An Interprofessional Approach to Oral Hygiene for Elderly Inpatients and the Perception of Caregivers Towards Oral Health Care

Ryu, Masahiro; Ueda, Takayuki; Sakurai, Kazuo

doi:10.1016/j.identj.2020.12.003

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…35,36 This may be due to a lack of awareness of the importance of oral care and a lack of cooperation among dental professionals and nursing home staff. 42 To provide effective oral care in nursing homes, improved adherence to oral care practices is an important goal that can be achieved by increasing educational opportunities and improving the motivation of dental professionals and nursing home staff. [42][43][44] We think this can be achieved in two ways.…”

Section: Discussionmentioning

confidence: 99%

“…42 To provide effective oral care in nursing homes, improved adherence to oral care practices is an important goal that can be achieved by increasing educational opportunities and improving the motivation of dental professionals and nursing home staff. [42][43][44] We think this can be achieved in two ways. First, we recommend that our economic evidence showing that providing professional and mechanical oral care in nursing homes is cost-effective is added to the pneumonia guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Only 28.9% of Japanese nursing homes provide weekly professional oral care, 21 even though the cost of home dental care by dental professionals is reimbursed under Japan's NHI fee schedule 35,36 . This may be due to a lack of awareness of the importance of oral care and a lack of cooperation among dental professionals and nursing home staff 42 . To provide effective oral care in nursing homes, improved adherence to oral care practices is an important goal that can be achieved by increasing educational opportunities and improving the motivation of dental professionals and nursing home staff 42–44 .…”

Section: Discussionmentioning

confidence: 99%

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Cost‐effectiveness of professional and mechanical oral care for preventing pneumonia in nursing home residents

Okubo

Hoshi

Kondo

2022

J American Geriatrics Society

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Background Pneumonia is common in nursing home residents and is a leading cause of hospitalization and death. Nursing home residents with cerebrovascular diseases and impaired consciousness are at high risk of aspiration pneumonia. Professional and mechanical oral care by dentists and hygienists in addition to daily oral care by caregivers was shown to be effective in preventing pneumonia in nursing home residents. However, professional and mechanical oral care has not been widely provided in Japan, while daily oral care by caregivers has been widely provided as a basic service in nursing homes. This study aimed to evaluate the cost‐effectiveness of providing professional and mechanical oral care for preventing pneumonia in nursing home residents. Methods Using a decision tree and Markov modeling, we conducted a cost‐effectiveness analysis from the payer's perspective (social insurers and patients) in Japan. Results The incremental cost‐effectiveness ratio for professional and mechanical oral care compared with daily oral care only was calculated as 4,079,313 Japanese yen (¥; 33,994 United States dollars [US$], US$1 = ¥120) per quality‐adjusted life year. Conclusions Using the official value of social willingness to pay for a one‐quality‐adjusted life year gain in Japan of ¥5 million (US$41,667) as the threshold to judge cost‐effectiveness, providing professional and mechanical oral care is cost‐effective. Our results suggest professional and mechanical oral care for preventing pneumonia in nursing home residents could be justifiable as efficient use of finite healthcare resources. The results have implications for oral care in nursing homes both in Japan and worldwide.

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