June 2021

Volume 38, Issue 2

Barriers and enablers to skill-mix in the oral health workforce: A systematic review

Authors: Annika Wilson Ha Hoang Tony Barnett
doi: 10.1922/CDH_00028-2019Wilson11

Abstract

Introduction: In dentistry, the term “skill-mix” is used to describe the combinations of dentists and dental care professionals in delivering activities that are commonly established by their level of education, training and scope of practice. However, the literature has indicated an under-utilisation of skill-mix in the oral health care team. Further work is required to understand the poor uptake of skill-mix in oral health care and what could be done to address this issue. Objective: To identify and synthesise the available evidence on the barriers and enablers to skill-mix in the oral health workforce using a macro-, meso- and micro-level framework. Materials and methods: The databases MEDLINE, CINAHL and Scopus between January 2010 to April 2020 were searched. Primary research studies published in English were included. Results: Thirty-two articles were included. Key barriers and enablers at each level of analysis were identified. Macro-level barriers and enablers included structural, regulatory and policy conditions and dental health care needs of populations. Mesolevel barriers and enablers defined the parameters of service delivery and included workplace characteristics, referral systems and patterns, and workplace productivity and efficiency. Micro-level barriers and enablers pertained to the perceptions, attitudes, and social acceptability of stakeholders that affected the delivery of services. Conclusion: Understanding the barriers and enablers from a multi-level framework requires further high-quality research to fully appreciate its importance in addressing health care needs within populations and increase generalisability to oral health settings. Keywords: health workforce, dental health services, systematic review

£10 single article

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Dental Public Health in Action: Investing to prevent: Description of an innovative approach to commissioning a supervised toothbrushing programme across multiple local authorities in England 66-70 Download
Psycho-social impact of malocclusion in adolescents in Kosovo 71-75 £10 single article
Promoting oral health among 6-year old children: The impact of social environment and feeding behavior. 76-82 £10 single article
Associations between oral health and general health: a surveywide association study of the NHANES 83-88 £10 single article
Barriers and enablers to skill-mix in the oral health workforce: A systematic review 89-99 £10 single article
Parents’ experiences of participating in health-promoting activities at a family centre for preschool children in Sweden 100-104 £10 single article
Oral health knowledge and practices in the Kaski District of Nepal 105-111 £10 single article
The effect of plaque control in the treatment of Oral Lichen Planus with gingival manifestations: a Systematic Review 112-118 £10 single article
Dental anxiety, child-oral health related quality of life and selfesteem in children and adolescents: a systematic review and meta-analysis 119-126 £10 single article
Obituary Gill Bradnock 1944 – 2020 127-127 £10 single article
Obituary Michael Lennon 1943 – 2021 128-128 £10 single article
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Making science and doing justice: The need to reframe research on racial inequities in oral health [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Resea 132-137 Download
Effects of Racism on Oral Health in the United States [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research symposium, July 2021, Boston, USA] 138-141 Download
A Critical Analysis of Underrepresentation of Racialised Minorities in the UK Dental Workforce [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research 142-149 Download
Racism and oral health inequities among Indigenous Australians [Special issue of Community Dental Health, to be disseminated at the ‘Racism and oral health inequities’ International Association for Dental Research symposium, July 2021, Boston, US 150-155 Download

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