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Review
. 2019 Jun;8(6):1838-1845.
doi: 10.4103/jfmpc.jfmpc_286_19.

Integration of oral health into primary health care: A systematic review

Monika Prasad  1 , C Manjunath  1 , Archana Krishna Murthy  1 , Aishwarya Sampath  1 , Shefali Jaiswal  1 , Ankit Mohapatra  2
Affiliations
Review

Integration of oral health into primary health care: A systematic review

Monika Prasad et al. J Family Med Prim Care. 2019 Jun.

Abstract

Integration of oral health into primary health care holds the key to affordable and accessible health care as oral health is still a neglected component in many countries. This review aims to determine integration of oral health into primary health care and provide an evidence-based synthesis on a primary oral healthcare approach. Searches were conducted in various databases like Biomed Central, MEDLINE, Cochrane databases, NCBI (PubMed), Sci-Hub, Google Scholar, and WHO sites. The studies included in this review are according to the following eligibility criteria: the articles in English language, the articles published from January 2000 to October 2018, and only full text article. The search yielded 500 articles. After removal of duplicates: 410 articles screened based on title and abstract, 100 full text articles were assessed for eligibility, and 30 full text articles were included. This review showed evidence how oral health is related to general health: focused on common risk factor approach and bidirectional relationship. There are various ways of integration, such as interprofessional education, interprofessional collaborative practice, closed-loop referral process, and various public and private partnerships, and at the same time, there are a lot of barriers in integration. Thus, the primary oral health care needs to be developed as an integral part of primary health care. Consequently, there is a need to increase finance, health care workforce, government support, and public-private partnership to achieve the goal of affordable and accessible health care, i.e. health for all.

Keywords: General health; integration; oral health; primary health care.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Prisma flowchart
Figure 2
Figure 2
Depicts common risk/health factor approach (Source: Sheiham and Watt[5])
Figure 3
Figure 3
Depicts bidirectional relationship between diabetes and periodontitis (Source: Grover and Luthra[8])
Figure 4
Figure 4
Depicts dental hygiene operatory in medical home (Source: Braun and Cusick[13])
Figure 5
Figure 5
Depicts rainbow model (Source: Harnagea et al.[1])
See this image and copyright information in PMC

References

    1. Harnagea H, Lamothe L, Couturier Y, Esfandiari S, Voyer R, Charbonneau A, et al. From theoretical concepts to policies and applied programmes: The landscape of integration of oral health in primary care. BMC Oral Health. 2018;18:23. - PMC - PubMed
    1. Fadl RAE, Blair M, Hassounah S. Integrating maternal and children's oral health promotion into nursing and midwifery practice- A systematic review. PLoS One. 2016;11:e0166760. - PMC - PubMed
    1. Harris R, Raison H, Christian B, Bakare L, Okwundu CI, Burnside G. Interventions for improving adults’ use of primary oralhealth care services. Cochrane Database Syst Rev. 2017;8:1–17.
    1. Briggs CJ, Garner P. Strategies for integrating primary health services in middle- and low-income countries at the point of delivery. Cochrane Database of Syst Rev. 2006:CD003318. doi: 10.1002/14651858.CD003318.pub3. - PubMed
    1. Sheiham A, Watt RG. The common risk-factor approach: A rational means of promoting oral health. Community Dent Oral Epidemiol. 2000;28:399–406. - PubMed