Integrating Oral Health and Primary Care in the Changing Health Care Landscape

Atchison, Kathryn A.; Weintraub, Jane A.

doi:10.18043/ncm.78.6.406

Cited by 22 publications

(42 citation statements)

References 12 publications

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Section: Introductionmentioning

confidence: 99%

“…In the United States (US) there has been a long standing separation between the dental and medical professions [1][2][3][4]. This divide persists despite: 1) recognition of the importance of oral health to the physical and social well-being of individuals and overall population health [5], and 2) burgeoning arguments that the integration of dental and primary care might improve access to both [1][2][3][4]. There is a growing realization that comprehensive healthcare requires that the mouth needs to be put back into the body [1][2][3][4] and that oral health affects far more than teeth and a person's smile [6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…A growing literature [1][2][3][4] presents the case for reducing the divide between the practice of medicine and dentistry. Atchison and colleagues observed [3], that by integrating dental and medical care, access to and coordination of patient care is improved.…”

Section: Introductionmentioning

confidence: 99%

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Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

et al. 2019

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Background: A growing literature supports the contention that closing the divide between dental and medical care can improve access to and coordination of patient care. Health service deficits (HSDs) entail: no routine medical exam, no personal healthcare provider (HCP), no health insurance, and/or delaying medical care because of cost all within the last 12 months. Examining the associations between HSDs and dental care utilization could inform strategies and interventions aimed at narrowing the gap between the medical and dental professions. This study explored whether HSDs are associated with not having a dental care visit within the last 12 months. In addition, the study sought to provide an updated analysis of the characteristics and factors associated with dental care utilization. Methods: Two thousand sixteen Behavioral Risk Factor Surveillance System survey data were analyzed using bivariate and multivariable techniques. The outcome variable for this study was: last dental visit was longer than 12 months ago.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

et al. 2019

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“…Integrated medical-dental models of care vary from facilitated referral between medical and dental providers to full integration, where providers are co-located and offer comprehensive dental care as members of a health care delivery system. 24 Although PACE programs are delivering oral health care in co-located and separate facilities, the opportunity and challenge for PACE is to show how these different delivery models can achieve equal levels of early detection, preventive health, and health outcomes and consider the ease of referral, patient comfort, and communication with other providers. 24 Such models should consider PACE's smooth and efficient systems of referral and information sharing, an appropriately trained workforce and organizational structures that can facilitate providing oral health care in both colocated and separate medical and dental centers.…”

Section: Discussionmentioning

confidence: 99%

Setting the PACE for frail older adults in the community

Oishi¹,

Momany²,

Cacchione³

et al. 2020

The Journal of the American Dental Association

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Background. The integration of dentistry into comprehensive and long-term care has occurred infrequently and with limited success. The authors aim to describe how the Program of All-Inclusive Care for the Elderly (PACE) has the potential for such incorporation for the growing population of nursing homeeappropriate older adults preferring to age in place.Methods. The authors used a 56-item online survey to explore aspects of oral health care within PACE, including organizational structure, availability and provision of care, preventive protocols, and provider reimbursement. The survey was distributed to all 124 programs nationally. Data analyses included descriptive statistics for each of the variables of interest.Results. Thirty-five programs completed the survey (28%) in 23 states (74%) where PACE is available. Most programs covered comprehensive dental services and predominantly provided care off-site. Most programs reimbursed dentists at Medicaid fee-for-service rates and some at commercial rates. Dentistry was most frequently ranked the second-highest specialty focus behind mental health.Conclusions. PACE is a comprehensive interdisciplinary model of care and an underused opportunity for furthering medical-dental integration. It uses local dental resources in order to accommodate the oral health care needs of the growing population of older adults preferring to age in place.Practical Implications. PACE is an opportunity for the dental profession to further medical-dental integration and ensure that newer models of long-term care include comprehensive and coordinated oral health care programs. It is also an opportunity to promote an integrated model of care with policy makers to support integrated oral health care for the nursing homeeeligible population.

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“…Pregnant plan members and those with diabetes, for example, now receive a third dental cleaning and periodontal maintenance visit each year at no cost. 21 Efforts to link dental and medical care at Kaiser Permanente, UnitedHealth, Anthem Blue Cross and Blue Shield, and others are lowering the costs of care to employers, 22,23 providing a powerful incentive for other insurers to follow suit. Meanwhile, many individuals involved in health care delivery remain unaware of the synergies that can occur when members of the health care team practice in coordination with one another.…”

Section: Moving Dentistry Toward Ipcpmentioning

confidence: 99%

Interprofessional Collaborative Practice: How Could Dentistry Participate?

Cole

Dodge

Findley

et al. 2018

Journal of Dental Education

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There is a remarkable phenomenon occurring among health professionals: the development of ongoing, routine collaboration, both in educating the next generation of providers and in delivering care. These new approaches, commonly referred to as interprofessional education and interprofessional collaborative practice, have been introduced into academic health settings and delivery systems throughout the U.S. and the rest of the world; however, the full integration of dentistry in health care teams remains unrealized. In academic settings, dentistry has found ways to collaborate with the other health professions, but most practicing dentists still find themselves on the margins of new models of care delivery. This article provides a perspective on the history and context of the evolution of collaborative approaches to health care and proposes ways in which dentistry can participate more fully in the future.

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Integrating Oral Health and Primary Care in the Changing Health Care Landscape

Cited by 22 publications

References 12 publications

Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months

Setting the PACE for frail older adults in the community

Interprofessional Collaborative Practice: How Could Dentistry Participate?

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