{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:48:02Z","timestamp":1791874082026,"version":"4.3.4"},"reference-count":21,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Access to dental care services remains a global challenge, with millions encountering barriers that hinder their utilization, despite the recognized importance of oral health to overall well-being. The intricate relationship between oral health and general well-being highlights the severe impact of oral disorders on global economies and public health systems when access barriers exist. This study aimed to assess the perceived challenges in seeking dental care among patients at the Oral Health Directorate of Komfo Anokye Teaching Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed a mixed methods approach, combining both quantitative and qualitative research methods for 130 respondents. With the quantitative approach: it was a cross-sectional design where structured questionnaires were administered to participants and data was analyzed using SPSS IBM version 23. The qualitative approach on the other hand, utilized semi-structured interviews to explore participants\u2019 experiences, perspectives, and challenges related to accessing dental care. Data was analyzed using thematic analysis to identify key themes and patterns within the responses. The study had a response rate of 94.89%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most respondents were females (56.2%) and aged 25\u201334 (26.9%). Approximately 55.4% had encountered barriers, with cost and lack of appointment times being major concerns. Regarding challenges at the dental clinics, lengthy waits (63.2%) and dental anxiety (77.0%) were the most common concerns. Gender and marital status were the only demographic characteristics which were statistically significantly associated with quality of care sought. Gender had a p-value of 0.00, indicating strong evidence of an association, while marital status had a p-value of 0.055, suggesting moderate evidence of an association. Marital status and education were found to be statistically significantly associated with perceived treatment-seeking behaviours, with p-values of 0.012 and 0.009 respectively. Postponement of dental care results in deteriorating oral health, higher expenses, and emotional strain for patients. The study identified long wait times, unclear communication, and financial barriers as key challenges. Patients proposed solutions including streamlined appointments, jargon-free explanations, and more affordable care options to improve dental experiences and accessibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over half of respondents faced obstacles like cost and limited appointment availability. Patients also encountered challenges during dental visits, such as anxiety and long wait times. Demographics like gender, marital status, and education were linked to treatment-seeking behavior, suggesting potential disparities in access and utilization. Overall, the study highlights the complex interplay between socio-demographic factors, perceived barriers, patient experiences, and suggestions for enhancing dental care accessibility and quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0325136","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T13:45:34Z","timestamp":1748871934000},"page":"e0325136","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Patients perceived challenges in seeking dental care in Komfo Anokye Teaching Hospital"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2191-2494","authenticated-orcid":true,"given":"Kwame Adu","family":"Okyere Boadu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Okyere Boadu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther Priscilla Biamah","family":"Danquah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Atuahene","family":"Oti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Billy","family":"Owusu Quarshie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana Bempong","family":"Owusu-Ankomah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0547-1790","authenticated-orcid":true,"given":"Moses Yeboah","family":"Addo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"pone.0325136.ref001","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1146\/annurev-publhealth-040119-094318","article-title":"Disparities in Access to Oral Health Care","volume":"41","author":"ME Northridge","year":"2020","journal-title":"Annu Rev Public Health"},{"issue":"5","key":"pone.0325136.ref002","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/0022034517750572","article-title":"Global-, Regional-, and Country-Level Economic Impacts of Dental Diseases in 2015","volume":"97","author":"AJ Righolt","year":"2018","journal-title":"J Dent Res"},{"key":"pone.0325136.ref003","doi-asserted-by":"crossref","first-page":"575428","DOI":"10.3389\/froh.2020.575428","article-title":"Challenges in Oral Hygiene and Oral Health Policy","volume":"1","author":"D Duangthip","year":"2020","journal-title":"Front Oral Health"},{"issue":"7","key":"pone.0325136.ref004","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1177\/0022034513490168","article-title":"Global burden of oral conditions in 1990-2010: a systematic analysis","volume":"92","author":"W Marcenes","year":"2013","journal-title":"J Dent Res"},{"issue":"11","key":"pone.0325136.ref005","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1177\/0022034514552491","article-title":"Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression","volume":"93","author":"NJ Kassebaum","year":"2014","journal-title":"J Dent Res"},{"key":"pone.0325136.ref006","doi-asserted-by":"crossref","first-page":"54","DOI":"10.25259\/JGOH_1_2020","article-title":"Barriers to access dental care services among adult population: A systematic review","volume":"3","author":"L Krishnan","year":"2020","journal-title":"JGOH"},{"issue":"1","key":"pone.0325136.ref007","doi-asserted-by":"crossref","first-page":"103","DOI":"10.21608\/asalexu.2018.207750","article-title":"Barriers Affecting the Utilization of Dental Health Services among Community Dwelling Older Adults","volume":"20","author":"N Saleh","year":"2018","journal-title":"Alexandria Scientific Nursing Journal"},{"issue":"8","key":"pone.0325136.ref008","doi-asserted-by":"crossref","first-page":"655","DOI":"10.5812\/ircmj.11810","article-title":"Perceived Barriers Affecting Access to Preventive Dental Services: Application of DEMATEL Method","volume":"15","author":"M Bahadori","year":"2013","journal-title":"Iran Red Crescent Med J"},{"issue":"3","key":"pone.0325136.ref009","first-page":"87","article-title":"Barriers to seeking dental treatments","volume":"12","author":"G Asthana","year":"2021","journal-title":"Journal Title Abbreviation"},{"key":"pone.0325136.ref010","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1472-6831-8-7","article-title":"Minimising barriers to dental care in older people","volume":"8","author":"E Borreani","year":"2008","journal-title":"BMC Oral Health"},{"issue":"4","key":"pone.0325136.ref011","first-page":"507","article-title":"Barriers to oral health care utilization in Ibadan, South West Nigeria","volume":"2013","author":"D Ajayi","year":"2013","journal-title":"Afr Health Sci"},{"issue":"2","key":"pone.0325136.ref012","doi-asserted-by":"crossref","first-page":"152","DOI":"10.4103\/2319-5932.159052","article-title":"Perceived barriers in accessing dental care among patients attending dental institute using decision-making trial and evaluation laboratory method","volume":"13","author":"R Malhi","year":"2015","journal-title":"J Indian Assoc Public Health Dent"},{"key":"pone.0325136.ref013","doi-asserted-by":"crossref","unstructured":"Damilare KA, Abass D, Antwi-Agyei D, Osei-Owusu F, Ahenkan E, Boadu KAO, Boadu RO. Patients Perceived Knowledge, Attitude, and Practice of Dental Abscess Management in Periurban District, Ghana. 2022.","DOI":"10.1155\/2022\/2266347"},{"issue":"1","key":"pone.0325136.ref014","doi-asserted-by":"crossref","first-page":"103","DOI":"10.21608\/asalexu.2018.207750","article-title":"Barriers Affecting the Utilization of Dental Health Services among Community Dwelling Older Adults","volume":"20","author":"N Saleh","year":"2018","journal-title":"Alexandria Scientific Nursing Journal"},{"issue":"4","key":"pone.0325136.ref015","first-page":"401","article-title":"Cost as a Barrier to Access Dental Healthcare in Saudi Patients","volume":"2","author":"A Al-jabr","year":"2018","journal-title":"Oral Health and Dentistry"},{"issue":"4","key":"pone.0325136.ref016","first-page":"231","article-title":"Listening to older adults: community consultation on a new dental service","volume":"32","author":"K Chideka","year":"2015","journal-title":"Community Dent Health"},{"issue":"4","key":"pone.0325136.ref017","doi-asserted-by":"crossref","first-page":"451","DOI":"10.4103\/2319-5932.195844","article-title":"Utilization of dental health-care services and its barriers among the patients visiting community health centers in Nellore District, Andhra Pradesh: A cross-sectional, questionnaire study","volume":"14","author":"P Nagarjuna","year":"2016","journal-title":"J Indian Assoc Public Health Dent"},{"key":"pone.0325136.ref018","first-page":"33","article-title":"Barriers in utilization of oral health care services among patients attending primary and community health centres in Virajpet, South Karnataka","volume":"1","author":"V Jain","year":"2013","journal-title":"Natl J Med Dent Res"},{"issue":"3","key":"pone.0325136.ref019","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1038\/vital1192","article-title":"Confidentiality in practice; knowing when to keep a secret","volume":"7","author":"MG Brennan","year":"2010","journal-title":"Vital"},{"issue":"27","key":"pone.0325136.ref020","first-page":"15","article-title":"Patients\u2019 perceptions about dentists: a literature review","volume":"18","author":"RB Henr\u00edquez-Tejo","year":"2016","journal-title":"Odontoestomatol"},{"key":"pone.0325136.ref021","unstructured":"Ashraf S. Self reported oral Health and Oral Health Practices among Bangladeshi Immigrants In, Norway University of Oslo, The Faculty of Medicine Institute of Health and Society Department of Community Medicine 2017."}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0325136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T13:45:40Z","timestamp":1748871940000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0325136"}},"subtitle":[],"editor":[{"given":"Aline","family":"Castilho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":21,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,2]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0325136","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,2]]}}}