Barriers to the Accessibility of Emergency Pediatric Dental Care Services during the COVID-19 Pandemic: A Qualitative Study in Mashhad, Iran.

Abstract

Objectives: The aim of this study was to investigate barriers to the accessibility of emergency pediatric dental care services during the coronavirus disease 2019 (COVID-19) pandemic from the viewpoint of parents in Mashhad, Iran. Materials and Methods: A qualitative study was conducted on a purposive sample of parents seeking emergency dental care for their children during the COVID-19 pandemic. Data were collected through semi-structured face-to-face interviews. The participants were asked, "Were there any barriers encountered when seeking emergency dental care for your child during the COVID-19 pandemic?". If any barrier was faced, the parents were asked to explain about it. All interviews were recorded and transcribed verbatim. The thematic content analysis of the transcripts began after the first interview, and the interviews and analysis process continued until data saturation was achieved. Results: In total, 26 parents were interviewed. The thematic content analysis of the transcripts led to the recognition of three main categories of barriers: "fear of COVID-19", "financial constraints", and "dentists' less occupational activity". "fear of COVID-19" had two subcategories: "fear of contracting COVID-19" and "fear of transmitting COVID-19 to others". "financial constraints" also had two subcategories: "increased costs" and "decreased income". Conclusion: From the viewpoint of parents seeking emergency dental care for their children in Mashhad, Iran, there were various barriers to the accessibility of emergency pediatric dental care services during the COVID-19 pandemic. The barriers were not limited to the fear of COVID-19 and were partly outside the control of dentists and parents.