Barriers and facilitators to dental care access among asylum seekers and refugees in highly developed countries: a systematic review
Dental diseases are prevalent among asylum seekers and refugees (ASRs). Despite significant treatment needs, access to dental care in host countries is often limited. The aim of this systematic review was to identify the barriers and enablers to dental care access for ASRs in host countries of very...
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| Veröffentlicht in: | BMC oral health 2020-11, Vol.20 (1), p.337-337, Article 337 |
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| creator | Paisi, Martha Baines, Rebecca Burns, Lorna Plessas, Anastasios Radford, Philip Shawe, Jill Witton, Robert |
| description | Dental diseases are prevalent among asylum seekers and refugees (ASRs). Despite significant treatment needs, access to dental care in host countries is often limited. The aim of this systematic review was to identify the barriers and enablers to dental care access for ASRs in host countries of very high development.
Five health and social care databases and eight grey literature sources of information were searched. The Critical Appraisal Skills Programme tool was used to critically appraise included studies. Thematic analysis was undertaken to identify common themes. These were then deductively organised according to Penchansky and Thomas's modified access model. All review stages were conducted by two independent reviewers.
Nine papers were included in the review. ASRs encounter significant challenges to accessing dental care in their host countries. These include affordability, communication difficulties, insufficient interpretation, limited knowledge of the healthcare systems and healthcare rights, and negative encounters with healthcare teams. The views and experiences of dental care teams providing care to ASRs were explored in only one study.
Both population and healthcare characteristics influence access to dental care for ASRs. Affordability, awareness and accommodation are most frequently described as barriers to dental access for this population. The diverse needs of this population need to be recognised by policy makers, commissioners and practitioners alike. Cultural competence needs to be incorporated into dental services and any interventions to improve access to dental care for this population. Registration PROSPERO- International prospective register of systematic reviews (CRD42019145570). |
| doi_str_mv | 10.1186/s12903-020-01321-1 |
| format | Article |
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Five health and social care databases and eight grey literature sources of information were searched. The Critical Appraisal Skills Programme tool was used to critically appraise included studies. Thematic analysis was undertaken to identify common themes. These were then deductively organised according to Penchansky and Thomas's modified access model. All review stages were conducted by two independent reviewers.
Nine papers were included in the review. ASRs encounter significant challenges to accessing dental care in their host countries. These include affordability, communication difficulties, insufficient interpretation, limited knowledge of the healthcare systems and healthcare rights, and negative encounters with healthcare teams. The views and experiences of dental care teams providing care to ASRs were explored in only one study.
Both population and healthcare characteristics influence access to dental care for ASRs. Affordability, awareness and accommodation are most frequently described as barriers to dental access for this population. The diverse needs of this population need to be recognised by policy makers, commissioners and practitioners alike. Cultural competence needs to be incorporated into dental services and any interventions to improve access to dental care for this population. Registration PROSPERO- International prospective register of systematic reviews (CRD42019145570).</description><identifier>ISSN: 1472-6831</identifier><identifier>EISSN: 1472-6831</identifier><identifier>DOI: 10.1186/s12903-020-01321-1</identifier><identifier>PMID: 33238954</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Dental Care ; Dental disorders ; Dental research ; Dentistry ; Developed Countries ; Displaced persons ; Health aspects ; Health Services Accessibility ; Humans ; Information sources ; Internet resources ; Oral diseases ; Oral hygiene ; Population studies ; Refugees ; Reviews ; Social Support ; Systematic review ; Teeth ; Utilization</subject><ispartof>BMC oral health, 2020-11, Vol.20 (1), p.337-337, Article 337</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-24be25161ce4ae99bd11a50c82a04ff59fd39809fc618e850f334ef9afe188e13</citedby><cites>FETCH-LOGICAL-c497t-24be25161ce4ae99bd11a50c82a04ff59fd39809fc618e850f334ef9afe188e13</cites><orcidid>0000-0001-9857-1976 ; 0000-0002-6424-4376 ; 0000-0002-6360-8895 ; 0000-0002-9525-952X ; 0000-0001-5718-008X ; 0000-0002-6224-0611 ; 0000-0002-2766-7302</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7687682/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7687682/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33238954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paisi, Martha</creatorcontrib><creatorcontrib>Baines, Rebecca</creatorcontrib><creatorcontrib>Burns, Lorna</creatorcontrib><creatorcontrib>Plessas, Anastasios</creatorcontrib><creatorcontrib>Radford, Philip</creatorcontrib><creatorcontrib>Shawe, Jill</creatorcontrib><creatorcontrib>Witton, Robert</creatorcontrib><title>Barriers and facilitators to dental care access among asylum seekers and refugees in highly developed countries: a systematic review</title><title>BMC oral health</title><addtitle>BMC Oral Health</addtitle><description>Dental diseases are prevalent among asylum seekers and refugees (ASRs). Despite significant treatment needs, access to dental care in host countries is often limited. The aim of this systematic review was to identify the barriers and enablers to dental care access for ASRs in host countries of very high development.
Five health and social care databases and eight grey literature sources of information were searched. The Critical Appraisal Skills Programme tool was used to critically appraise included studies. Thematic analysis was undertaken to identify common themes. These were then deductively organised according to Penchansky and Thomas's modified access model. All review stages were conducted by two independent reviewers.
Nine papers were included in the review. ASRs encounter significant challenges to accessing dental care in their host countries. These include affordability, communication difficulties, insufficient interpretation, limited knowledge of the healthcare systems and healthcare rights, and negative encounters with healthcare teams. The views and experiences of dental care teams providing care to ASRs were explored in only one study.
Both population and healthcare characteristics influence access to dental care for ASRs. Affordability, awareness and accommodation are most frequently described as barriers to dental access for this population. The diverse needs of this population need to be recognised by policy makers, commissioners and practitioners alike. Cultural competence needs to be incorporated into dental services and any interventions to improve access to dental care for this population. 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Despite significant treatment needs, access to dental care in host countries is often limited. The aim of this systematic review was to identify the barriers and enablers to dental care access for ASRs in host countries of very high development.
Five health and social care databases and eight grey literature sources of information were searched. The Critical Appraisal Skills Programme tool was used to critically appraise included studies. Thematic analysis was undertaken to identify common themes. These were then deductively organised according to Penchansky and Thomas's modified access model. All review stages were conducted by two independent reviewers.
Nine papers were included in the review. ASRs encounter significant challenges to accessing dental care in their host countries. These include affordability, communication difficulties, insufficient interpretation, limited knowledge of the healthcare systems and healthcare rights, and negative encounters with healthcare teams. The views and experiences of dental care teams providing care to ASRs were explored in only one study.
Both population and healthcare characteristics influence access to dental care for ASRs. Affordability, awareness and accommodation are most frequently described as barriers to dental access for this population. The diverse needs of this population need to be recognised by policy makers, commissioners and practitioners alike. Cultural competence needs to be incorporated into dental services and any interventions to improve access to dental care for this population. Registration PROSPERO- International prospective register of systematic reviews (CRD42019145570).</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>33238954</pmid><doi>10.1186/s12903-020-01321-1</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9857-1976</orcidid><orcidid>https://orcid.org/0000-0002-6424-4376</orcidid><orcidid>https://orcid.org/0000-0002-6360-8895</orcidid><orcidid>https://orcid.org/0000-0002-9525-952X</orcidid><orcidid>https://orcid.org/0000-0001-5718-008X</orcidid><orcidid>https://orcid.org/0000-0002-6224-0611</orcidid><orcidid>https://orcid.org/0000-0002-2766-7302</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Dental Care Dental disorders Dental research Dentistry Developed Countries Displaced persons Health aspects Health Services Accessibility Humans Information sources Internet resources Oral diseases Oral hygiene Population studies Refugees Reviews Social Support Systematic review Teeth Utilization |
| title | Barriers and facilitators to dental care access among asylum seekers and refugees in highly developed countries: a systematic review |
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