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Referral Compliance Following a Diabetes Screening in a Dental Setting: A Scoping Review
Andre Priede1, Phyllis Lau1, Ivan Darby1
1Melbourne Dental School, University of Melbourne, Parkville 3010, Australia.
Healthcare (Basel, Switzerland)
|October 27, 2022
Summary
Dental screening for dysglycaemia can identify at-risk individuals, but follow-up medical appointments are crucial. This review examines referral compliance and barriers to attending follow-ups after dental risk assessments for diabetes.
Area of Science:
- Public Health
- Dental Medicine
- Endocrinology
Background:
- Increasing type 2 diabetes prevalence necessitates early detection strategies.
- Dental settings offer a unique opportunity for opportunistic dysglycaemia screening.
- Effective screening relies on patient adherence to referrals for medical follow-up.
Purpose of the Study:
- To review literature on referral compliance after dental dysglycaemia risk assessment.
- To identify barriers and facilitators influencing patient adherence to medical follow-up referrals.
Main Methods:
- A scoping review of published literature was conducted.
- Studies reporting diabetes screening in dental settings with referral compliance data were selected.
- Fourteen studies met the inclusion criteria for analysis.
Main Results:
- Referral compliance rates varied significantly, ranging from 25% to 90%.
- Six studies identified specific barriers and facilitators to follow-up attendance.
- Key barriers included issues with accessibility, cost, patient knowledge, and characteristics of oral health professionals.
Conclusions:
- Dental screening for dysglycaemia shows potential for early identification of at-risk individuals.
- Significant barriers exist that impede patient referral compliance to medical follow-up.
- Addressing identified barriers is essential to improve the effectiveness of dental-based diabetes screening programs.
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