Oral Medical Care Coordination: A Systematic Literature Review and Guide Forward

Systemic barriers to oral medical care coordination for whole person care (oral medical care coordination) include challenges such as lack of awareness, limited professional education, lack of technology integration, limited financial reimbursement, and outdated policies. However, the literature widely suggests that it is possible to mitigate these barriers through collective effort. Utilizing the University of Iowa’s environmental scan, conducted between September 2016 and September 2017,1 as a launch point, our review analyzes N=715 pieces of literature and categorizes them into five primary segments: education exploratory, education implemented, provider exploratory, provider implemented, and informative. Based on these segments, we highlight the ways in which the literature exemplifies four main themes, or “pillars”: Awareness, Workforce Development and Operations, Information Exchange, and Payment. Finally, our report provides recommendations for future frameworks to address oral medical care coordination.

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