Harnagea Hermina, Lamothe Lise, Couturier Yves, Esfandiari Shahrokh, Voyer René, Charbonneau Anne, Emami Elham
School of Public Health, Public Health Research Institute, Université de Montréal , Montréal, Québec, H3N 1X7, Canada.
School of Social Work, Université de Sherbrooke, Sherbrooke, Québec, J1H 4C4, Canada.
BMC Oral Health. 2018 Feb 15;18(1):23. doi: 10.1186/s12903-018-0484-8.
Despite its importance, the integration of oral health into primary care is still an emerging practice in the field of health care services. This scoping review aims to map the literature and provide a summary on the conceptual frameworks, policies and programs related to this concept.
Using the Levac et al. six-stage framework, we performed a systematic search of electronic databases, organizational websites and grey literature from 1978 to April 2016. All relevant original publications with a focus on the integration of oral health into primary care were retrieved. Content analyses were performed to synthesize the results.
From a total of 1619 citations, 67 publications were included in the review. Two conceptual frameworks were identified. Policies regarding oral heath integration into primary care were mostly oriented toward common risk factors approach and care coordination processes. In general, oral health integrated care programs were designed in the public health sector and based on partnerships with various private and public health organizations, governmental bodies and academic institutions. These programmes used various strategies to empower oral health integrated care, including building interdisciplinary networks, training non-dental care providers, oral health champion modelling, enabling care linkages and care coordinated process, as well as the use of e-health technologies. The majority of studies on the programs outcomes were descriptive in nature without reporting long-term outcomes.
This scoping review provided a comprehensive overview on the concept of integration of oral health in primary care. The findings identified major gaps in reported programs outcomes mainly because of the lack of related research. However, the results could be considered as a first step in the development of health care policies that support collaborative practices and patient-centred care in the field of primary care sector.
尽管口腔健康融入初级保健至关重要，但在医疗服务领域，这仍是一种新兴做法。本范围综述旨在梳理文献，并就与该概念相关的概念框架、政策和项目提供总结。
我们采用莱瓦克等人的六阶段框架，对1978年至2016年4月的电子数据库、组织网站和灰色文献进行了系统检索。检索了所有关注口腔健康融入初级保健的相关原始出版物。进行了内容分析以综合结果。
在总共1619条引文中，有67篇出版物纳入本综述。确定了两个概念框架。将口腔健康融入初级保健的政策大多以共同风险因素方法和护理协调流程为导向。一般而言，口腔健康综合护理项目是在公共卫生部门设计的，基于与各种私立和公立卫生组织、政府机构及学术机构的合作。这些项目采用了各种策略来加强口腔健康综合护理，包括建立跨学科网络、培训非牙科护理提供者、树立口腔健康倡导者典范、实现护理联系和护理协调流程，以及使用电子健康技术。关于项目成果的大多数研究本质上是描述性的，未报告长期成果。
本范围综述全面概述了口腔健康融入初级保健的概念。研究结果指出了所报告项目成果中的主要差距，主要原因是缺乏相关研究。然而，这些结果可被视为制定支持初级保健领域协作实践和以患者为中心护理的医疗政策的第一步。
