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Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

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  • Ina Nitschke

    (Clinic for Prosthetic Dentistry and Dental Materials Science, Leipzig University Medical Center, 04103 Leipzig, Germany
    Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland)

  • Sebastian Hahnel

    (Clinic for Prosthetic Dentistry and Dental Materials Science, Leipzig University Medical Center, 04103 Leipzig, Germany)

  • Julia Jockusch

    (Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland)

Abstract

The aim is to analyze protective and modifying factors (e.g., vulnerability, resilience, sense of coherence) in relation to the utilization of dental services by seniors at different levels of the healthcare system. Terminological imprecision in the use and transfer of existing terms (sense of coherence, resilience, salutogenesis) to gerodontology is clarified. Factors influencing a reduced utilization (static/dynamic factors) can occur isolated or in combination and, thus, model the risk of a reduced utilization of dental services (influencing-factor mechanism). Protective factors of utilization include patient-specific factors for self-motivation and factors that promote oral-health-related resilience. Resistance forces that counteract can be identified as oral-health-related resilience factors. Achieving social and individual appreciation and establishing a prevention-oriented approach to utilization will be increasingly challenging, since the population is becoming older and access is not equal in terms of opportunity. Resistance forces need to be strengthened in an ethical context. Studies should increasingly present resilience processes, determinants and modes of action at the various interfaces in the healthcare system, which can ensure sustainable medical care in old age. The concepts conveyed here are generally valid and able to point out inequalities and ageism in access to dental services.

Suggested Citation

  • Ina Nitschke & Sebastian Hahnel & Julia Jockusch, 2021. "Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence," IJERPH, MDPI, vol. 18(4), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:2048-:d:502278
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    References listed on IDEAS

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    1. repec:mpr:mprres:7567 is not listed on IDEAS
    2. Wu, B. & Plassman, B.L. & Liang, J. & Wei, L., 2007. "Cognitive function and dental care utilization among community-dwelling older adults," American Journal of Public Health, American Public Health Association, vol. 97(12), pages 2216-2221.
    3. Richard J. Manski & John Moeller & Haiyan Chen & Patricia A. St. Clair & Jody Schimmel & Larry Magder & John V. Pepper, 2010. "Dental Care Utilization and Retirement," Mathematica Policy Research Reports fa439a2a59a74865ad132b2ad, Mathematica Policy Research.
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    Citations

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    Cited by:

    1. Ina Nitschke & Richard von Chlingensperg & Annett Schrock & Werner Hopfenmüller & Julia Jockusch, 2022. "What Counts for the Old and Oldest Old?—An Analysis of Patient Criteria for Choosing a Dentist—Part I: Awareness and Selection Criteria, Infrastructure, and Dental Office Equipment," IJERPH, MDPI, vol. 19(14), pages 1-15, July.
    2. Jonas Czwikla & Alexandra Herzberg & Sonja Kapp & Stephan Kloep & Heinz Rothgang & Ina Nitschke & Cornelius Haffner & Falk Hoffmann, 2021. "Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(17), pages 1-13, September.
    3. Ina Nitschke & Siri Nitschke & Cornelius Haffner & Bernhard A. J. Sobotta & Julia Jockusch, 2022. "On the Necessity of a Geriatric Oral Health Care Transition Model: Towards an Inclusive and Resource-Oriented Transition Process," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    4. Ina Nitschke & Thomas Ulbrich & Annett Schrock & Werner Hopfenmüller & Julia Jockusch, 2022. "What Counts for the Old and Oldest Old?—An Analysis of Patient Criteria for Choosing a Dentist—Part II: Personal Characteristics and Soft Skills," IJERPH, MDPI, vol. 19(14), pages 1-11, July.
    5. Daria Madunic & Lidia Gavic & Ivan Kovacic & Neven Vidovic & Jasen Vladislavic & Antonija Tadin, 2021. "Dentists’ Opinions in Providing Oral Healthcare to Elderly People: A Questionnaire-Based Online Cross-Sectional Survey," IJERPH, MDPI, vol. 18(6), pages 1-12, March.

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