Oral Health and Pediatricians: Results of a National Survey

Lewis, Carol; Boulter, Suzanne; Keels, Martha Ann; Krol, David; Mouradian, Wendy E.; O’Connor, Karen G.; Quiñonez, Rocio B.

doi:10.1016/j.acap.2009.09.016

Cited by 127 publications

(188 citation statements)

References 7 publications

(6 reference statements)

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“…This finding may reflect the significant shortage of dentists providing preventive oral health services to young children 25 as well as the fact that incorporating preventive oral health care in the medical home, although recommended, is not yet a common practice for most physicians. [25][26][27]35 Although the medical home may play a significant role in assuring that children receive appropriate referral and follow-up for dental problems, it does not seem to be influential in assuring receipt of recommended preventive oral health care. Parents may be unaware of professional guidelines for preventive oral health care and thus may neither seek nor expect these services from the medical home.…”

Section: Discussionmentioning

confidence: 65%

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The Medical Home: Health Care Access and Impact for Children and Youth in the United States

et al. 2011

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OBJECTIVE: The medical home concept encompasses the elements of pediatric care considered essential for all children. We describe here the characteristics of children with medical homes and the relationship between presence of a medical home and selected health care outcomes by using new data from the 2007 National Survey of Children's Health (NSCH). METHODS: We used a medical home measure comprising 5 components: having a usual source of care; having a personal physician or nurse; receiving all needed referrals for specialty care; receiving help as needed in coordinating health and health-related care; and receiving family-centered care. A total of 83 448 children aged 1 to 17 years had valid data for all applicable medical home components. The NSCH is a random-digit-dial population-based telephone survey. RESULTS: In 2007, 56.9% of US children aged 1 to 17 years received care in medical homes. Younger children were more likely to have a medical home than their older counterparts. Substantial racial/ethnic, socioeconomic, and health-related disparities were present. Children who received care in medical homes were less likely to have unmet medical and dental needs and were more likely to have annual preventive medical visits. CONCLUSIONS: Approximately half of the children in the United States have access to all components of a pediatric medical home. Because the medical home is increasingly promoted as the standard for provision of high-quality comprehensive health care, these findings reinforce the need to continue and expand federal, state, and community efforts to ensure that all children have access to this model of care.

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Section: Discussionmentioning

confidence: 65%

“…Dental care is included because existing policy guidelines and experts promote the integration of oral health services in the medical home. [21][22][23][24][25][26][27] …”

mentioning

confidence: 99%

The Medical Home: Health Care Access and Impact for Children and Youth in the United States

et al. 2011

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“…In a survey of pediatricians, only 36% said they had received previous training in oral health, with 13% reporting training during medical school. 20 The majority of survey respondents recognized the importance of evaluating their patients for dental caries, but only 41% felt that their ability to identify caries was very good or excellent. This survey focused on healthy young children rather than those with special health care needs, but presumably, their responses would apply to children with special health care needs as well.…”

Section: Interprofessional Partnerships Oral Health Education In Medimentioning

confidence: 99%

Oral Health Care for Children With Developmental Disabilities

Liptak¹,

Murphy²,

Adams³

et al. 2013

Pediatrics

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Children with developmental disabilities often have unmet complex health care needs as well as significant physical and cognitive limitations. Children with more severe conditions and from low-income families are particularly at risk with high dental needs and poor access to care. In addition, children with developmental disabilities are living longer, requiring continued oral health care. This clinical report describes the effect that poor oral health has on children with developmental disabilities as well as the importance of partnerships between the pediatric medical and dental homes. Basic knowledge of the oral health risk factors affecting children with developmental disabilities is provided. Pediatricians may use the report to guide their incorporation of oral health assessments and education into their well-child examinations for children with developmental disabilities. This report has medical, legal, educational, and operational implications for practicing pediatricians.

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“…Further, although they know the benefit of fluoride varnish, few physicians regularly apply it for their patients, citing barriers including lack of training and reimbursement. 48,49 By 2011, 42 states had adopted a policy to support preventive dentistry initiatives for physicians. 50 Two examples of these types of initiatives are discussed later.…”

Section: Expanding the Oral Health Teammentioning

confidence: 99%