units and community clinics. Each of these models presents advantages and disadvantages and consideration should be given to delivering these on a complementary basis to maximise access to dental care, regardless of where patients are on the continuum between sleeping rough and living in temporary accommodation.
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