BACKGROUND The relational continuity of care is an essential function of primary health care. This study reports on the perspectives of Cree communities and their primary health care providers regarding the barriers and enablers of relational continuity of oral health care integrated at a primary health care organization. METHODS A multiple case study design within a qualitative approach and developmental evaluation methodology were used to conduct this research study in Cree communities of Northern Québec. Maximum variation sampling and snowball techniques were used to recruit the participants. Data collection consisted of individual interviews and focus group discussions. Thematic analysis was conducted which included transcription, debriefing, codification, data display, and interpretation. The consolidated criteria for reporting qualitative studies (COREQ) were used to guide the reporting of study findings. RESULTS A total of six focus group discussions and 36 individual interviews were conducted. Five major themes emerged from the thematic analyses for barriers (two) and enablers (three). Themes for barriers included impermanence and lack of effective communication, whereas themes for enablers included culturally competent professionals, working across professional boundaries, and proactive organizational engagement. CONCLUSIONS Based on these findings, relational continuity can be empowered by effective strategies for overcoming barriers and encouraging enablers, such as recruitment of permanent professionals, organizing cultural competency training, development of a Cree language dental glossary, encouraging inter-professional collaboration, and promoting the organization's efforts.

中文翻译：

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土著社区口腔保健的关系连续性：定性研究。

背景技术护理的关系连续性是初级卫生保健的基本功能。这项研究报告了Cree社区及其初级卫生保健提供者对初级卫生保健组织中整合的口腔卫生保健的关系连续性的障碍和促成因素的观点。方法采用定性方法和发展评估方法的多案例研究设计，在魁北克北部Cree社区进行了这项研究。最大变异采样和滚雪球技术被用来招募参与者。数据收集包括个人访谈和焦点小组讨论。进行了主题分析，包括转录，汇报，编纂，数据显示和解释。报告定性研究的综合标准（COREQ）用于指导研究结果的报告。结果总共进行了6次焦点小组讨论和36次个人访谈。对障碍（两个）和促成因素（三个）的主题分析提出了五个主要主题。障碍的主题包括无常和缺乏有效的沟通，而推动者的主题包括具有文化才能的专业人员，跨专业领域开展工作以及积极的组织参与。结论基于这些发现，可以通过克服障碍和鼓励推动者的有效策略来增强关系的连续性，例如招募永久性专业人员，组织文化能力培训，开发Cree语言牙科用语，