An evaluation of health workforce models addressing oral health in residential aged care facilities: A systematic review of the literature.
evaluation
health workforce
oral health care
residential aged care facilities
Journal
Gerodontology
ISSN: 1741-2358
Titre abrégé: Gerodontology
Pays: England
ID NLM: 8215850
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
09
08
2019
revised:
20
03
2020
accepted:
03
05
2020
pubmed:
2
6
2020
medline:
21
8
2020
entrez:
2
6
2020
Statut:
ppublish
Résumé
In Australia and globally, there is an increasing problem of unmet oral health needs of older people above 65 residing in aged care facilities. Various workforce models have been trialled to implement oral health care programmes in aged care facilities, but the evidence behind these programmes and their underlying workforce models is not known. To systematically review the literature on the effectiveness, and economic feasibility of the current workforce models addressing oral care in aged care facilities. CINAHL, Cochrane CENTRAL, MEDLINE, EMBASE, EMB Reviews, NHS Economic Evaluation Database and grey literature were searched. Studies were included if they described an oral health workforce model with a clinical intervention and defined oral health outcome measures. Analysis was conducted using the NHMRC guidelines for scientific and economic evaluations. Twenty-eight studies were included. Four distinct workforce models of care were identified. 60% of the studies demonstrated short-term effectiveness in clinical measures. Workforce models were similar in their effectiveness, with varying levels of quality within each model. Although three studies considered individual components of economic feasibility, only one provided a comprehensive economic analysis of both the costs and health outcomes. All workforce models of care had some positive impact on oral health for residents of aged care. Oral health should be included as a health focus in age care facilities. Future studies should include longer-term health outcomes with rigorous economic analysis to ensure sustainably delivered workforce models of care for oral health management within aged care.
Sections du résumé
BACKGROUND
BACKGROUND
In Australia and globally, there is an increasing problem of unmet oral health needs of older people above 65 residing in aged care facilities. Various workforce models have been trialled to implement oral health care programmes in aged care facilities, but the evidence behind these programmes and their underlying workforce models is not known.
OBJECTIVE
OBJECTIVE
To systematically review the literature on the effectiveness, and economic feasibility of the current workforce models addressing oral care in aged care facilities.
METHODS
METHODS
CINAHL, Cochrane CENTRAL, MEDLINE, EMBASE, EMB Reviews, NHS Economic Evaluation Database and grey literature were searched. Studies were included if they described an oral health workforce model with a clinical intervention and defined oral health outcome measures. Analysis was conducted using the NHMRC guidelines for scientific and economic evaluations.
RESULTS
RESULTS
Twenty-eight studies were included. Four distinct workforce models of care were identified. 60% of the studies demonstrated short-term effectiveness in clinical measures. Workforce models were similar in their effectiveness, with varying levels of quality within each model. Although three studies considered individual components of economic feasibility, only one provided a comprehensive economic analysis of both the costs and health outcomes.
CONCLUSIONS IMPLICATIONS OF FINDINGS
UNASSIGNED
All workforce models of care had some positive impact on oral health for residents of aged care. Oral health should be included as a health focus in age care facilities. Future studies should include longer-term health outcomes with rigorous economic analysis to ensure sustainably delivered workforce models of care for oral health management within aged care.
Types de publication
Journal Article
Systematic Review
Langues
eng
Pagination
222-232Informations de copyright
© 2020 Gerodontology Association and John Wiley & Sons Ltd.
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