Conclusion

Our research has several limitations. Qualitative interviewees were selected based on their current work and association with VBOHC, which could have resulted in respondent bias. Few perspectives were included from dental providers that are not well‐versed in VBC arrangements, quality measurement, and/or medical‐dental integration. Interviewees also included more participants from FQHCs than is representative of the dental provider population. This may have created a bias in the themes that emerged from these discussions. Results from the survey were not assessed for statistical significance, limiting our ability to make definitive statements on associations. Lastly, 70% of survey respondents self‐identified as White/Caucasian and 71% self‐identified as Male. While this is representative of the broader dental provider population, 21 it does not fully capture the experiences and perceptions of providers from racial and ethnic minority populations.

We have identified several areas for consideration for future research. Placing an emphasis on reaching a greater diversity of dental providers from minority groups (e.g., Black, Asian, women) and those who are younger and have fewer years of experience practicing dentistry for a quantitative survey is needed to better understand their experiences with VBOHC and uncover potentially unique challenges and key differences with the findings depicted within this report. This would also allow to trend knowledge and attitudes as the dental provider population evolves, with a higher proportion of female dental school graduates, among other changes.22 Variations in dental and medical coverage requirements and the impact on integration of dental and medical care is important to explore further.

Conclusion

While dental providers and payers face challenges, opportunities described in this report offer entry points to advance VBOHC initiatives. A collaborative effort among all stakeholders involved is needed to overcome underlying challenges, including the novelty of VBOHC arrangements and the chasm between dental and medical care. Local initiatives exist that depict successful, integrated models of care—these initiatives should be disseminated to increase education and understanding about VBOHC. The foundation for whole‐person centered‐care that incorporates both dental and medical care needs to be further established through interprofessional education curriculums and greater awareness and acceptance among both the dental and medical communities. While there are challenges to overcome to successfully implement VBOHC, it is a worthy cause due to its potential impact on patient care and outcomes.

21 See n. 6, Supra. 22 See n. 6, Supra.