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Table 4 Barriers and enablers to oral health care at facilities with and without access to the integrated oral health model

From: An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study

Enablers Barriers
RACFS without an integrated oral health service model
Access to motivated local Oral Health Service to work with RACF
Resident access to supportive and engaged family or significant other
Formal oral health review process established in RACF
Competing priorities within RACF
No access to oral health care specialist for support and education
Time and resource intensive process for accessing oral health facilities
Management of high care resident’s oral health requires specific skills
Lack of formal oral health review process in place
Difficulties accessing family and significant other support, especially in rural areas
Poor communication between oral health facility and RACF
RACFS with an integrated oral health service model
Promotion of preventative oral health care
Increased visibility of oral health care requirements to staff at RACF
Cost and time saving for residents, staff and RACF
Need to access dentist at an oral health facility minimised
A formal and well supported OH program established
Improved communication and follow up with oral health service
Disruption to residents especially those with dementia minimised
Model supported by OH specialist external to RACF
Increased confidence in RACF staff of managing OH needs
More opportunities for training in OH care particularly incidental training
Streamlined access to oral health appointments
Inadequate time allocated to management of OH program within RACF by dedicated staff
Delays in procurement of recommended equipment
Some RACF not well equipped to take on telehealth technology
Poorly planned and accessible telehealth facilities
Limited experience of OHT with working with residents with high needs particularly dementia