BMJ open · 2026
Mapping global oral health financing architectures: a scoping review protocol.
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S Dhanush, Karuveettil Vineetha, Janakiram Chandrashekar, Ramanarayanan Venkitachalam, John Denny, Mini Malathi, Green Heidi
Аннотация
INTRODUCTION: Oral healthcare financing varies considerably across countries in revenue collection, pooling, purchasing arrangements and benefit design. However, the global landscape remains fragmented, with limited systematic comparison of how established health-financing principles apply specifically to oral healthcare. This scoping review aims to map and classify oral health financing architectures globally and describe their structural design, including revenue sources, prepayment and pooling arrangements, purchasing and provider payment approaches and benefit and cost-sharing design.
METHODS AND ANALYSIS: This scoping review will be conducted in accordance with JBI methodology. Evidence on organised oral health financing arrangements, including tax-funded systems, social health insurance, private insurance, community-based and mutual financing models, employer-based schemes and savings-based models, will be considered across all geographic regions, income groups and health system settings. A three-step search strategy will identify published and unpublished evidence from MEDLINE (Ovid), Embase, CINAHL (EBSCOhost), Scopus, Web of Science, the Cochrane Database of Systematic Reviews, ProQuest Dissertations & Theses Global, OAIster and Google Scholar. Evidence published from database inception to September 2026 will be considered without language restrictions. Two reviewers will independently screen titles and abstracts and subsequently full texts against the inclusion criteria. Data will be extracted using a structured form and analysed using descriptive numerical summaries, structured narrative synthesis and visual mapping. Kutzin’s health financing functions will guide an inductive–deductive classification of financing arrangements to develop a descriptive, evidence-informed typology of oral health financing architectures.
ETHICS AND DISSEMINATION: As this review will synthesise publicly available evidence and will not involve individual participant data, ethical approval is not required. Findings will be disseminated through peer-reviewed publication and scientific presentations and shared with relevant policymakers and stakeholders.
METHODS AND ANALYSIS: This scoping review will be conducted in accordance with JBI methodology. Evidence on organised oral health financing arrangements, including tax-funded systems, social health insurance, private insurance, community-based and mutual financing models, employer-based schemes and savings-based models, will be considered across all geographic regions, income groups and health system settings. A three-step search strategy will identify published and unpublished evidence from MEDLINE (Ovid), Embase, CINAHL (EBSCOhost), Scopus, Web of Science, the Cochrane Database of Systematic Reviews, ProQuest Dissertations & Theses Global, OAIster and Google Scholar. Evidence published from database inception to September 2026 will be considered without language restrictions. Two reviewers will independently screen titles and abstracts and subsequently full texts against the inclusion criteria. Data will be extracted using a structured form and analysed using descriptive numerical summaries, structured narrative synthesis and visual mapping. Kutzin’s health financing functions will guide an inductive–deductive classification of financing arrangements to develop a descriptive, evidence-informed typology of oral health financing architectures.
ETHICS AND DISSEMINATION: As this review will synthesise publicly available evidence and will not involve individual participant data, ethical approval is not required. Findings will be disseminated through peer-reviewed publication and scientific presentations and shared with relevant policymakers and stakeholders.