Policy Options to Complement the New Canadian Dental Program Enabling High Quality Care for People With Disabilities and Older Adults

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-03-31 DOI:10.1111/ger.12813

Logan D. Davari, Martin Morris, Paul J. Allison

{"title":"Policy Options to Complement the New Canadian Dental Program Enabling High Quality Care for People With Disabilities and Older Adults","authors":"Logan D. Davari, Martin Morris, Paul J. Allison","doi":"10.1111/ger.12813","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The newly announced Canadian Dental Care Plan (CDCP) particularly aims to reduce financial barriers to dental care for individuals living below a family income threshold. The Canadian government has also launched an “Oral Health Access Fund” to support projects aiming to address financial barriers to dental care for older adults, those with disabilities and other groups. Evidence from programs implemented elsewhere in the world could inform policy decisions and address such non-financial barriers for older Canadians and those with disabilities.</p>\n </section>\n \n <section>\n \n <h3> Aim</h3>\n \n <p>To identify dental programs and policies in OECD countries focusing on people with disabilities and older people, and to outline how they might be applied to the Canadian context.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The strategy for this narrative literature review comprised a combination of Medical Subject Headings (MeSh) or their equivalent, title/abstract keywords, truncations, and Boolean operators. Medline (Ovid), Embase (Ovid), CINAHL and Scopus were used. The searches were limited to English language publications involving programs and policies in all OECD countries. All searches ran from inception to January 25, 2023, with no restrictions on publication time.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The search identified 129 articles eligible for review. Findings were categorized as (1) interventions at the institutional-level (subdivided into patient-, professional- and community-focused programs) and (2) interventions at the governmental-level (subdivided into universal, population-specific, and community-based programs). Evidence suggests that targeted, integrated coaching or education programs for oral health care are beneficial, especially when programs are constantly evaluated and improved. Programs with a unified network system that integrates various relevant organizational and health domains have demonstrated to be most effective in the improvement of oral health care and overall health. Dental and medical healthcare workers play a crucial role in improving oral health outcomes and need motivation and fair compensation when caring for older people.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>There is limited quality evidence supporting approaches to improving oral health care and oral health for older people and those with disabilities. It is important for policymakers and stakeholders to consider programmes from other countries when expanding the CDCP.</p>\n </section>\n </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":"307-320"},"PeriodicalIF":1.7000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ger.12813","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gerodontology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ger.12813","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The newly announced Canadian Dental Care Plan (CDCP) particularly aims to reduce financial barriers to dental care for individuals living below a family income threshold. The Canadian government has also launched an “Oral Health Access Fund” to support projects aiming to address financial barriers to dental care for older adults, those with disabilities and other groups. Evidence from programs implemented elsewhere in the world could inform policy decisions and address such non-financial barriers for older Canadians and those with disabilities.

Aim

To identify dental programs and policies in OECD countries focusing on people with disabilities and older people, and to outline how they might be applied to the Canadian context.

Methods

The strategy for this narrative literature review comprised a combination of Medical Subject Headings (MeSh) or their equivalent, title/abstract keywords, truncations, and Boolean operators. Medline (Ovid), Embase (Ovid), CINAHL and Scopus were used. The searches were limited to English language publications involving programs and policies in all OECD countries. All searches ran from inception to January 25, 2023, with no restrictions on publication time.

Results

The search identified 129 articles eligible for review. Findings were categorized as (1) interventions at the institutional-level (subdivided into patient-, professional- and community-focused programs) and (2) interventions at the governmental-level (subdivided into universal, population-specific, and community-based programs). Evidence suggests that targeted, integrated coaching or education programs for oral health care are beneficial, especially when programs are constantly evaluated and improved. Programs with a unified network system that integrates various relevant organizational and health domains have demonstrated to be most effective in the improvement of oral health care and overall health. Dental and medical healthcare workers play a crucial role in improving oral health outcomes and need motivation and fair compensation when caring for older people.

Conclusions

There is limited quality evidence supporting approaches to improving oral health care and oral health for older people and those with disabilities. It is important for policymakers and stakeholders to consider programmes from other countries when expanding the CDCP.

Abstract Image

查看原文本刊更多论文

政策选择，以补充新的加拿大牙科计划，使残疾人和老年人的高质量护理。

背景：新宣布的加拿大牙科保健计划（CDCP）特别旨在减少生活在家庭收入门槛以下的个人牙科保健的经济障碍。加拿大政府还发起了一项“口腔保健基金”，以支持旨在解决老年人、残疾人和其他群体在牙科保健方面的经济障碍的项目。来自世界其他地方实施的项目的证据可以为政策决策提供信息，并为加拿大老年人和残疾人解决这些非经济障碍。目的：确定经合组织国家针对残疾人和老年人的牙科项目和政策，并概述它们如何适用于加拿大的情况。方法：这篇叙述性文献综述的策略包括医学主题标题（MeSh）或其等同物、标题/摘要关键词、截断和布尔运算符的组合。使用Medline （Ovid）、Embase （Ovid）、CINAHL和Scopus。搜索仅限于涉及所有经合组织国家的项目和政策的英文出版物。所有的搜索从开始到2023年1月25日，没有发布时间限制。结果：检索到129篇符合评审条件的文章。研究结果被分类为(1)机构层面的干预措施（细分为以患者、专业人员和社区为重点的项目）和(2)政府层面的干预措施（细分为普遍、特定人群和基于社区的项目）。证据表明，有针对性的、综合的口腔保健指导或教育项目是有益的，特别是当项目不断评估和改进时。整合各种相关组织和健康领域的统一网络系统项目已被证明在改善口腔保健和整体健康方面是最有效的。牙科和医疗保健工作者在改善口腔健康结果方面发挥着至关重要的作用，在照顾老年人时需要激励和公平的报酬。结论：支持改善老年人和残疾人口腔保健和口腔健康的方法的证据质量有限。决策者和利益攸关方在扩大疾病预防控制计划时考虑其他国家的规划是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.