Objectives: The aim was to examine importance and consideration of oral health-related issues (OHRIs) during service planning by the case managers (CMs).
Methods And Results: The study was conducted in a major Finnish city. All 25 CMs, supervising over 450 domiciliary care employees who are caring for 4600 domiciliary care clients, received a multiple-choice questionnaire with additional open-ended questions. CMs were dichotomized by age and educational background. Differences were compared with the chi-square test and Fisher´s exact test. Response rate was 88%. All CMs considered OHRIs important. However, OHRIs were not routinely considered during service planning, especially by the CMs with a social service than health background (0% vs 30%, P < 0, 0.056). OHRIs were considered never or seldom by 73% of the CMs. OHRIs were mostly considered after evaluating the overall need for domiciliary care. A lack of guidelines was reported by 45% of the CMs. Of the CMs, 41% could use their knowledge for paying attention to OHRIs. All CMs wished for better routines for paying attention to OHRIs.
Conclusion: OHRIs are not routinely considered in service planning. This study indicated a need for structured guidelines and further education for assess the need for oral home care assistance.
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