Dental case manager encounters: the association with retention in dental care and treatment plan completion

Lemay, Celeste A.; Tobias, Carol; Umez-Eronini, Amarachi A.; Brown, Carolyn J.; McCluskey, Amanda; Fox, Jane; Bednarsh, Helene; Cabral, Howard

doi:10.1111/j.1754-4505.2012.00293.x

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Dental case management can encapsulate responsibilities beyond those at just the administrative level, and can include motivational interviewing, health literacy activities, care coordination, community outreach, and education . Studies on dental case management have shown that it leads to improved retention in dental care, completion of treatment plans, and improvements in oral health . In the era of interdisciplinary health‐related practices, medical case management could also potentially play a role in encouraging oral health prevention as well, given its documented ability to help improve overall morbidity and mortality, medication adherence, and continuity of care .…”

Section: Discussionmentioning

confidence: 99%

“…32 Studies on dental case management have shown that it leads to improved retention in dental care, completion of treatment plans, and improvements in oral health. 30,33 In the era of interdisciplinary health-related practices, medical case management could also potentially play a role in encouraging oral health prevention as well, given its documented ability to help improve overall morbidity and mortality, medication adherence, and continuity of care. [34][35][36] Such findings underscore the significant role that case management plays in facilitating and maintaining health care utilization and improved disease outcomes amongst underserved population.…”

Section: Discussionmentioning

confidence: 99%

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Barriers and facilitators to dental care among HIV‐Infected adults

Parish

Siegel

Pereyra

et al. 2015

Special Care in Dentistry

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Oral health problems can significantly compromise HIV-infected individuals’ general health and well-being, yet many of them experience an unmet need for oral care. The barriers and facilitators of obtaining dental care in a sample of HIV-infected adults, all of whom were eligible for Ryan White Part A funding for their treatment, were investigated through qualitative interviews with HIV-positive individuals who had not received dental services in the prior 12 months (n = 44). Identified barriers were as follows: (1) dental anxiety and fear, (2) cumbersome administrative procedures, (3) long waits at the dental office, (4) problem focused care-seeking behavior, (5) transportation difficulties, (6) dentists’ reluctance to treat people like them, and (7) psychological issues. Identified facilitating factors were as follows: (1) coverage for dental care, (2) being treated with respect and acceptance, and (3) having an assigned case manager or social worker. Many of the barriers uncovered in this qualitative study can be addressed and overcome by case management services, but other approaches are needed to address the additional psychological and stigma-related factors that are impeding access to oral healthcare in this population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to dental care among HIV‐Infected adults

Parish

Siegel

Pereyra

et al. 2015

Special Care in Dentistry

View full text Add to dashboard Cite

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Implementing care coordination in a large dental care organization in the United States by upskilling front office personnel

et al. 2021

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Background Care coordination is a key strategy used to improve health outcomes and efficiency, yet there are limited examples in dentistry. A large dental accountable care organization piloted care coordination by retraining existing administrative staff to coordinate the care of high-risk patients. Following the pilot’s success, a formal “dental care advocate” (DCA) role was integrated system-wide. The goal of this new role is to improve care, patient engagement, and health outcomes while integrating staff into the clinical care team. We aim to describe the process of DCA role implementation and assess staff and clinician perceptions about the role pre- and post-implementation. Methods Guided by the Consolidated Framework for Implementation Research, semi-structured interviews with clinical and operational administrative staff and observation at the company-wide training session were combined with pre- and post-implementation electronic surveys. Descriptive statistics and mean scores were tested for significance between each survey sample (t-tests), and qualitative data were thematically analyzed. Results With preliminary evidence from the pilot and strong executive support, a dedicated leadership team executed a stepwise rollout of the DCA role over 6 months. Success was facilitated by an organizational culture of frequent interventions deployed rapidly through a centralized system, along with supportive buy-in from managerial teams and high staff acceptance and enthusiasm for the DCA role before implementation. Following implementation, significant changes in attitudes and beliefs about the role were measured, though managers held stronger positive impressions than DCAs. DCAs reported high confidence in new skills and dental knowledge post-implementation, including motivational interviewing and the ability to confidently answer patients’ questions about their oral health. Overall, the fast-paced implementation of this new role was well received, although consistent and significant differences in mean attitudes between managers and DCAs indicate more work to fine-tune the role is needed. Conclusions Successful implementation of the new DCA role was facilitated by a strong organizational commitment to team-based dentistry and positive impressions of care coordination among staff and managers. Upskilling existing administrative staff with the necessary training to manage some high-risk patient needs is one method that can be used to implement care coordination efforts in dentistry.

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Effects of a Brief Case Management Intervention Linking People With HIV to Oral Health Care: Project SMILE

et al. 2015

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Objectives. Although people with HIV experience significant oral health problems, many consistently identify oral health as an unmet health care need. We conducted a randomized controlled trial to evaluate the impact of a dental case management intervention on dental care use. Methods. We evaluated the intervention according to self-reported dental care use at 6-, 12-, and 18-month follow-ups. Multivariable logistic models with generalized estimating equations were used to assess the effects of the intervention over time. Results. The odds of having a dental care visit were about twice as high in the intervention group as in the standard care group at 6 months (adjusted odds ratio [OR] = 2.52; 95% confidence interval [CI] = 1.58, 4.08) and 12 months (adjusted OR = 1.98; 95% CI = 1.17, 3.35), but the odds were comparable in the 2 groups by 18 months (adjusted OR = 1.07; 95% CI = 0.62, 1.86). Factors significantly associated with having a dental care visit included frequent physician visits and dental care referrals. Conclusions. We demonstrated that a dental case management intervention targeting people with HIV was efficacious but not sustainable over time. Barriers not addressed in the intervention must be considered to sustain its use over time.

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Dental case manager encounters: the association with retention in dental care and treatment plan completion

Cited by 3 publications

References 25 publications

Barriers and facilitators to dental care among HIV‐Infected adults

Barriers and facilitators to dental care among HIV‐Infected adults

Implementing care coordination in a large dental care organization in the United States by upskilling front office personnel

Effects of a Brief Case Management Intervention Linking People With HIV to Oral Health Care: Project SMILE

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