Point-of-care diabetes testing in the dental setting: A national scope of practice survey

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry Pub Date : 2024-05-31 DOI:10.1111/jphd.12631

Nadia Laniado DDS, MPH, MS, Ashley E. Brodigan DDS, MPH, Megan Cloidt DDS, MPH

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引用次数: 0

Abstract

Objectives

The aim of this study was to assess the knowledge of state dental directors regarding their state's professional practice act, specifically scope of practice laws regarding point-of-care chairside screening for diabetes.

Methods

A cross-sectional study design was used to examine the 50 state dental directors' knowledge of policy around point-of-care diabetes testing in their state. A five-item survey instrument was designed in a web-based platform and electronically distributed in 2022.

Results

Thirty-seven states (74%) responded to the survey. Regarding whether it was within the scope of practice for dentists to provide chairside point-of-care HbA1c screening, 17 states (46.0%) responded “yes,” 5 states (13.5%) responded “no,” and 15 states (40.5%) responded “don't know.” Of the 17 states who provide diabetes testing, four states (23.5%) reported that dentists were reimbursed, nine states (53.0%) reported they were not reimbursed, and four states (23.5%) reported they did not know regarding reimbursement.

Conclusions

There is significant state heterogeneity with regard to laws, regulations, and reimbursement for chairside diabetes testing in the United States. This is accompanied by vagueness and lack of specificity in the state education laws. For more widespread promotion and adoption of this evidence-based screening, the entire dental community including clinicians, educators, policymakers, payers, and professional organizations at all levels are encouraged to work together to advocate for clarification and specificity in the language of state education laws as well as reimbursement for this vital service.

查看原文本刊更多论文

牙科环境中的床旁糖尿病检测：全国实践范围调查。

研究目的本研究的目的是评估各州牙科主任对本州专业执业法案的了解程度，特别是关于糖尿病床旁护理点筛查的执业范围法律：方法：采用横断面研究设计，考察 50 个州的牙科主任对本州糖尿病就诊点检查政策的了解程度。在网络平台上设计了一个五项调查工具，并在 2022 年以电子方式分发：结果：37 个州（74%）对调查做出了回应。关于牙医提供椅旁护理点 HbA1c 筛查是否属于执业范围，17 个州（46.0%）回答 "是"，5 个州（13.5%）回答 "否"，15 个州（40.5%）回答 "不知道"。在提供糖尿病检测的 17 个州中，有 4 个州（23.5%）表示牙医可以报销费用，9 个州（53.0%）表示不报销费用，4 个州（23.5%）表示不知道报销费用：结论：美国各州在椅旁糖尿病检测的法律、法规和报销方面存在很大差异。同时，各州的教育法也模糊不清，缺乏针对性。为了更广泛地推广和采用这种循证筛查，我们鼓励包括临床医生、教育工作者、政策制定者、付款人和各级专业组织在内的整个牙科界共同努力，倡导各州教育法的语言要明确、具体，并为这项重要的服务提供报销。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.