scholarly journals Interprofessional diabetes and oral health management: what do primary healthcare professionals think?

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 339
Author(s):  
Phyllis Lau ◽  
Anthony Tran ◽  
Matthew Chen ◽  
Evelyn Boyce ◽  
Rachel Martin ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Oral Health ◽  
Primary Healthcare ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Health Management ◽  
Interprofessional Collaboration ◽  
Oral Health Care ◽  
Exploratory Research

Background: Diabetes and periodontitis have a bi-directional relationship. And yet, collaborations between primary healthcare practitioners in diabetes and oral health care are minimal. This study explored the views of general practice and oral health professionals on the link between diabetes and periodontitis, and interprofessional diabetes and oral health management. Methods: A sequential mixed-methods exploratory research design was used. General practice and oral health professionals were recruited from four community health centres in Melbourne. Quantitative surveys explored participants’ experiences, attitudes and knowledge of diabetes and oral health management and interprofessional collaboration; qualitative follow-up interviews explored survey responses with selected participants. Results: 58 participants completed the online surveys; 22 then participated in semi-structured interviews. Participants generally had strong intentions to collaborate interprofessionally in diabetes and oral health management. Most general practice and oral health professional participants were willing to perform simple screening for periodontitis or diabetes respectively. Themes from the interviews were grouped under three domains: ‘attitude towards diabetes and oral health management’, ‘subjective norms’ and ‘perceived behavioural control’; and an overarching domain to describe participants’ ‘current practice’. Existing siloed primary healthcare practices and lack of formal referral pathways contribute to poor interprofessional collaboration. Most participants were unsure of each other’s responsibilities and roles. Their lack of training in the relationship between general and oral health, compounded by systemic barriers including time constraint, high dental costs, long public dental waiting list and unintegrated health information systems, also impeded interprofessional care. Conclusions: The diabetes and oral health link is not properly recognised or managed collaboratively by relevant primary healthcare professionals in Australia. There is, nonetheless, strong intentions to engage in interprofessional diabetes and oral health care to contribute to improved patient outcomes. Primary healthcare professionals need dedicated and accredited interprofessional training and competencies, formal referral systems and sustainable health policies to facilitate collaboration.

Oral health diseases among the older people: a general health perspective

2020 ◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Health Professionals ◽  
General Health ◽  
Oral Health Care ◽  
Oral Diseases ◽  
Public Health Professionals ◽  
The Relationship

Background: The relationship between oral health and general health is gaining interest in geriatric research; however, a lack of studies dealing with this issue from a general perspective makes it somewhat inaccessible to non-clinical public health professionals. Purpose: The purpose of this review is to describe the relationship between oral health and general health of the elderly on the basis of literature review, and to give non-clinical medical professionals and public health professionals an overview of this discipline. Methods: This study was based on an in-depth review of the literature pertaining to the relationship between oral health and general health among the older people. The tools commonly used to evaluate dental health and the academic researches of male elderly people were also reviewed. And future research directions were summarized. Results: Dental caries, periodontal disease, edentulism, and xerostomia are common oral diseases among the older people. Dental caries and periodontal diseases are the leading causes of missing teeth and edentulism. Xerostomia, similar to dry mouth, is another common oral health disease in the older people. No clear correlation exists between the subjective feeling of dryness and an objective decrease of saliva. Rather, both conditions can be explained by changes in saliva. The General Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile (OHIP) are the main assessment tools used to examine oral health and quality of life in the older people. The GOHAI tends to be more sensitive to objective values pertaining to oral function. In addition, oral health studies in male elderly people are population-based cohort or cross-sectional studies, involving masticatory function, oral prevention, frailty problems, cardiovascular disease risk, and cognitive status. Conclusion: It is possible to reduce the incidence of certain oral diseases, even among individuals who take oral health care seriously. Oral health care should be based on the viewpoint of comprehensive treatment, including adequate nutrition, good life and psychology, and correct oral health care methods. In the future, researchers could combine the results of meta-analysis with the clinical experience of doctors to provide a more in-depth and broader discussion on oral health research topics concerning the older people.

scholarly journals The Effect of Multimodal Comprehensive Care Methodology Training on Oral Health Care Professionals’ Empathy for Patients With Dementia

2020 ◽  
Author(s):  
Masaki Kobayashi ◽  
Mio Ito ◽  
Yasuyuki Iwasa ◽  
Yoshiko Motohashi ◽  
Ayako Edahiro ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Oral Care ◽  
Training Programme ◽  
Oral Health Care ◽  
Comprehensive Care ◽  
Dental Hygienists ◽  
People With Dementia

Abstract Background: The prevalence of oral diseases in people with dementia has increased, and patients with dementia have worse oral health than people without dementia. However, in the provision of oral care, these patients often exhibit care-resistant behaviours. Empathy is important for health care professionals who provide dental care for people with dementia. A study was conducted to assess whether a multimodal comprehensive care methodology training programme: HumanitudeTM is associated with an improvement in empathy for people with dementia among oral health care professionals.Methods: This research was a pre-post prospective study. A total of 45 dentists and dental hygienists participated in a 7-hour multimodal comprehensive care methodology training programme. Participants’ empathy for their patients was evaluated with the Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) before the training and one month after the training (primary outcome). Each participant listed 3 patients from his or her clinical practice for whom he or she felt difficulty to provide oral care due to dementia. The oral health of the 3 care-resistant patients listed by each participant was evaluated by the Oral Health Assessment Tool (OHAT) before the training and one month after the training (secondary outcome).Results: The post-training response rate was 87% (21 dentists and 18 dental hygienists). From pre-training to post-training, the multimodal comprehensive care methodology training significantly increased the mean empathy score (from 113.97 to 122.95, P<0.05, effect size=0.9). Regardless of gender, profession and years of clinical experience, all post-training subgroup scores were higher than the pre-training subgroup scores. The tongue, natural teeth, and oral hygiene scores of patients, as assessed by the OHAT, were significantly improved compared with those before the training.Conclusions: Multimodal comprehensive care methodology training was associated with an improvement in oral health professionals’ empathy for patients with dementia and an improvement in the oral health of their patients. These findings suggest that randomized controlled trials with large sample sizes will be needed.Trial registration: UMIN Clinical Trials Registry (UMIN-CTR), UMIN000041687. Registered 4 September 2020 – Retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047586

Massive open online course (MOOC) in Dentistry: a cross-sectional study of a UNASUS course on Oral Health Care for Pregnant and Postpartum Women (Preprint)

2020 ◽  
Author(s):  
Camila Huanca ◽  
Deise Garrido ◽  
Caren Bavaresco ◽  
Ana Emilia Oliveira ◽  
Ana Estela Haddad
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Oral Health Care ◽  
Online Course ◽  
Postpartum Women ◽  
Massive Open Online ◽  
Continuous Education ◽  
Massive Open Online Course ◽  
Program Content

BACKGROUND The technology-mediated education has been increasingly used in the global scope of continuous education. In the health area, it has been applied for professional development. In Brazil, the Ministry of Health created, as of 2010, the Open University of the Brazilian Public Health System (UNASUS), starting to promote the continuous education of the health teams, by means of a network of public universities, making an open access educational repository, with a wide range of course offers. Considering that, as of 2016, the Ministry of Health included the dental visit in the prenatal care of the pregnant women being followed-up. The SUS’ Open University-Federal University of Maranhão (UNASUS-UFMA), in partnership with the Faculty of Dentistry of the University of São Paulo (FOUSP), developed and launched the “Oral Health Care for Pregnant and Postpartum Women” course in the massive open online course (MOOC) format. OBJECTIVE The purpose of this study is to present a descriptive analysis, resulting from the offer of such course, considering its program content, the participants’ profile, their development and the observed dropout rate. METHODS The MOOC on “Oral Health Care for Pregnant and Postpartum Women” designed to support dental surgeons and Dentistry students, as well as other health professionals. Educational objectives, target public, program content, workload were established and it counted with a development multidisciplinary team, including content developers expert on the subject, educators, professionals specialized in instructional design and information technology professionals. The course open for a 6-month period was presented in two units. At the end of the course, an evaluation activity with a cut-off grade of 70% for certification was available to the participants. For this study, the data collected in the Arouca platform and in the Moodle virtual learning environment from the period of April 10th to October 10th, 2018 was analyzed evaluating the students of the course. RESULTS The registrations reached the number of 15,461 people and, of these, 11,854 participants interacted with the course by accessing the multimedia book and 4,683 (30.30%) received the certificate of completion. Most of the participants (79,30%) were female and from a broad age group, from 21 to 40 years old. All the Brazilian federation units had registrants 5,434 registrations were from the Southeast region. 70.33% or the enrolled individuals were dental surgeons and 11.38%, classified as others, included Dentistry students, and there were also other health professionals registered. The completion rate was higher than the average of courses in the MOOC fashion registered in the literature. CONCLUSIONS The analyzed data indicated the wide capillarity of the offered course, overcoming geographic distance, and even connectivity, barriers given the technology and innovative delivery model, based on mobile technology.

A Qualitative Study of Health Care Providers’ Views on Integrating Oral Health into Prenatal Care

2020 ◽  
pp. 238008442096199
Author(s):  
A. Adeniyi ◽  
L. Donnelly ◽  
P. Janssen ◽  
C. Jevitt ◽  
H. von Bergman ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Prenatal Care ◽  
Integrated Care ◽  
Health Care Providers ◽  
Thematic Analysis ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
Oral Health Care ◽  
Care Providers

Objective: Providing preventive oral health during prenatal care is a recognized strategy for improving pregnant women’s access to oral health care. This study sought to qualitatively explore the views of health care providers in British Columbia (BC), Canada, on strategies for integrating preventive oral health into prenatal care. Methods: Twenty-four purposefully selected health care providers (13 oral health and 11 prenatal care providers) in Vancouver and Surrey BC participated in audio-recorded semistructured interviews. Interviews lasted from 31 to 61 min, were transcribed verbatim, and were analyzed using an inductive thematic analysis with N-Vivo software. Study validity was ensured via memoing, fieldnotes, member checking, and external audit. Results: Thematic analysis revealed 5 major themes: perception of integrated care, relevance of integrated prenatal oral health, strategies for achieving integrated prenatal oral health, drivers of the integration process, and barriers to integrating oral health during pregnancy. Interprofessional collaboration based on information sharing and communication was identified as a critical factor for integrated care. Oral health checks should be a component of prenatal assessments for achieving integrated prenatal oral health. Participants recommended that prenatal providers should offer oral health education and use screening questions to identify the pregnant woman’s oral health needs. The establishment of referral systems was advocated, while dental assessments and oral prophylaxis via the medical services plan were proposed. The inclusion of dental providers in prenatal teams and educating health care providers on interprofessional collaboration were also supported. Conclusion: Oral health and prenatal providers in BC are positively disposed to adopting integrated preventive prenatal oral health care based on interprofessional collaborative practices. The inclusion of oral health providers in prenatal teams was suggested. Knowledge Transfer Statement: The results of this study can be used by policymakers for advocacy and decision making when planning care delivery programs for women during pregnancy. Including the suggested strategies could lead to increased access to, and utilization of, oral health services among pregnant women.

Oral health care in urban general practice: what are the support and training needs?

2021 ◽  
Author(s):  
Thomas Fung ◽  
Penelope Abbott ◽  
Amit Arora ◽  
Ajesh George ◽  
Amy Villarosa ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Oral Health ◽  
Oral Health Care ◽  
Training Needs ◽  
And Training

scholarly journals Linkage of health care claims data and apps data: The ADVOCATE oral health care dashboard

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Frank Gabel ◽  
Karen O’hanlon ◽  
Pamela Brankin ◽  
Robert Bryce ◽  
Anna-Lena Trescher ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Claims Data ◽  
Guideline Implementation ◽  
Oral Health Care ◽  
European Countries ◽  
Added Value ◽  
Policy Makers ◽  
Essential Information

ABSTRACT ObjectivesOral diseases are highly prevalent worldwide and their treatment places considerable economic burden on individuals and society. The ADVOCATE (Added value for Oral Care) project aims to promote new, patient-centred preventively oriented primary care and treatment. As part of the project, a benchmarking dashboard is being developed to give stakeholders (i.e. health professionals, policy makers and health service planners) access to routinely collected data through a number of indicators such as: the types of care provided, costs of care and care outcomes, enabling comparisons across countries to be made. ApproachAt the core of the ADVOCATE project, health data from several European countries are being collected. A bidirectional approach is used. Routinely collected claims data from 9 health insurers (insurance companies and NHS schemes) are being gathered. Concurrently, a patient e-questionnaire is being developed. Patients will be asked to answer additional health information questions anonymously whilst in the dental practitioner’s office using an app, thus providing data that isn’t available through the routinely collected claims data. A previously developed set of indicators is being implemented in an electronic benchmarking dashboard. With the help of the linkage of aggregated forms of both claims data and data from the patient e-questionnaire, the dashboard will be used to visualize these indicators in order to monitor, direct and evaluate system change and related behaviors of patients, professionals, policymakers and insurers. ResultsA pilot version of a dental healthcare dashboard has been developed using data from the Survey of Health, Aging, and Retirement Europe (SHARE). In this context, the number of remaining teeth (indicating oral health status), the proportion of replaced teeth (indicating restorative activity of dentists) and the mean number of dentist visits per day (indicating oral health awareness of the population) were modeled and visualized for 12 European countries and Israel, resulting in highly diverse country groups in terms of the above indicators. ConclusionThe ADVOCATE oral healthcare dashboard, containing essential information from both claims data and data from a patient e-questionnaire (via an app), can be used to review compliance with best practice guidelines and help close the guideline implementation gap. It will be the first time that oral health professionals, insurers, and health policy makers will have the opportunity to review oral health care performance against standards. This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 635183".

Older Americans' access to oral health care

1988 ◽  
Vol 52 (11) ◽  
pp. 637-642 ◽  
Author(s):  
TA Dolan ◽  
CR Corey ◽  
HE Freeman
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Oral Health Care ◽  
Older Americans
Sign in / Sign up

Export Citation Format

Share Document