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Table 2 Summary of barriers, facilitators, strategies and implacations for policy-making

From: Interprofessional collaboration and smartphone use as promising strategies to improve prenatal oral health care utilization among US underserved women: results from a qualitative study

Factors Barriers Facilitators Strategies and implications for policy-making
Individual level Socioeconimic hardships
 lack of babysitting
 lack of transportation
Receive “constant” reminders [actual reminders from health care navigators and virtual reminders from mobile phone device (e.g., texting, smartphone app) Use social media and smartphone device to promote prenatal oral health education and oral health care utilization
Competing interest  
 Lack of awarenss of benefits and importance Receive prenatal oral health education and dental resources information on clinic resources and insurance coverage through smartphone device (social media, app)
 Lack of awarenss of dental coverage from state-supported medical insurance Community-wide dissemination via mass media (e.g., TV commercials) of the benefits and importance of prenatal oral health and dental insurance coverage
System level Inadequate inter-professional collaboration Advocacy by medical providers and social/community workers about the importance of prenatal oral health Create healthcare system-wide change to promote interprofessional collaborations
 - Incorporate dental care into the medical care setting: shared physical location and shared electronic record system
 - Promote prenatal oral health counseling by non-MDs, e.g., nurse practitioners, midwives, medical technicians, and social workers. Billable prenatal oral health counseling service provided by medical providers and staff
 - Improve collaborations with social benefit programs (e.g., WIC), use innovative mediators to promote prenatal oral health, e.g., Doula, peer councilors
Lack of awarenss of latest prenatal oral health guidelines Introduce innovative educational program to improve prenatal oral health care guidelines dissemination and implementation among medical/dental providers and community/social workers
Insufficient dentists providing treatment to underserved pregnant women Develop specialized dental facilities providing prenatal oral health care to underserved groups, Hub-Spoke model