Question · asked by 1 review
Strategies to integrate oral health into primary care (e.g., training/education of non-dental primary care professionals, policy/financing and health-insurance changes, colocation of dental and medical services, interprofessional and community-health-worker collaboration, teledentistry, integrated oral health assessment tools, school-based activities) vs No integration / usual care (or pre-integration baseline; many included studies uncontrolled): Barriers and facilitators to implementation of the integration strategy (qualitative)
- Population
- People of all ages and abilities served through primary care and related settings (children, pregnant women, older adults in aged-care/residential and nursing homes, people with disabilities, and general primary care patients)
- Intervention
- Strategies to integrate oral health into primary care (e.g., training/education of non-dental primary care professionals, policy/financing and health-insurance changes, colocation of dental and medical services, interprofessional and community-health-worker collaboration, teledentistry, integrated oral health assessment tools, school-based activities)
- Comparison
- No integration / usual care (or pre-integration baseline; many included studies uncontrolled)
- Outcome
- Barriers and facilitators to implementation of the integration strategy (qualitative)
Key barriers to implementing integration strategies were time/staff/resource constraints and lack of organisational support, while facilitators were professionals' knowledge and attitudes and supportive governance/leadership (qualitative; ungraded).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Strategies to integrate oral health into primary care (e.g., training/education of non-dental primary care professionals, policy/financing and health-insurance changes, colocation of dental and medical services, interprofessional and community-health-worker collaboration, teledentistry, integrated oral health assessment tools, school-based activities) vs No integration / usual care (or pre-integration baseline; many included studies uncontrolled) Barriers and facilitators to implementation of the integration strategy (qualitative) · People of all ages and abilities served through primary care and related settings (children, pregnant women, older… · Primary care, community, school, and aged-care/residential/nursing-home settings Key barriers to implementing integration strategies were time/staff/resource constraints and lack of organisational support, while facilitators were professionals' knowledge and attitudes and supportive governance/leadership (qualitative; ungraded). Strategies to integrate oral health into primary care: a systematic review. (2023) All outcomes | The most commonly studied qualitative outcomes were barriers and facilitators related to the strategy implementation process. Reported barriers were time and staff constraints, resource limitations and lack of… | 15 studies | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Strategies to integrate oral health into primary care: a systematic review. 2023 All outcomes | No date limits, until the third week of June 2022 | 75 | Moderate / Moderate |
Studies behind the findings
The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.
- Medical–Dental Integration in a Rural Community Health Center: A Qualitative Program Evaluation · 2021 · included by 1 of these review
- Perception and Utilization of Oral Screenings and Fluoride Application in Medical Offices Following the Michigan Caries Prevention Program… · 2021 · included by 1 of these review
- 'Don't forget the mouth!': a process evaluation of a public oral health project in community-dwelling frail older people. · 2021 · included by 1 of these review
- Evaluation of a Comprehensive Oral Health Services Program in School-Based Health Centers · 2018 · included by 1 of these review
- Elevating Oral Health Interprofessional Practice Among Pediatricians Through a Statewide Quality Improvement Learning Collaborative · 2018 · included by 1 of these review
- Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study · 2018 · included by 1 of these review
- An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study. · 2018 · included by 1 of these review
- Dental care practices and oral health training for professional caregivers in long-term care facilities: An interdisciplinary approach to… · 2017 · included by 1 of these review
- Impacting Vulnerable Populations Through Integrating Oral Health Care Into Nurse-managed Health Centers · 2016 · included by 1 of these review
- Implementing Oral Care Practices and Policy Into Long-Term Care: The Brushing up on Mouth Care Project · 2015 · included by 1 of these review
- The integration of oral health care into day‐to‐day care in nursing homes: a qualitative study · 2013 · included by 1 of these review
- Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city · 2006 · included by 1 of these review
- Lawrence 2004 · included by 1 of these review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.