An interprofessional model of care for oral health during pregnancy

Background: this study aimed to develop and pilot test the model of care, Grinnin’ Up Mums & Bubs, to train Aboriginal Health Workers to promote oral health among Aboriginal and Torres Strait Islander pregnant women. Methods: Participatory Action Research was employed to develop the different components of the model (oral health promotion resources, training workshop, and a culturally safe referral pathway to dental services). The model was piloted (pre-post), using an embedded mixed-methods design, to determine the acceptability, satisfaction, and any recommendations made by seven Aboriginal Health Workers at an antenatal service in Western Sydney, Australia. Results: there was a high level of satisfaction with the components of the model of care among the participants, who believed that the model could be integrated into practice. The training showed some improvement in oral health knowledge and confidence. The participants recommended strategies for discussing oral health with Aboriginal and Torres Strait Islander pregnant women, and changes in public health dental policy to ensure that all women would be able to access affordable dental services through the referral pathway. Conclusion: the findings suggest a high level of satisfaction with the model of care among the Aboriginal Health Workers. Further evaluation is needed to confirm the short and long-term impact of the model.

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Aboriginal Health Workers promoting oral health among Aboriginal and Torres Strait Islander women during pregnancy: Development and pilot testing of the Grinnin’ Up Mums & Bubs program

10.21203/rs.3.rs-774215/v1 ◽

2021 ◽

Author(s):

Ariana Kong ◽

Michelle Dickson ◽

Lucie Ramjan ◽

Mariana S. Sousa ◽

Nathan Jones ◽

...

Keyword(s):

Oral Health ◽

Pregnant Women ◽

Torres Strait Islander ◽

Health Workers ◽

Aboriginal Health ◽

Model Of Care ◽

Dental Services ◽

Level Of Satisfaction ◽

Torres Strait ◽

High Level

Abstract Background: This study aimed to develop and pilot test the model of care, Grinnin’ Up Mums and Bubs, to train Aboriginal Health Workers to promote oral health among Aboriginal and Torres Strait Islander pregnant women. Methods: Participatory Action Research was employed to develop the different components of the model (oral health promotion resources, training workshop, and a culturally safe referral pathway to dental services). The model was piloted (pre-post) using an embedded mixed-methods design with seven Aboriginal Health Workers at an antenatal service in Western Sydney, Australia. Results: There was a high level of satisfaction with the components of the model of care among the participants, who believed that the model could be integrated into practice. The training showed some improvement in oral health knowledge and confidence. The participants recommended strategies for discussing oral health with Aboriginal and Torres Strait Islander pregnant women, and changes in public health dental policy to ensure that all women would be able to access affordable dental services through the referral pathway. Conclusion: The findings suggest a high level of satisfaction with the model of care among the Aboriginal Health Workers. Further evaluation is needed to confirm the short and long-term impact of the model.

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Integrating Oral Health to the Care of Overweight Children: A Model of Care Whose Time Has Come

The Journal of Pediatrics ◽

10.1016/j.jpeds.2007.12.024 ◽

2008 ◽

Vol 152 (4) ◽

pp. 451-452.e1 ◽

Cited By ~ 5

Author(s):

Sara G. Grossi ◽

David N. Collier ◽

Ronald M. Perkin

Keyword(s):

Oral Health ◽

Overweight Children ◽

Model Of Care

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JERM model of care: an in-principle model for dental health policy

Australian Journal of Primary Health ◽

10.1071/py13054 ◽

2014 ◽

Vol 20 (3) ◽

pp. 311 ◽

Cited By ~ 1

Author(s):

Raymond Lam ◽

Estie Kruger ◽

Marc Tennant

Keyword(s):

Health Policy ◽

Oral Health ◽

Policy Development ◽

Dental Health ◽

National Policy ◽

Oral Diseases ◽

Model Of Care ◽

The Government ◽

Oral Health Policy

Oral diseases are the most prevalent conditions in the community. Their economic burden is high and their impact on quality of life is profound. There is an increasing body of evidence indicating that oral diseases have wider implications beyond the confines of the mouth. The importance of oral health has not been unnoticed by the government. The Commonwealth (Federal) government under the Howard-led Coalition in 2004 had broken tradition by placing dentistry in its universal health insurance scheme, Medicare. Known as the Chronic Disease Dental Scheme (CDDS), the program aimed to manage patients with chronic conditions as part of the Enhanced Primary Care initiative. This scheme was a landmark policy for several reasons. Besides being the first major dental policy under Medicare, the program proved to be the most expensive and controversial. Unfortunately, cost containment and problems with service provision led to its cessation in 2012 by the Gillard Labor Government. Despite being seen as a failure, the CDDS provided a unique opportunity to assess national policy in practice. By analysing the policy-relevant effects of the CDDS, important lessons can be learnt for policy development. This paper discusses these lessons and has formulated a set of principles recommended for effective oral health policy. The JERM model represents the principles of a justified, economical and research-based model of care.

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