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Barriers and facilitators in the integration of oral health into primary care: a scoping review

OBJECTIVE: This scoping study has been conducted to map the literature and provide a descriptive synthesis on the barriers and facilitators of the integration of oral health into primary care. METHODS: Grounded in the Rainbow conceptual model and using the Levac et al six-stage framework, we perform...

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Autores principales: Harnagea, Hermina, Couturier, Yves, Shrivastava, Richa, Girard, Felix, Lamothe, Lise, Bedos, Christophe Pierre, Emami, Elham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5623507/
https://www.ncbi.nlm.nih.gov/pubmed/28951405
http://dx.doi.org/10.1136/bmjopen-2017-016078
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author Harnagea, Hermina
Couturier, Yves
Shrivastava, Richa
Girard, Felix
Lamothe, Lise
Bedos, Christophe Pierre
Emami, Elham
author_facet Harnagea, Hermina
Couturier, Yves
Shrivastava, Richa
Girard, Felix
Lamothe, Lise
Bedos, Christophe Pierre
Emami, Elham
author_sort Harnagea, Hermina
collection PubMed
description OBJECTIVE: This scoping study has been conducted to map the literature and provide a descriptive synthesis on the barriers and facilitators of the integration of oral health into primary care. METHODS: Grounded in the Rainbow conceptual model and using the Levac et al six-stage framework, we performed a systematic search of electronic databases, organisational websites and grey literature from 1978 to April 2016. All publications with a focus on the integration of oral health into primary care were included except commentaries and editorials. Thematic analyses were performed to synthesise the results. RESULTS: From a total of 1619 citations, 58 publications were included in the review. Barrier-related themes included: lack of political leadership and healthcare policies; implementation challenges; discipline-oriented education; lack of continuity of care and services and patients’ oral healthcare needs. The facilitators of integration were supportive policies and resources allocation, interdisciplinary education, collaborative practices between dental and other healthcare professionals, presence of local strategic leaders and geographical proximity. DISCUSSION AND PUBLIC HEALTH IMPLICATIONS: This work has advanced the knowledge on the barriers and facilitators at each integration domain and level, which may be helpful if the healthcare organisations decide to integrate oral health and dental services into primary care. The scoping review findings could be useful for both dental and medical workforce and allied primary healthcare providers. They could also guide the development of healthcare policies that support collaborative practices and patient-centred care in the field of primary care.
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spelling pubmed-56235072017-10-10 Barriers and facilitators in the integration of oral health into primary care: a scoping review Harnagea, Hermina Couturier, Yves Shrivastava, Richa Girard, Felix Lamothe, Lise Bedos, Christophe Pierre Emami, Elham BMJ Open Dentistry and Oral Medicine OBJECTIVE: This scoping study has been conducted to map the literature and provide a descriptive synthesis on the barriers and facilitators of the integration of oral health into primary care. METHODS: Grounded in the Rainbow conceptual model and using the Levac et al six-stage framework, we performed a systematic search of electronic databases, organisational websites and grey literature from 1978 to April 2016. All publications with a focus on the integration of oral health into primary care were included except commentaries and editorials. Thematic analyses were performed to synthesise the results. RESULTS: From a total of 1619 citations, 58 publications were included in the review. Barrier-related themes included: lack of political leadership and healthcare policies; implementation challenges; discipline-oriented education; lack of continuity of care and services and patients’ oral healthcare needs. The facilitators of integration were supportive policies and resources allocation, interdisciplinary education, collaborative practices between dental and other healthcare professionals, presence of local strategic leaders and geographical proximity. DISCUSSION AND PUBLIC HEALTH IMPLICATIONS: This work has advanced the knowledge on the barriers and facilitators at each integration domain and level, which may be helpful if the healthcare organisations decide to integrate oral health and dental services into primary care. The scoping review findings could be useful for both dental and medical workforce and allied primary healthcare providers. They could also guide the development of healthcare policies that support collaborative practices and patient-centred care in the field of primary care. BMJ Publishing Group 2017-09-25 /pmc/articles/PMC5623507/ /pubmed/28951405 http://dx.doi.org/10.1136/bmjopen-2017-016078 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Dentistry and Oral Medicine
Harnagea, Hermina
Couturier, Yves
Shrivastava, Richa
Girard, Felix
Lamothe, Lise
Bedos, Christophe Pierre
Emami, Elham
Barriers and facilitators in the integration of oral health into primary care: a scoping review
title Barriers and facilitators in the integration of oral health into primary care: a scoping review
title_full Barriers and facilitators in the integration of oral health into primary care: a scoping review
title_fullStr Barriers and facilitators in the integration of oral health into primary care: a scoping review
title_full_unstemmed Barriers and facilitators in the integration of oral health into primary care: a scoping review
title_short Barriers and facilitators in the integration of oral health into primary care: a scoping review
title_sort barriers and facilitators in the integration of oral health into primary care: a scoping review
topic Dentistry and Oral Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5623507/
https://www.ncbi.nlm.nih.gov/pubmed/28951405
http://dx.doi.org/10.1136/bmjopen-2017-016078
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