The integration of oral health‐related best practice recommendations in the management of patients with diabetes: a cross‐sectional survey of primary care physicians

Ahern, John; Nunn, June

doi:10.1111/jphd.12397

Cited by 5 publications

(5 citation statements)

References 8 publications

(7 reference statements)

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“…[16][17][18][19] It has been demonstrated that IPE advances collaborative practice, reduces medical errors, and enhances health outcomes of patients and populations. [20][21][22][23][24] The Association of American Medical Colleges (AAMC) advocated for oral health education for medical students and now expects medical students to demonstrate competence in multiple domains within oral health, such as understanding the caries and periodontal disease process and its implications for systemic health, performing oral health screenings, promoting preventive strategies, and collaborating with dental professionals. 25 The National Call to Action to Promote Oral Health called for revamping health professions education to include oral health content as a key step towards eliminating oral health disparities.…”

Section: Introductionmentioning

confidence: 99%

Interprofessional Oral Health Collaboration: A Survey of Knowledge and Practice Behaviors of Hospital-Based Primary Care Medical Providers in New York City

Laniado

Cloidt

Altonen

et al. 2021

AMEP

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Background:The siloed delivery of oral and medical health care in the United States has contributed to a lack of awareness of the consequences of poor oral health and has hampered effective interprofessional education and collaboration. The aim of this study was to assess the knowledge and practice behaviors of primary care medical providers in an urban safety-net hospital regarding collaboration with dentists and integration of oral health into overall health-care delivery. Methods: A 36-item survey was designed in a web-based platform (Survey Monkey ® ) and electronically distributed in September 2020 to 181 primary care medical providers (physicians, nurses, physician assistants) within a municipal hospital in the Bronx, New York. The questionnaire included sections on demographics, current practices, oral health knowledge, and opinions regarding interprofessional collaboration. Descriptive statistics and bivariate analyses using the chi-square and Fisher's exact test were performed with a significance level of 0.05. Results: The response rate was 66% (119 respondents). The vast majority (80%) reported little or no training in oral health and 85% reported no team experience with oral health professionals. Medical providers' confidence in examining the oral cavity was positively associated with previous additional training (p = 0.001) and with team experience (p = 0.005). The two most commonly reported barriers to willingness to collaborate were lack of formal relationships with dental providers (74%) and competing priorities (69%). Conclusion: Overall, there is very limited awareness and integration of oral health into the clinical practice of medical providers at this safety-net hospital. However, those providers with previous training and team experience had greater oral health confidence. Given the critical importance of oral health to overall health, increased efforts should be directed to further educate and train medical providers and address barriers to interprofessional care.

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Section: Introductionmentioning

confidence: 99%

Interprofessional Oral Health Collaboration: A Survey of Knowledge and Practice Behaviors of Hospital-Based Primary Care Medical Providers in New York City

Laniado

Cloidt

Altonen

et al. 2021

AMEP

View full text Add to dashboard Cite

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“…As GPs may be involved in oral health care in primary care settings, improving oral health training of GP may in turn improve GPs engagement in the management of oral conditions. Currently, there has been limited culture of collaborative practice between GPs and dental practitioners, which is essential in effectively mitigate oral health disparities [ 20 , 59 ]. Despite evidence suggesting integrated healthcare model incorporating dental practitioners into primary care may lower overall healthcare cost[ 60 ], dental practitioners are frequently not included as a part of the healthcare team in primary care settings [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Encounters and management of oral conditions at general medical practices in Australia

Cheng

Eberhard

Gordon

et al. 2022

BMC Health Serv Res

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Background Poor oral health has been widely recognised as an ongoing public health issue. Patients with oral conditions may visit either a general practitioner (GP) or a dental practitioner for management. The aims of this study are to report (i) the GP management rate of oral health conditions by patient and GP demographics, (ii) what specific oral conditions were managed, and (iii) how GPs managed oral conditions. Methods Data from the Bettering the Evaluation and Care of Health study (2006 to 2016 inclusive) were analysed. Descriptive statistics with 95% confidence intervals around point estimates were used to summarise data. Multivariate logistic regression was performed to determine the independent effect of patient and GP characteristics. Results A total of 972,100 GP encounters were included in the dataset, with oral condition-related encounters managed at a rate of 1.19 oral conditions per 100 GP encounters. Patients who were aged 54 years or younger, resided in a socioeconomically disadvantaged area, came from a non-English speaking background or Indigenous background were more likely to have oral conditions managed by GPs. The most commonly reported oral conditions were dental and oral mucosa-related. Over 60% of oral conditions were managed by GPs through prescribed medications. Conclusions This study provided an overview of management of oral conditions by GPs in Australia. Patients from certain vulnerable demographic groups were more likely to attend a GP for management of oral conditions. Common oral conditions and management approaches were identified. The findings of this study contribute to public health and health policy discussions around optimising primary care provision in oral health.

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“…Unfortunately, focusing on oral health in diabetics is sometimes considered of lower importance compared to other diabetic complications. General practitioners thus rarely inform their patients with DM about the association of their main disease and periodontal disease ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Body mass index as a proxy indicator for poor oral hygiene habits in adult diabetic patients

Ranfl

Vurzer

Zaletel-Kragelj

2022

Slovenian Journal of Public Health

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Aim To analyse if body mass index (BMI) could be used as a fast proxy indicator of poor oral hygiene habits (POHH) among the adult population with diabetes mellitus. Methods Adults, aged 25-74, from the Slovenian 2016 nationwide cross-sectional survey based on the Countrywide Integrated Non-Communicable Disease Intervention (CINDI) Health Monitor methodology, who reported being diabetic, were included in the study (n=560). We assessed the relationship between POHH and BMI, adjusted to confounders, using multiple binary logistic regression. Results In the total sample, the POHH prevalence was 50.9%. Taking into account BMI, POHH prevalence in participants with normal BMI values was only 37.8%, in the overweight group it was 1.22-times higher (46.0%), while in the obese group it was 1.63-times higher (61.6%) (p<0.001). Also, the odds for POHH were 2.64-times higher in the obese group in comparison to the normal BMI group (95% CI: 1.55-4.51; p<0.001). After adjustment for confounders, this OR decreased only moderately (OR=2.45; 95% CI: 1.35-4.44; p=0.003). Conclusions BMI could be used as a readily assessable, fast, simple, and cheap tool indicating higher odds for having POHH among the diabetic population. By defining the high-risk group it could be easier for physicians and dentists to take further referrals and actions for promoting oral health in this group. The suggested tool can save time and could have an important positive impact on the quality of life of diabetics, as well as on health expenditures.

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The integration of oral health‐related best practice recommendations in the management of patients with diabetes: a cross‐sectional survey of primary care physicians

Cited by 5 publications

References 8 publications

Interprofessional Oral Health Collaboration: A Survey of Knowledge and Practice Behaviors of Hospital-Based Primary Care Medical Providers in New York City

Interprofessional Oral Health Collaboration: A Survey of Knowledge and Practice Behaviors of Hospital-Based Primary Care Medical Providers in New York City

Encounters and management of oral conditions at general medical practices in Australia

Body mass index as a proxy indicator for poor oral hygiene habits in adult diabetic patients

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