Integrating Oral and General Health Through Health Literacy Practices Proceedings of a Workshop (2019) / Chapter Skim
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2 Integrating Oral Health, Primary Care, and Health Literacy
2 Integrating Oral Health, Primary Care, and Health Literacy
Pages 5-14
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From page 5... ...
They also identified and consulted with experts listed in conference programs, faculty members and administrators in dental and health professional schools with interprofessional educa 1 This chapter is based on a presentation by Kathryn Atchison, professor in the University of California, Los Angeles (UCLA) , School of Dentistry, and in the UCLA Fielding School of Public Health, summarizing a paper commissioned by the Roundtable on Health Literacy, "Integrating Oral Health, Primary Care, and Health Literacy: Considerations for Health Professional Practice, Education, and Policy," by Kathryn Atchison, Gary Rozier, and Jane Weintraub.
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From page 6... ...
Only in the case of pediatric providers conducting preventive oral health services did the task force find enough evidence to make recommendations.3 With both coronary heart disease and oral cancer, the task force found insufficient evidence to make recommendations.4 As Atchison said, these results indicate a lack of current research on integration. Atchison and her colleagues next sought an integrated care conceptual model that was broad enough to describe demonstrations of integration at multiple levels within an organization.
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From page 7... ...
• Preventive oral health services provided by medical providers • Preventive health services provided by dental providers in primary care clinics or nontraditional settings • Case management, coordination, and referral • Preventive health (nondental) services provided by dental providers in dental settings, but only if accompanied by one of the kinds of integration listed above RESULTS OF THE ENVIRONMENTAL SCAN Atchison informed the workshop that the resulting environmental scan found 32 publications, including 15 that were peer reviewed and 17 in the gray literature.
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From page 8... ...
These related to increased access to dental services, community services, and social services, such as transportation, along with increased access to health education and prevention through navigation to dental clinics. "Different types of people, including social workers, community health workers, navigators, [and]
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From page 9... ...
• Track and follow up on referrals. At the professional level of integration, Atchison said that applications of health literacy include the following: • Train the primary care team on how to conduct an oral assessment and caries risk assessment.
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From page 10... ...
Atchison said that a good example is from the Willamette Dental Group and the InterCommunity Health Network in Oregon, which together chose to concentrate on diabetes in response to a statewide health integration program that required organizations to develop pilot programs to address community problems. The medical and dental practices, which were separate entities, had to work together to develop a pilot program in which they would send education materials about diabetes and periodontal disease to medical patients who had diabetes.
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From page 11... ...
In the Willamette Dental Group's transformation program in Oregon, integration partners took concrete steps for the collaboration by developing goals, considering the social determinants of health, and conducting a review of physician language to determine whether patients could understand their providers. Grace Health described their mission as looking "to fill gaps in the care system" for their community, which is why they focused on pregnant women.
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From page 12... ...
The recognition is growing that nondental health providers can have a key role in improving oral health, especially for vulnerable and underserved populations, and new curriculum initiatives, toolkits, train-the-trainer programs, and webinars have become available. She cited a number of examples, such as adding an oral assessment to the general physical examination; the development of the nurse-practitioner-dentist model; referral networks built with local dental practices; the National Interprofessional Initiative on Oral Health and the Oral Health Nursing Education and Practice; New England's Transforming Clinical Practice Initiative training programs and practices; and the online curriculum of Smiles for Life, which more than a quarter million people have been able to access.
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From page 13... ...
Atchison added that there are some projects in development to advance interprofessional education, but few programs have yet to appear in practice. At the same time, health literacy applications also exist, but they are generally offered by accountable care organizations.
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