Table 1 Barriers identified

Individual	Organisational	Policy-level
Cost³⁰^,³¹^,³²^,³³^,³⁴^,³⁵^,³⁶^,³⁷^,³⁸^,³⁹^,⁴⁰^,⁴¹^,⁴²^,⁴³^,⁴⁴^,⁴⁵^,⁴⁶	Low availability of services, especially domiciliary and community³⁹^,⁴¹^,⁴⁶^,⁵²^,⁵³	Regulations for patients regarding co-payments⁴⁰^,⁴¹^,⁴⁶
Anxiety³⁸^,⁴⁵^,⁴⁷	Organisation of services not accessible or advertised³¹^,⁴¹^,⁴³^,⁴⁶^,⁵¹^,⁵²	Regulations for dentists regarding remuneration⁴⁴^,⁵²
Lack of social support³⁴^,³⁵^,³⁶^,⁴¹^,⁴³^,⁴⁴^,⁴⁸^,⁴⁹^,⁵⁰	Dental workforce attitude and confidence with older people⁴¹^,⁵⁰	Service and workforce planning - availability of services³⁶^,³⁸^,³⁹^,⁴⁶^,⁴⁸^,⁵³^,⁵⁷
Communication difficulties³⁸^,³⁹^,⁴⁴	Social care workforce lack of knowledge of oral healthcare³¹^,³⁵^,³⁶^,⁴³^,⁴³^,⁴⁶^,⁴⁹^,⁵⁴^,⁵⁶
Mobility issues and frailty³⁰^,³¹^,³²^,³⁴^,³⁵^,³⁶^,³⁸^,⁴¹^,⁴⁵^,⁴⁸^,⁵⁰
Transport difficulties³³^,³³^,³⁵^,³⁷^,³⁹^,⁴¹^,⁴⁸
Negative beliefs around dentistry and dental services³³^,³⁵^,⁴¹^,⁴⁷
Cultural and generational attitudes³⁰^,³¹^,³²^,³³^,³⁶^,³⁷^,³⁸^,⁴⁰^,⁴¹^,⁴²^,⁴³^,⁴⁴^,⁴⁸

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