Table 4

Elements of integrated primary oral healthcare across all four cases

Elements of integration of oral health into primary healthcare	Community 1	Community 2	Community 3	Community 4
Colocation	✓	✓	✓	✓
Free dental services	✓	✓	✓	✓
Community-based oral health promotive and preventive services	✓	✓	✓	✓
Specialised services by visiting specialist	✓	✓	Referred to Mistissini or Chisasibi via CHBSSJB	Referred to Mistissini or Chisasibi via CHBSSJB
Referral services outside the territory	Covered for Cree beneficiaries Patients can go via Wiichihiituwin (Cree Patient services) department to Montreal, Val d’Or or Chibougamau	Covered for Cree beneficiaries Patients can go via Wiichihiituwin department to Montreal, Val d’Or or Chibougamau	Covered for Cree beneficiaries Patients can go via Wiichihiituwin department to Montreal, Val d’Or or Chibougamau	Covered for Cree beneficiaries Patients can go via Wiichihiituwin department to Montreal, Val d’Or or Chibougamau
Employment and training of Local health workers (dental assistants, dental secretaries and Community health workers)	All dental assistants, receptionists and community health workers are native and trained	All dental assistants, receptionists and community health workers are native and trained	All dental assistants, receptionists and community health workers are native and trained	All dental assistants, receptionists and community health workers are native and trained
Interprofessional coordination	✓	✓	✓	✓
Collaboration with other local organisations such as Cree School Board, Youth Council, Multiservice Day Care Centre	✓	✓	✓	✓
Evaluation and quality improvement	✓	✓	✓	✓
Non-dental Staff training on oral health	✗	✗	✗	✗
Shared physical health records	✓	✓	✓	✓
Culturally competence training	Done for nurses, but not for other health providers	Done for nurses, but not for other health providers	Done for nurses, but not for other health providers	Done for nurses, but not for other health providers

CHBSSJB, Cree Board of Health and Social Services of James Bay.