G5 Artikkeliväitöskirja
Integration of oral health into primary care: the policy and practice
Tekijät: Gaffar, Balgis
- Kustantaja: Turun yliopisto
Kustannuspaikka: Turku
Julkaisuvuosi: 2025
Sarjan nimi: Turun yliopiston julkaisuja - Annales Universitatis Turkunesis D
Numero sarjassa: 1913
ISBN: 978-952-02-0360-3
eISBN: 978-952-02-0361-0
ISSN: 0355-9483
eISSN: 2343-3213
Julkaisun avoimuus kirjaamishetkellä: Avoimesti saatavilla
Julkaisukanavan avoimuus : Kokonaan avoin julkaisukanava
Verkko-osoite: https://urn.fi/URN:ISBN:978-952-02-0361-0
This study evaluated global oral health policy integration, interdisciplinary practices, and the effectiveness of an educational intervention among healthcare providers in Saudi Arabia.
In phase I, data was collected from 60 countries to assess oral health policies. In phase II, 1,398 healthcare professionals from Saudi Arabia were surveyed to examine interdisciplinary practices, and 525 nurses were assessed for attitudes and practices in phase III. In phase IV, an educational intervention targeting nurses and physicians was evaluated for its impact on oral health knowledge and beliefs.
The study found that 55.2% of the countries had formal oral health policies for children, with 54% incorporating oral health into general health policies. Of the countries, 49.4% had programs targeting disadvantaged populations and 48.3% included dental care in universal health coverage. Interprofessional collaboration was encouraged in 53.3% of countries, with significant regional variation.
In Saudi Arabia, the mean oral health knowledge score among the healthcare professionals was 7.1 ± 2.1 (out of 13), with physicians scoring the highest and nurses the lowest scores. Attitudes towards oral health care were generally positive. Among the nurses, 70.3% responded to patients’ oral health concerns and 47.1% conducted screenings, while 19.7% provided oral health education. The key barriers included lack of training (61.7%) and heavy workloads (53.8%).
The educational intervention significantly improved the knowledge scores (mean post-intervention: 20.3 ± 3.6 for the video participants, 18.4 ± 4.2 for the brochure participants, p < 0.001), while belief scores remained unchanged.
Global and national gaps persist in oral health policy integration and interdisciplinary practices. The educational intervention effectively improved oral health knowledge but had limited impact on beliefs. Enhanced training, policy support, and interprofessional collaboration are essential to advancing oral health integration.