Time to integrate oral health screening into medicine? A survey of primary care providers of older adults and an evidence-based rationale for integration.

Autor: Vernon LT; Veteran Affairs Quality Scholar's Program, Cleveland VA Medical Center, Cleveland, OH, USA.; The MetroHealth System, Cleveland, OH, USA.; Mid-America Health, Columbus, OH, USA., Teng KA; Case Western Reserve University School of Medicine, Cleveland, OH, USA.; Adult Health and Wellness Service line in The MetroHealth System Cleveland, Cleveland, OH, USA., Kaelber DC; Pediatrics and Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.; Center for Clinical Informatics Research and Education, The MetroHealth System, Case Western Reserve University, Cleveland, OH, USA., Heintschel GP; Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.; Department of Dental Medicine, The MetroHealth System, Cleveland, OH, USA., Nelson S; Community Dentistry, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.
Jazyk: angličtina
Zdroj: Gerodontology [Gerodontology] 2022 Sep; Vol. 39 (3), pp. 231-240. Date of Electronic Publication: 2021 May 28.
DOI: 10.1111/ger.12561
Abstrakt: Objective: Primary care providers were assessed regarding their training and interest to screen oral conditions in patients ≥55 years old.
Background: Oral health (OH) is an essential component of overall health and can affect systemic health. Medical/dental integration in older adults is underdeveloped.
Methods: A brief survey assessed primary care providers' self-reported skills, practices and barriers towards integrating OH screening into adult primary care. Data were collected using Survey Monkey ® . Respondents were physicians and advanced practice providers (APPs) working at a large mid-western safety-net hospital. Descriptive statistics, T-tests and Chi-squared tests were reported.
Results: Eighty-two of 202 participants (41%) completed the survey. Most respondents were female (75%). A majority were physicians (68%); the remainder APPs. All providers (100%) reported OH was important or extremely important to overall health. More physicians (93%) reported not being well-trained to address adult OH issues and perceived less medical-oral health integration in their practice (16%) compared to APPs (P < .05). Time was more of a barrier with APPs (74%), compared to physicians (51%), to integrate OH screening activities (P < .05). Most providers reported other barriers such as inadequate OH training and insurance coverage. Providers endorsed that OH should be assessed frequently (56%) including providing referrals to dentists (77%) and educating patients on oral-systemic issues (63%). More female than male providers endorsed dental referrals and educating patients (P < .05).
Conclusion: Primary care providers embraced greater medical/dental integration for older adults. Instituting OH activities appears to be supported. Future interventions that are feasible in primary care settings are examined.
(© 2021 Gerodontology Association. John Wiley & Sons Ltd.)
Databáze: MEDLINE
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