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 |