Evidence map›Paper›PMID 31366663›Full record

ArticleBMJ open2019

Patients' perspectives on integrated oral healthcare in a northern Quebec Indigenous primary health care organisation: a qualitative study.

Richa Shrivastava, Yves Couturier, Naomi Kadoch, Felix Girard, Christophe Bedos, Mary Ellen Macdonald, Jill Torrie, Elham Emami

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. The Application of a Patient-Centered Care Framework in Mental Health Diversion: A Qualitative Study.International journal of offender therapy and comparative criminology · 2026
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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

8 authors.

Richa ShrivastavaFaculty of Dentistry, Université de Montréal, Montréal, Québec, Canada.
Yves CouturierSchool of Social Work, Université de Sherbrooke, Sherbrooke, Québec, Canada.
Naomi KadochFaculty of Dentistry, Université de Montréal, Montréal, Québec, Canada.
Felix GirardFaculty of Dentistry, Université de Montréal, Montréal, Québec, Canada.
Christophe BedosFaculty of Dentistry, McGill University, Montréal, Québec, Canada.
Mary Ellen MacdonaldFaculty of Dentistry, McGill University, Montréal, Québec, Canada.
Jill TorriePublic Health Department, Cree Board of Health and Social Services of James Bay, Mistissini, Québec, Canada.
Elham EmamiFaculty of Dentistry, McGill University, Montréal, Québec, Canada.

Funding

CIHR GI1-145123
6 · The paper itself

Abstract

objectivePatient-centred care is considered to be an important element in the evaluation of integrated healthcare and has been effective in addressing oral health disparities. This study explored the patients' perspectives of patient-centred integrated care in oral health services integrated into a primary healthcare organisation serving a northern Quebec Cree population.

designThis study used a multiple case study design within a qualitative approach and developmental evaluation methodology. Two theoretical models, Picker's Principles of Patient-Centred Care and Valentijn's Rainbow Model of Integrated Care, guided data collection and data analysis. The thematic analysis included transcription, debriefing, codification, data display and interpretation.

settingThis study was conducted in purposefully selected four Cree communities of Northern Quebec.

participantsAdult patients in need of oral healthcare and who attended the local dental clinic were identified and recruited by maximum variation sampling and snowball techniques. OUTCOME MEASURES: Patients' perspectives of patient-centred integrated oral healthcare.

resultsData analysis generated six major themes: enhanced accessibility, creating supportive environment, building trust through shared decision making, appreciation of public health programmes, raising oral health awareness and growing cultural humility among healthcare providers. Patients identified the integration of dental care into primary healthcare with respect to co-location, provision of free oral healthcare services, care coordination and continuity of care, referral services, developing supportive environment, shared decision making, oral health promotion and culturally competent care.

conclusionThese results confirmed that patient-centred care is an important element of integrated care. Patients valued the use of this concept in all domains and levels of integration. They recommended to further strengthen the clinical integration by involving parents in oral health promotion as well as optimising care coordination and empowering a supportive environment in organisational integration.

Indexed as

Health Services AccessibilityHealth Services, IndigenousAdultCultural CompetencyDecision Making, SharedDental CareFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient-Centered CarePrimary Health CareQuebecorganisation of health servicesprimary carequality in healthcare

Identifiers

PMID31366663
PMCPMC6677955

What OpenQuestion holds

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LicenceCC BY-NC
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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.