Integrating Oral and General Health Through Health Literacy Practices Proceedings of a Workshop (2019) / Chapter Skim
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3 Systems Thinking, Integration, and Health Literacy as a Catalyst
3 Systems Thinking, Integration, and Health Literacy as a Catalyst
Pages 15-24
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From page 15... ...
, School of Dentistry, and in the UCLA Fielding School of Public Health (whose earlier presentation was summarized in Chapter 2) ; Anita Glicken, associate dean and professor emerita at the University of Colorado School of Medicine and executive director of the National Interprofessional Initiative on Oral Health; Ronald Inge, chief operations officer, chief dental officer, and vice president of professional services for Delta Dental Plan of Missouri; and George Taylor, associate dean of diversity and inclusion and professor in the Department of Preventive and Restorative Dental Sciences at the University 1 This chapter is based on presentations by Kathryn Atchison, professor at the University of California, Los Angeles (UCLA)
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From page 16... ...
2. Integration of health care delivery has to happen across multiple systems; given the systemic barriers and facilitators, what role can health literacy play to support integration?
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From page 17... ...
Atchison added that she was not aware of studies that followed children who received routine preventive oral health services over time to track future oral and general health care costs and savings. The need for a more comprehensive inclusion of oral health in overall health care for children is reflected in statewide health survey findings, professional oral and general health care guidelines, organizational policy statements, and recommendations from the U.S.
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From page 18... ...
. It focused on oral health, not just on dentistry, and one of its key messages was that promoting oral health required everyone to be involved, from individuals and caregivers at home to medical and dental health care providers to entire systems.
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From page 19... ...
If I am not going to get paid for it, then I am less likely to do it." Overcoming this resistance requires considering the economics of integration, he said, "because unfortunately, in this day and age, the economics are going to drive what services a patient receives and whether or not there is going to be collaboration between physicians and dentists." Kleinman added that this is another area where the system is well positioned and needs to disseminate knowledge from one component of the delivery system to others about the potential health benefits that exist. In response to a question from Atchison regarding what the process of a hypothetical integrated program between Delta Dental and Blue Cross might look like, Inge recounted that, about 15 years ago, Delta Dental of Minnesota and Blue Cross/Blue Shield of Minnesota implemented a pilot program that provided dentists with screening tools for diabetes.
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From page 20... ...
"You notice that I say ‘dental benefits' and not ‘dental insurance,' because that is the distinction." After World War II, when wages were frozen, benefits became an additional incentive for employment, and dental benefits were developed not necessarily to influence an employee's dental health but as an employment incentive. For example, Delta Dental, which was the first dental-only benefits company, started in Washington, California, and Hawaii and was for the children of longshoremen.
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From page 21... ...
The value of health literacy extends across multiple dimensions, said Taylor, especially when, as Glicken pointed out, it is a two-way street between the consumers and the providers of health care (including health care payers and systems)
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From page 22... ...
But across the health professions they also need providers and leaders who can help them figure out how to personalize that information and apply it to their own care. "I am hoping that oral health literacy is the tsunami of change that activates patients and moves us forward toward a more integrated care delivery system." Atchison suggested working to improve health literacy through insurancebased networks.
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From page 23... ...
• How can better health literacy among providers and consumers enhance integration? • Whose responsibility is it to communicate information to provid ers and consumers about the link between oral health and general health?
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