Evidence map›Paper›PMID 28951405›Full record

ArticleBMJ open2017

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

Hermina Harnagea, Yves Couturier, Richa Shrivastava, Felix Girard, Lise Lamothe, Christophe Pierre Bedos, Elham Emami

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  7. Small teeth, big opportunities: strengthening oral health communication in early years settings.Archives of public health = Archives belges de sante publique · 2026
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hermina HarnageaSchool of Public Health, Université de Montréal, Montréal, Québec, Canada.
Yves CouturierSchool of Social Work, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Richa ShrivastavaFaculty of Dental Medicine, Université de Montréal, Montréal, Québec, Canada.
Felix GirardFaculty of Dental Medicine, Université de Montréal, Montréal, Québec, Canada.
Lise LamotheSchool of Public Health, Université de Montréal, Montréal, Québec, Canada.
Christophe Pierre BedosFaculty of Dentistry, McGill University, Montréal, Québec, Canada.
Elham EmamiSchool of Public Health, Université de Montréal, Montréal, Québec, Canada.ORCID http://orcid.org/0000-0002-7730-4139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis 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.

methodsGrounded in the Rainbow conceptual model and using the Levac

resultsFrom 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.

Indexed as

DentistryInterprofessional RelationsOral HealthClinical CompetenceContinuity of Patient CareEducation, MedicalHealth PolicyHumansInterdisciplinary PlacementLeadershipPoliticsPrimary Health CareResource Allocationhealth research servicesintegrationoral healthoral medicineprimary carepublic healthscoping review

Identifiers

PMID28951405
PMCPMC5623507

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.