Evidence map›Paper›PMID 32114462›Full record

ArticleBMJ open2020

'We do not seem to engage with dentists': a qualitative study of primary healthcare staff and patients in the North East of England on the role of pharmacists in oral healthcare.

Andrew Sturrock, Philip M Preshaw, Catherine Hayes, Scott Wilkes

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Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Andrew SturrockFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK andrew.sturrock@sunderland.ac.uk.ORCID 0000-0002-3316-1412
Philip M PreshawNational University Centre for Oral Health, National University of Singapore, Singapore, Singapore.
Catherine HayesFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Scott WilkesFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the attitudes towards, and perceptions of, primary care healthcare staff and patients, regarding the role of clinical pharmacists in the provision of oral health advice and collaboration with dentists in general practice.

designInterpretivist methodology using qualitative semi-structured interviews and focus groups.

participants22 participants; 10 pharmacists; 3 general practitioners; 2 nurses; 1 practice manager; 6 patients.

settingPrimary care general medical practices in the North East of England and the University of Sunderland Patient Carer and Public Involvement group.

methodsOne-to-one semi-structured interviews were performed with primary care healthcare staff. An iterative approach using constant comparative analysis facilitated the ongoing enrichment of data; salient themes were identified using Framework Analysis and related back to extant literature. A focus group was held with patients to further explore key themes.

resultsFour salient and inter-related themes emerged: enhanced clinical roles; indicating rapidly changing roles of pharmacists working in general practice, increased responsibility and accountability of pharmacist prescribers and the delivery of advanced clinical services; limited knowledge; indicating basic understanding of appropriate oral health advice, but limited insight and provision of advice to patients with regards to links with systemic diseases and medication; geographical/situational isolation of the dental team; indicating the disparate contexts and challenges of multidisciplinary working in oral health, and patients' attitudes towards dental care; integration of oral health advice; indicating the potential of pharmacists to integrate oral health advice into current roles and to target specific patient groups in practice.

conclusionsThe lack of integration between oral and general healthcare services potentially impacts negatively on patient care, requiring further interprofessional oral health education. The developing role of the pharmacist in general practice represents an opportunity to integrate oral health advice and/or interventions into the management of patients in this setting.

Indexed as

DentistsInterprofessional RelationsPharmacistsPrimary Health CareProfessional RoleAgedAttitude of Health PersonnelEnglandFemaleHumansMaleMiddle AgedOral HealthQualitative Researchorganisation of health servicesprimary carequalitative research

Identifiers

PMID32114462
PMCPMC7050309

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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.