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How primary health care teams perceive the integration of oral health care into their practice: A qualitative study

Recently, new models for the integration of oral health into primary care have been proposed. However, these models may be adopted by a variety of health care systems, and will reach successful outcomes only if they can be adapted to suit the local context. To this end, the objective of this study w...

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Autores principales: Harnagea, Hermina, Lamothe, Lise, Couturier, Yves, Emami, Elham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6185726/
https://www.ncbi.nlm.nih.gov/pubmed/30312338
http://dx.doi.org/10.1371/journal.pone.0205465
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author Harnagea, Hermina
Lamothe, Lise
Couturier, Yves
Emami, Elham
author_facet Harnagea, Hermina
Lamothe, Lise
Couturier, Yves
Emami, Elham
author_sort Harnagea, Hermina
collection PubMed
description Recently, new models for the integration of oral health into primary care have been proposed. However, these models may be adopted by a variety of health care systems, and will reach successful outcomes only if they can be adapted to suit the local context. To this end, the objective of this study was to explore the perceptions of Quebec primary health care teams on the integration of oral health into primary care. A qualitative approach and interpretive description methodology were used to conduct the study within a case-study design. Purposeful sampling with maximum variation and snowball technique were used for recruitment of study participants. Seventy-four in-depth, semi-structured interviews and five focus groups were conducted with primary health care teams including health care providers and managers working in a rural and an urban health care center. The interview guide and study conceptual framework were based on the Rainbow model. Data collection and data analyses were conducted concurrently and continued until saturation was achieved. To analyze the data, four phases of qualitative analysis were followed. The thematic analysis included interview debriefing, transcript coding, data display, and interpretation. Data analysis was conducted both manually and with the use of Atlas-ti software. A total of four themes emerged from the interviews and focus group discussions. These themes covered all domains of the study theoretical model and included: 1) drivers of integration; 2) importance of integration; 3) professionals’ role in integrated care; and 4) barriers and enablers of integration. In general, most of the barriers expressed by study participants were related to the organizational and system domains of integration. Primary health care teams who provide care in rural and urban areas in Quebec expressed their concerns on the absence of integrated oral health services. Implementation of governance policies, the prioritization of educational and management measures as well as inter-professional collaboration toward innovative care models could facilitate this integration.
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spelling pubmed-61857262018-10-26 How primary health care teams perceive the integration of oral health care into their practice: A qualitative study Harnagea, Hermina Lamothe, Lise Couturier, Yves Emami, Elham PLoS One Research Article Recently, new models for the integration of oral health into primary care have been proposed. However, these models may be adopted by a variety of health care systems, and will reach successful outcomes only if they can be adapted to suit the local context. To this end, the objective of this study was to explore the perceptions of Quebec primary health care teams on the integration of oral health into primary care. A qualitative approach and interpretive description methodology were used to conduct the study within a case-study design. Purposeful sampling with maximum variation and snowball technique were used for recruitment of study participants. Seventy-four in-depth, semi-structured interviews and five focus groups were conducted with primary health care teams including health care providers and managers working in a rural and an urban health care center. The interview guide and study conceptual framework were based on the Rainbow model. Data collection and data analyses were conducted concurrently and continued until saturation was achieved. To analyze the data, four phases of qualitative analysis were followed. The thematic analysis included interview debriefing, transcript coding, data display, and interpretation. Data analysis was conducted both manually and with the use of Atlas-ti software. A total of four themes emerged from the interviews and focus group discussions. These themes covered all domains of the study theoretical model and included: 1) drivers of integration; 2) importance of integration; 3) professionals’ role in integrated care; and 4) barriers and enablers of integration. In general, most of the barriers expressed by study participants were related to the organizational and system domains of integration. Primary health care teams who provide care in rural and urban areas in Quebec expressed their concerns on the absence of integrated oral health services. Implementation of governance policies, the prioritization of educational and management measures as well as inter-professional collaboration toward innovative care models could facilitate this integration. Public Library of Science 2018-10-12 /pmc/articles/PMC6185726/ /pubmed/30312338 http://dx.doi.org/10.1371/journal.pone.0205465 Text en © 2018 Harnagea et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Harnagea, Hermina
Lamothe, Lise
Couturier, Yves
Emami, Elham
How primary health care teams perceive the integration of oral health care into their practice: A qualitative study
title How primary health care teams perceive the integration of oral health care into their practice: A qualitative study
title_full How primary health care teams perceive the integration of oral health care into their practice: A qualitative study
title_fullStr How primary health care teams perceive the integration of oral health care into their practice: A qualitative study
title_full_unstemmed How primary health care teams perceive the integration of oral health care into their practice: A qualitative study
title_short How primary health care teams perceive the integration of oral health care into their practice: A qualitative study
title_sort how primary health care teams perceive the integration of oral health care into their practice: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6185726/
https://www.ncbi.nlm.nih.gov/pubmed/30312338
http://dx.doi.org/10.1371/journal.pone.0205465
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