| Autor: |
Nguyen, T. M., Tonmukayakul, U., Lin, C., Scully, B., Heredia, R., Bischof, W., Hall, M., Calache, H. |
| Předmět: |
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| Zdroj: |
Australian & New Zealand Journal of Dental & Oral Health Therapy; 2022, Vol. 10 Issue 2, p19-27, 9p |
| Abstrakt: |
Background: Victorian public dental services have not had a focus on periodontitis. This project aimed to develop and implement a preventive model of care focused on periodontitis at a regional community health service Community Health, which included the oral health educator role. Methods: A participatory action research approach was used to steer the project via the Project Advisory Group. This included key stakeholders including consumers, service providers and academic experts. Continuing professional development training was provided to support implementation. Evaluation used two methods: 1) a dental services provision audit using a crosssectional analysis, and 2) changes to the oral health impact profile for chronic periodontitis. Two-group proportion tests were conducted comparing the service rate between the 12-month and 24-month time period with the baseline rate. The 2016/17 financial year was used as the baseline reference year. Results: At baseline in the 2016/17, 954 adults received dental care, 1,041 adults in 2017/18 (12-months) and 1,130 adults in 2018/19 (24-months). Services changes varied across the spectrum of diagnostic, preventive and treatment services. Increased rate of services was observed primarily for oral hygiene instructions and dietary analysis and advice services, which are preventive interventions that can be provided by oral health educators. Fifteen clients provided a self-report using the oral health impact profile for chronic periodontitis. Only four clients had at least one follow-up dental appointment with the oral health educator. The mean time for the first follow-up was 165 days. The study results were impacted due to Covid-19 dental restrictions on clinical practice. Conclusions: The dental model of care focused on periodontitis developed by the regional community health service has potential to improve oral health outcomes. Informal feedback suggests regular support from academic experts at a local level is needed to support implementation. The role of the oral health educator appeared to have an important influence on preventive service provision. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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