7 research outputs found
Patient satisfaction with E-Oral Health care in rural and remote settings: a systematic review protocol
BACKGROUND: Individuals living in rural and remote settings face oral health
problems and access-to-care barriers due to the shortage of oral health care
providers in these areas, geographic remoteness, lack of appropriate
infrastructure and lower socio-economic status. E-Oral Health technology could
mitigate these barriers by providing the delivery of some aspects of health care
and exchange of information across geographic distances. This review will
systematically evaluate the literature on patient satisfaction with received
E-Oral Health care in rural and remote communities. METHODS: This systematic
review will include interventional and observational studies in which E-Oral
Health technology is used as an intervention in rural and remote communities of
any country worldwide. Conventional oral health care will be used as a comparator
when provided. Patient satisfaction with received E-Oral Health care will be
considered as a primary outcome for this review. Cochrane Central Register of
Controlled Trials, MEDLINE, EMBASE and Global Health will be searched using a
comprehensive search strategy. Two review authors will independently screen
results to identify potentially eligible studies and independently extract the
data from the included studies. A third author will resolve any discrepancies
between reviewers. Two independent researchers will assess the risk of bias and
the Grading of Recommendations Assessment, Development, and Evaluation.
DISCUSSION: The potential implications and benefits of E-Oral Health care can
inform policymakers and health care professionals to take advantage of this
technology to address health care challenges in these areas
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 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
Integration of oral health into primary care : a scoping review protocol
Integrated care has been introduced as a means of improving health outcomes and access to care, and reducing the cost of healthcare. Despite its importance, the integration of oral health into primary care is still an emerging healthcare pathway. This scoping review protocol has been developed and funded by the Canadian Institutes of Health Research to provide an evidence-based synthesis on a primary oral healthcare approach and its effectiveness in improving oral health outcomes
Accident Damage Analysis Module (ADAM) – Technical Guidance, Software tool for Consequence Analysis calculations
This report provides a technical description of the modelling and assumptions of the Accident Damage Analysis Module (ADAM) software application, which has been recently developed by the Joint Research Centre (JRC) of the European Commission (EC) to assess physical effects of an industrial accident resulting from an unintended release of a dangerous substanceJRC.E.2-Technology Innovation in Securit
From theoretical concepts to policies and applied programmes: the landscape of integration of oral health in primary care
Background: Despite its importance, the integration of oral health into primary care is still an emerging practice in
the field of health care services. This scoping review aims to map the literature and provide a summary on the
conceptual frameworks, policies and programs related to this concept.
Methods: Using the Levac et al. six-stage framework, we performed a systematic search of electronic databases,
organizational websites and grey literature from 1978 to April 2016. All relevant original publications with a focus
on the integration of oral health into primary care were retrieved. Content analyses were performed to synthesize
the results.
Results: From a total of 1619 citations, 67 publications were included in the review. Two conceptual
frameworks were identified. Policies regarding oral heath integration into primary care were mostly oriented
toward common risk factors approach and care coordination processes. In general, oral health integrated care
programs were designed in the public health sector and based on partnerships with various private and
public health organizations, governmental bodies and academic institutions. These programmes used various
strategies to empower oral health integrated care, including building interdisciplinary networks, training nondental
care providers, oral health champion modelling, enabling care linkages and care coordinated process,
as well as the use of e-health technologies. The majority of studies on the programs outcomes were
descriptive in nature without reporting long-term outcomes.
Conclusions: This scoping review provided a comprehensive overview on the concept of integration of oral
health in primary care. The findings identified major gaps in reported programs outcomes mainly because of
the lack of related research. However, the results could be considered as a first step in the development of
health care policies that support collaborative practices and patient-centred care in the field of primary care
sector
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 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