Flemish-Netherlands Geriatric Oral Research Group, BENECOMO, Nijmegen, The Netherlands; Department of Oral Function and Prosthetic Dentistry, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Community Dent Oral Epidemiol. 2014 Apr;42(2):113-21. doi: 10.1111/cdoe.12068. Epub 2013 Sep 18.
To identify barriers of delivering oral health care to older people experienced by dentists.
A comprehensive literature search was carried out for studies published in the period January 1990-December 2011, using free text and MESH term search strategies for PubMed (Medline), EMBASE and CINAHL.
The initial search identified 236 potentially relevant publications: PubMed (Medline; n = 127), EMBASE (n = 108) and CINAHL (n = 1). After screening of titles and abstracts, 14 publications were revealed as relevant for further review. Seven articles, focusing on dentists delivering oral health care to older people in care homes, were suitable for this review, and seven articles did not meet the previously determined quality criteria. One of these articles also focused on barriers experienced by dentists working in their own practice and delivering oral health care to community-dwelling older people.
The most common barriers of delivering oral health care to older people were identified respectively as: the lack of adequate equipment in a care home and no area for treatment available (n = 4) and the lack of adequate reimbursement for working in a care home (n = 5). In addition, the inadequate training and experience in delivering oral health care to older care home residents (n = 2) were mentioned. Four publications indicated the loss of time from private practice as a barrier to deliver oral health care in a care home. We suggest that additional research should be initiated to investigate more in detail the barriers dentists experience in delivering oral health care to older people in their own dental practices.
确定牙医为老年人提供口腔保健服务所面临的障碍。
对 1990 年 1 月至 2011 年 12 月期间发表的研究进行了全面的文献检索，使用自由文本和 MESH 术语搜索策略搜索 PubMed（Medline）、EMBASE 和 CINAHL。
初步搜索确定了 236 篇潜在相关文献：PubMed（Medline；n=127）、EMBASE（n=108）和 CINAHL（n=1）。在筛选标题和摘要后，发现 14 篇文献与进一步审查相关。有 7 篇文章聚焦于在养老院为老年人提供口腔保健服务的牙医，适合本综述，另有 7 篇文章不符合之前确定的质量标准。其中一篇文章还关注了在自己的诊所为社区居住的老年人提供口腔保健服务的牙医所面临的障碍。
为老年人提供口腔保健服务的最常见障碍分别为：养老院缺乏足够的设备和可供治疗的区域（n=4）以及养老院工作的报酬不足（n=5）。此外，为养老院老年居民提供口腔保健服务的培训和经验不足（n=2）也被提及。有 4 篇文献表明，从私人诊所流失时间是在养老院提供口腔保健服务的障碍。我们建议开展更多的研究，以更详细地调查牙医在自己的牙科诊所为老年人提供口腔保健服务时所面临的障碍。
