March 2017

Volume 34, Issue 1

Access to urgent dental care: a scoping review

Authors: D.J. Worsley P.G. Robinson Z. Marshman
doi: 10.1922/CDH_4038Worsley08


Objective: To summarise the literature on urgent dental care and to identify research priorities on the organisation and delivery of urgent dental services. Basic research design: Scoping review using Andersen’s behavioural model of health service utilisation for a framework analysis of the data. Main outcome measures: Gaps in the literature, defined as those factors and interactions identified by Andersen’s model as having a contributory role in access to health services that were not evident in the source papers. Results: Fifty-six papers met the inclusion criteria for the review. The factors most often considered were; demographic, socioeconomic, perceived and evaluated need, and health behaviours. Patient outcomes of evaluated health and quality of life following urgent dental care were the least studied variables, with the exception of patient satisfaction. No studies were identified on community values/norms of people accessing urgent dental care, on health economic evaluations or on studies of how urgent dental services mitigate use of other medical services. No studies were identified on urgent need for populations living in water fluoridated areas or on the relationship between service design and efficient or effective access as measured by patient outcomes. Conclusion: Future research on patient outcomes and the comparison of different service models for urgent dental care through measures of equity, effectiveness and efficiency of access are needed to inform future policy and organisation of these services. Key words: health services, dental care, access to care, scoping review


Other articles in this issue

Article Pages Access
Editorial 3-3 Download
The oral health of people with learning disabilities - a user-friendly questionnaire survey 4-7 Download
Sugar before bed: a simple dietary risk factor for caries experience 8-13 Download
Measuring oral health impact among care home residents in Wales 14-18 Download
Access to urgent dental care: a scoping review 19-26 Download
Urinary fluoride excretion in preschool children after intake of fluoridated milk and use of fluoride-containing toothpaste 27-31 Download
Directly observed daily mouth care provided to care home residents in one area of Kent, UK 32-36 Download
Association between sense of coherence and oral health-related quality of life among toddlers 37-40 Download
Tobacco use in late adolescence among rural Sri Lankans 41-45 Download
Dental caries experience among Albanian pre-school children: a national survey 46-49 Download
A model for oral health gradients in children: using structural equation modeling 50-55 Download
Using the simplified case mix tool (sCMT) to identify cost in special care dental services to support commissioning 56-59 Download
Oral health and oral health behaviours of five-year-old children in the Charedi Orthodox Jewish Community in North London, UK 60-64 Download


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