Potential educational and workforce strategies to meet the oral health challenges of an increasingly older population: a qualitative study

Abstract

Introduction The demographic shift in the age profile of the UK is well established. Older people have more complex requirements to maintain their oral health. Objectives This research explored Gerodontology with influential and recognised UK experts in Dental Public Health, Dental Education and Gerodontology. Three main topics were explored: the dental challenges associated with the ageing population, the role of dental care professionals (DCPs) and the training of undergraduate dental professionals. Methods Quantitative data from the literature were used to develop a topic guide for semi-structured interviews with a purposeful sample of nine participants. Initial analysis of the qualitative data was undertaken using NVivo V12 software and themes were identified. Final themes and subthemes were confirmed after a series of remote round table discussions. Results Four themes and 14 subthemes were identified. These included disagreements and agreements, the challenges of providing dental care to the older adult population, and the delivery of dental care by the dental team and finally education. All participants had significant concerns about the oral and dental challenges of the older population. Conclusions The themes that emerged were complex and overlapping. Better utilisation of all members of the dental workforce was reported to be an essential approach, as was reorientation of existing care models with a focus on prevention. Regarding undergraduate education, the consensus was that the training was not adequate for both current and future needs.

Barriers and facilitators to accessing oral healthcare for older people in the UK: a scoping review

“…Whilst not all barriers and facilitators may apply to all older people, the results of the study nevertheless highlighted age-speci c factors. Many of the barriers and facilitators overlapped with those experienced by other vulnerable groups as shown in other studies 18,19,20,21,58,59 . This was the rst study to limit the search to dental care in the UK whilst extending the time period to encompass the last 50 years.…”