The Dental Health of Looked After Children in the UK and Dental Care Pathways: A Scoping Review.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2023-08-31 DOI:10.1922/CDH_00252Hurry08

K J Hurry, L Ridsdale, J Davies, V E Muirhead

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引用次数: 0

Abstract

Background: There has been a 37% increase in the number of Looked After Children (LAC) in England over the past decade. Although LAC have more health and social problems than their peers, little is known about their dental needs, barriers to dental care, and pathways used to access it.

Objectives: This scoping review assessed the evidence on the dental health needs of LAC in the UK and their different dental care pathways.

Methods: Embase, MedLine(R), Scopus, Web of Science, PubMed and CINAHL, grey literature databases and third-sector organisation websites were searched up to February 2022. Included studies were any study type involving UK resident LAC aged 0-18 with no limits placed on time in care/placement. Thematic analysis identified access barriers and dental care pathways.

Results: Twenty-eight articles were included (nine publications, 11 abstracts and 8 grey literature). Oral health surveys, population linkages studies and service evaluations described the poor oral health of LAC and their unmet needs. Barriers included the lack of dental care and irregular attendance; the lack of integrated working between health and social care teams, lack of self-care and oral health promotion, and psychological issues complicating dental treatment. Four dental care pathway models were identified: care navigation, facilitated access, nurse-led triage and referral, and signposting to local dentist with multi-agency information sharing.

Conclusion: LAC are a vulnerable group with barriers to care suggesting the need for integrated working between health and social care teams, specialist services and an evaluation of pathways to identify best practice.

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照顾儿童的牙齿健康在英国和牙科护理途径:范围审查。

背景:在过去的十年中，英国儿童看护(LAC)的数量增加了37%。虽然拉丁美洲和加勒比地区比他们的同龄人有更多的健康和社会问题，但人们对他们的牙科需求、获得牙科保健的障碍以及获得牙科保健的途径知之甚少。目的:本综述评估了在英国LAC和他们不同的牙科保健途径的牙齿健康需求的证据。方法:检索截至2022年2月的Embase、MedLine(R)、Scopus、Web of Science、PubMed和CINAHL、灰色文献数据库和第三部门组织网站。纳入的研究是涉及0-18岁英国居民LAC的任何研究类型，没有对护理/安置时间的限制。专题分析确定了获取障碍和牙科保健途径。结果:共纳入文献28篇(出版物9篇，摘要11篇，灰色文献8篇)。口腔健康调查、人口联系研究和服务评价描述了拉丁美洲和加勒比地区口腔健康状况不佳及其未满足的需求。障碍包括缺乏牙科护理和不定期就诊;保健和社会保健团队之间缺乏综合工作，缺乏自我保健和促进口腔健康，以及使牙科治疗复杂化的心理问题。确定了四种牙科护理路径模型:护理导航，便利访问，护士主导的分诊和转诊，以及多机构信息共享的当地牙医路标。结论:拉丁美洲和加勒比地区是一个易受伤害的群体，在获得护理方面存在障碍，这表明需要在卫生和社会护理团队、专家服务和评估途径之间开展综合工作，以确定最佳做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.