Abstract
Dental service providers have limited capacity to identify strategies to implement evidence-based practices (EBPs). We developed a rigorous yet parsimonious scoping review approach to identify, select, and rate implementation strategies based on an oral health system context. From 153 strategies identified, we selected the top 11 strategies, which had a moderate level of support of evidence and where managers were the main actors. The main actions were to educate, remind, structure, and influence. Targets included dentists, dental hygienists, and assistants and managers from a large prepaid dental care delivery system. This approach responds to calls for rapid and innovative methods to implement EBPs in oral health.
Highlights
Dental care organizations, like other healthcare organizations, are expected to deliver effective care based on evidence-based practices (EBPs).[1]
We describe a scoping review methodology informed by the Cochran review approach to help healthcare systems in general and dental health systems to identify and classify various evidence-based implementation strategies for stakeholder vetting
After scoring the strategies based on level of evidence, 28 with a rating of low evidence were removed, leaving 14 implementation strategies with an evidence score of 3-5
Summary
Like other healthcare organizations, are expected to deliver effective care based on evidence-based practices (EBPs).[1] there are often many barriers that challenge the clinical implementation of EBPs. Generally, there is a lack of a process to ensure EBPs are effectively implemented.[2] Implementation strategies, which are the specific arrangements, facilitators or conditions supporting implementation, are essential tools for healthcare providers to uptake EBPs.[3] Despite the large number of implementation strategies in use, there is little guidance for healthcare systems to select the strategy that best fits their implementation context.[4] Offering healthcare systems an easy to follow, systematic approach to identify, select and test implementation strategies may improve efforts to deliver EBPs.[5]
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