Barriers and facilitators to dental care access among asylum seekers and refugees in highly developed countries: a systematic review.
Access
Asylum seeker
Dental care
Displaced persons
Refugee
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
25 11 2020
25 11 2020
Historique:
received:
19
02
2020
accepted:
10
11
2020
entrez:
26
11
2020
pubmed:
27
11
2020
medline:
11
2
2021
Statut:
epublish
Résumé
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).
Sections du résumé
BACKGROUND
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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).
Identifiants
pubmed: 33238954
doi: 10.1186/s12903-020-01321-1
pii: 10.1186/s12903-020-01321-1
pmc: PMC7687682
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
337Références
Community Dent Oral Epidemiol. 2019 Apr;47(2):103-111
pubmed: 30614026
J Health Serv Res Policy. 2016 Jan;21(1):36-9
pubmed: 26377728
BMC Oral Health. 2014 Jun 13;14:69
pubmed: 24923308
Br Dent J. 2019 Jul;227(1):49-54
pubmed: 31300784
BMC Pregnancy Childbirth. 2016 Jan 21;16:12
pubmed: 26794243
Aust Dent J. 2006 Dec;51(4):306-11
pubmed: 17256304
J Natl Med Assoc. 2008 Nov;100(11):1275-85
pubmed: 19024223
Pediatrics. 2004 Dec;114(6):e733-40
pubmed: 15574605
BMJ Open. 2017 Aug 4;7(8):e015981
pubmed: 28780549
Can J Public Health. 2019 Aug;110(4):453-461
pubmed: 30850954
Community Dent Oral Epidemiol. 1995 Apr;23(2):95-9
pubmed: 7781307
Int J Equity Health. 2013 Mar 11;12:18
pubmed: 23496984
Br J Gen Pract. 2019 Aug;69(685):e537-e545
pubmed: 30745354
Soc Sci Med. 1976 Sep-Oct;10(9-10):469-75
pubmed: 1006338
Int J Dent. 2014;2014:175084
pubmed: 24624141
BMC Int Health Hum Rights. 2019 Jul 18;19(1):22
pubmed: 31319819
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Global Health. 2016 Oct 7;12(1):59
pubmed: 27717391
Educ Prim Care. 2019 Sep;30(5):319-321
pubmed: 31307291
Int J Evid Based Healthc. 2015 Sep;13(3):121-31
pubmed: 26196082
Prehosp Disaster Med. 2008 Jul-Aug;23(4):322-7
pubmed: 18935946
Med J Aust. 2011 Aug 15;195(4):188-91
pubmed: 21843121
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
Int J Equity Health. 2016 Apr 12;15:64
pubmed: 27068028
Aust N Z J Public Health. 2007 Feb;31(1):73-80
pubmed: 17333613
Med Care. 1981 Feb;19(2):127-40
pubmed: 7206846
Eur J Oral Sci. 2019 Feb;127(1):65-71
pubmed: 30444297
BMC Health Serv Res. 2007 May 30;7:75
pubmed: 17537258
Br Dent J. 2007 Jan 13;202(1):1
pubmed: 17220830
Health Policy. 2019 Sep;123(9):851-863
pubmed: 30850148
Lancet. 2018 Jun 2;391(10136):2236-2271
pubmed: 29893224
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Hum Reprod. 2016 Mar;31(3):498-501
pubmed: 26759142