Alholimie Yahya S, Almutairi Diaa, Alhasan Hussain Ali, Alkhamis Ali Abdalwhab
Dental Department, Prince Saud Bin Jalawy Hospital, Saudi Ministry of Health, The Eastern Region, Al-Ahsa, Saudi Arabia.
Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia.
Spec Care Dentist. 2025 Mar-Apr;45(2):e70027. doi: 10.1111/scd.70027.
Policymakers should consider the preventive measures provided to children with special health care needs (CSHCN) to reduce inequalities in dental treatment measures. This scoping review aimed to develop a conceptual framework regarding preventive measures and barriers to implementing them to find the gap in knowledge and the lack of a comprehensive framework of studies published in this area.
In this review, nine steps for scoping review were employed. Five electronic databases were searched: PubMed/Medline, EMBASE, Scopus, Web of Science, and EBSCO Host from January 2014 to January 2024. Thematic analysis was developed with the help of data extracted from the included articles, which were divided into categories. Finally, a litmap and conceptual map were developed according to the JBI manual for evidence synthesis.
After analyzing 129 articles that fulfilled inclusion criteria, 44 were included. Four main categories were identified, which were further divided into 19 subthemes. The four main categories were Interventional measures, perspectives of dentists and caregivers, barriers and unmet treatment needs, and Governmental policies. According to these themes, a conceptual map was developed to assess the needs of CSHCN that can help develop preventive measure policies. These policies can eventually help service providers develop proper treatment measures for these vulnerable groups.
This scoping review concludes that there is a need for an assessment of treatment needs for CSHCN, which can help develop policies. By analyzing parents' and dentists' perceptions, policymakers can make a policy to support these vulnerable children's oral health care needs. This approach will eventually reduce the barrier and inequality in oral health preventive services provided to CSHCN.
政策制定者应考虑为有特殊医疗保健需求的儿童（CSHCN）提供预防措施，以减少牙科治疗措施方面的不平等。本范围综述旨在建立一个关于预防措施及其实施障碍的概念框架，以找出该领域知识的差距以及缺乏全面的研究框架的问题。
在本综述中，采用了范围综述的九个步骤。检索了五个电子数据库：2014年1月至2024年1月期间的PubMed/Medline、EMBASE、Scopus、Web of Science和EBSCO Host。在从纳入文章中提取的数据的帮助下进行了主题分析，这些文章被分为不同类别。最后，根据JBI证据综合手册绘制了文献图谱和概念图。
在分析了129篇符合纳入标准的文章后，纳入了44篇。确定了四个主要类别，进一步细分为19个子主题。这四个主要类别是干预措施、牙医和护理人员的观点、障碍和未满足的治疗需求以及政府政策。根据这些主题，绘制了一个概念图，以评估CSHCN的需求，这有助于制定预防措施政策。这些政策最终可以帮助服务提供者为这些弱势群体制定适当的治疗措施。
本范围综述得出结论，需要对CSHCN的治疗需求进行评估，这有助于制定政策。通过分析家长和牙医的看法，政策制定者可以制定一项政策来支持这些弱势儿童的口腔保健需求。这种方法最终将减少为CSHCN提供的口腔健康预防服务中的障碍和不平等现象。
