Integrative and collaborative care models between pediatric oral health and primary care providers: a scoping review of the literature

Gauger, Tylor L.; Prosser, Lisa A.; Fontana, Margherita; Polverini, Peter J.

doi:10.1111/jphd.12267

Cited by 20 publications

(18 citation statements)

References 22 publications

(28 reference statements)

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“…If social workers, home nurses, general medical practitioners, hospital staff and dental professionals worked together more closely they might be better positioned to help socially disadvantaged individuals. Such recommendations have been previously articulated [26,31]. The idea of establishing models and plans for how to implement such ideas are relevant in the Danish context since demands for increased interdisciplinary collaboration according to the stakeholders are not met.…”

Section: Theme 6: Access To Carementioning

confidence: 99%

Barriers and facilitators for prevention in Danish dental care

Rosing

Leggett

Csikar

et al. 2019

Acta Odontologica Scandinavica

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Objective: To explore barriers and facilitators to oral disease prevention in Danish dental care from a multi-stakeholder perspective. Methods: Eleven semi-structured focus groups and interviews about Danish oral healthcare were conducted with 27 stakeholders (general public, dental teams, dental policy makers) in Copenhagen. Transcripts were analyzed using deductive thematic analysis independently by KR and HL, supervised by JC and KVC. Results: Seven broad themes were identified, including both barriers and facilitators: Knowledge and attitudes, Education and training, Regulation, Incentivization, Multidisciplinary approach, Access to care and the Dental professional-patient relationship. Whilst all themes were relevant to each group of stakeholders, the salient driver within each theme was different for each group. Conclusions: Stakeholder perspectives on the Danish Oral health care system suggest the following are important features for a preventively focused system: (a) Involving all stakeholders in oral healthcare planning. (b) Securing sufficient and ongoing briefing regarding disease prevention for all stakeholders. (c) Regulatory support and creation of incentives to promote and facilitate implementation of disease prevention. (d) Appropriate prevention for disadvantaged groups within society which may be possible to a higher degree by means of multidisciplinary collaboration. (e) Personal relations between the patient and the professional based on mutual trust.

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Section: Theme 6: Access To Carementioning

confidence: 99%

Barriers and facilitators for prevention in Danish dental care

Rosing

Leggett

Csikar

et al. 2019

Acta Odontologica Scandinavica

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show abstract

“…Recommendations have called for the integration of related areas of research like quality of care and health literacy . Further blurring of the boundaries for the concept is caused by labeling some innovative approaches to address the dental access problem, such as care coordinators, teledentistry, and integration of oral health into primary care, as dental home initiatives . Most recently, the broadest application of the medical and dental home concept yet is the integration of public health and social services with primary care .…”

Section: Introductionmentioning

confidence: 99%

Development and testing of a patient‐centered dental home assessment for low‐income families

Rozier

White

Wang

et al. 2019

J Public Health Dent

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Objectives The purpose of this study was to develop an instrument in English (ENG) and Spanish (SPA) for use in assessing perceptions of dental home characteristics among low‐income adults. Methods An expert panel selected 21 items from a pool of 81 items mapped to domains in the American Academy of Pediatrics’ medical home. Pilot testing with mothers (n = 795) of children in Early Head Start (EHS) resulted in an expanded 36‐item scale, which was field‐tested in interviews with ENG‐ (NENG = 665) and SPA‐speakers (NSPA = 116). An exploratory factor analysis of 23 usable items was carried out in an EHS reference group (NENG‐EHS = 272). The selected model was evaluated by confirmatory factor analysis (CFA) in two other subgroups (NENG‐NonEHS = 393; NSPA = 116). We tested measurement and structural invariances using a multiple‐group approach. Known‐groups validity was examined by testing factor mean differences between two groups defined by whether or not the mother used a single dental office. Results A three‐factor CFA model with 10 items was retained for its close fit for all three subgroups. Invariance tests found the two ENG subgroups to be homogenous and were combined. Several item and factor parameters in the SPA group differed from the combined ENG group. The proposed dental home measure demonstrated good known‐group validity in that people who used the same dental office reported better dental care experiences. Conclusions An instrument to measure the dental home concept among low‐income adults was developed with three domains (accessible‐comprehensive, compassionate, and health literate care) that demonstrated good validity and reliability.

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“…With the addition of a social worker, the penetration improved and will likely continue to improve as students have more exposure to this perspective on a day‐to‐day basis. The notion of engaging multiple health care disciplines as a means for a more in‐depth view of patient care is reinforced with this project (Brandt, Lutfiyya, King, & Chioreso, ; Gauger, Prosser, Fontana, & Polverini, ; Harnagea et al, ; O'Malley & Reschovsky, ).…”

Section: Discussionmentioning

confidence: 99%

“…The notion of engaging multiple health care disciplines as a means for a more in-depth view of patient care is reinforced with this project (Brandt, Lutfiyya, King, & Chioreso, 2014;Gauger, Prosser, Fontana, & Polverini, 2018;Harnagea et al, 2017;O'Malley & Reschovsky, 2011).…”

Section: Student Performance and The Case For Didactic Instruction mentioning

confidence: 99%

An emulation model in critical thinking used to develop learning outcomes in inter professional practice

Leary

Marchini

Hartshorn

et al. 2019

Clinical & Exp Dental Res

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Interprofessional education (IPE) and interprofessional practice (IPP) are essential for the comprehensive care of patients. A goal of this paper is to articulate learning outcomes likely to improve patient outcomes. Yet learning outcomes in IPE are “systematically lacking” in consistency. Objective An approach offered here and the main purpose of this paper is to develop and implement an IPE learning outcome by applying emulation concepts from the education literature. In dental situations, emulation has been used to derive the thought process of the expert succinctly enough for the novice to apply to the next patient. Methods The expert's thought process thus becomes the learning outcome, the learning guide, and the assessment instrument. In IPE/IPP, several experts make up the team. The resulting learning outcome is the collection of key questions from respective health care team members. Team members are primary care, pharmacy, nursing, social work, nutrition, and dentistry. The resulting list of questions has not been reported and was applied to patient planning in a geriatric/special needs clinic. Results Students were more likely to apply questions from disciplines that were preceded by didactic instruction—primary care, pharmacy, nutrition, and dentistry—and less likely to apply questions from nursing and social work. Conclusions Although still in the early stages, the model is viable to guide learning and assess performance to a level of grasping the concept. The exercise is student led. For the practitioner, the learning outcome becomes the performance outcome. Further model development is ongoing with limited models for comparison.

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Integrative and collaborative care models between pediatric oral health and primary care providers: a scoping review of the literature

Abstract: Existing care models offered varying services and levels of integration and/or collaboration, but each offered a baseline of oral care. Most of these collaborations were based within Federally Qualified Health Centers and aimed to ease access to care issues.

Cited by 20 publications

References 22 publications

Barriers and facilitators for prevention in Danish dental care

Barriers and facilitators for prevention in Danish dental care

Development and testing of a patient‐centered dental home assessment for low‐income families

An emulation model in critical thinking used to develop learning outcomes in inter professional practice

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