ArticleGerodontology2021
Barriers and Facilitators to integrate Oral Health care for Older Adults in General (Basic) Care in East Netherlands. Part 2 Functional Integration.
Article in Gerodontology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
The trial behind it
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Self-Reported Items That Predict the Risk of Oral Health Deterioration and the Need for Dental Referral in Older People: A Systematic Review.Gerodontology · 2025Pooled it
- Pharmacists' role in recognising medication-related oral health risks in aged care: a qualitative study of pharmacists' and dentists' perspectives.International journal of clinical pharmacy · 2026Article
- Longitudinal associations between oral and general health indicators among nursing home residents: an open cohort study based on interRAI assessments.European geriatric medicine · 2026Article
- Bedside Intraoral Scanning to Reduce Procedural Burden in Older Adults With Dementia: Nonrandomized Counterbalanced Crossover Feasibility Study.JMIR formative research · 2026Article
- Developing a Multilayer Framework for Integrating Oral Health into General Health: A Scoping Review from Oral Healthcare Workers' Perspectives.Healthcare (Basel, Switzerland) · 2026Review
- Interdisciplinary Strategies for Improving Oral Health in Older Adults: A Comprehensive Review.Geriatrics (Basel, Switzerland) · 2026Review
- Oral Health Care for Institutionalized Elderly in Romania: Needs, Barriers, and Legislative Gaps.Dentistry journal · 2025Article
- Interprofessional collaboration on oral health for frail home-dwelling older people: a focus group study on needs and barriers experienced by general practitioners and community pharmacists.BMC primary care · 2025Article
- Integrating Dental Professionals Into Aged Care With Focus on Australia: A Scoping Review.Gerodontology · 2025Article
- Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany.BMC oral health · 2024Article
- Nursing home residents' perspectives on oral health: An in-depth interview study.International journal of nursing studies advances · 2024Article
- Article
- Evaluation of a co-designed educational e-resource about oral health for community nurses: study protocol.BMC nursing · 2023Article
- Barriers and Facilitators to integrate Oral Health care for Older Adults in General (Basic) Care in East Netherlands. Part 2 Functional Integration.Gerodontology · 2021Article
- Response: Beyond Oral Hygiene: Medication Burden, Oral Function, and Dysphagia in Alzheimer's Disease.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveto synthesise a framework of barriers and facilitators in the functional integration of oral health care (OHC) into general health care for frail older adults at macro (system), meso (organisation and interprofessional integration) and micro (clinical practice) levels.
backgroundIdentification of these barriers and facilitators is expected to promote better and more appropriate care.
methodsFor this qualitative study, comprising 41 participants, representatives of 10 different groups of (professional) care providers, and OHC receivers (home-dwelling and nursing-home patients) were interviewed. Transcripts of the in-depth, topic-guided interviews were thematically analysed. In a subsequent workshop with 52 stakeholders, results and interpretations were discussed and refined.
resultsTwo themes were identified: (1) compartmentalised care systems and (2) poor interprofessional and communication infrastructure. Barriers related to (1) included lack of integrative policies and compartmentalised healthcare education (macro level); poor embedding of OHC in care procedures, instruments and guidelines (meso level); and poor interprofessional skills (micro level). Barriers related to (2) included poor financial incentives for collaborative practices (macro level) and badly connected ICT systems (meso level). Identified facilitators included integration of an OHC professional into care teams, and interdisciplinary consultations (meso level); and integration of OHC in individual care plans (micro level).
conclusionIn The Netherlands, OHC for older people is at best poorly integrated into general care practices. Barriers and facilitators are interconnected across macro-, meso- and micro levels and between normative and functional domains and are mainly related to compartmentalisation at all levels and to poor interprofessional and communication infrastructure.
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Registered trials
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