A critical synthesis of the role of the pharmacist in oral healthcare and management of medication-related osteonecrosis of the jaw

Sturrock, Andrew, Preshaw, P. M., Hayes, Catherine and Wilkes, Scott (2020) A critical synthesis of the role of the pharmacist in oral healthcare and management of medication-related osteonecrosis of the jaw. BDJ Open, 6 (1). p. 13. ISSN 2056-807X

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Abstract: Objective: To consolidate extant published evidence in relation to the potential of integrating oral healthcare for patients at risk of developing medication-related osteonecrosis of the jaw (MRONJ). Methods: A critical synthesis and consolidation of five publications was undertaken. As a mechanism of situating the extant work within the context of primary healthcare provision, the Rainbow Model of Integrated Care was applied as a theoretical lens through which the conceptual findings could be collectively applied to practice. Results: The critical synthesis revealed a thematic emergence relating to both formative and normative integration. The most salient of these were the identification of limited shared clinical records, and disconnection of oral healthcare provision from patients’ general medical care. The three levels of the Rainbow Model of Integrated Care reflected a series of issues for address. Conclusion: In the context of collaborative, multi-disciplinary working for patients at risk of development of MRONJ, pharmacists are a professional group which this research reveals to be an underutilised resource. Reduction of oral health inequality at all levels of patient care is a key priority and this research highlights areas for address in relation to requirements for interprofessional education, optimal communication and policies reflective and facilitative of these.

Item Type: Article
Additional Information: ** From Springer Nature via Jisc Publications Router ** History: received 11-05-2020; rev-recd 25-06-2020; accepted 29-06-2020; registration 15-07-2020; epub 11-08-2020; online 11-08-2020; collection 12-2020. ** Licence for this article: https://creativecommons.org/licenses/by/4.0/
Uncontrolled Keywords: Article, /692/700/3032/3129/3136, /692/700/3032/3086/3091, article
Divisions: Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Related URLs:
SWORD Depositor: Publication Router
Depositing User: Publication Router
Date Deposited: 17 Aug 2020 15:14
Last Modified: 30 Sep 2020 10:49
URI: http://sure.sunderland.ac.uk/id/eprint/12405
ORCID for Andrew Sturrock: ORCID iD orcid.org/0000-0002-3316-1412
ORCID for Catherine Hayes: ORCID iD orcid.org/0000-0003-3870-2668
ORCID for Scott Wilkes: ORCID iD orcid.org/0000-0003-2949-7711

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