Improving oral health screening and dental referrals for patients with diabetes in a community health clinic.

IF 1.2 4区 医学
Joy McGowen, Kathy Shaw
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引用次数: 0

Abstract

Background: Oral health screening and access to dental care in adults with diabetes lead to improved health outcomes and quality of life. Patients with barriers to accessing health services have a greater risk of poor medical and dental outcomes. People with diabetes are more likely to have periodontal disease and less likely to visit a dentist.

Local problem: Oral screening and dental referrals were not being done at a community health clinic in Plano, Texas.

Methods: The aim of this 6-month quality-improvement project was to increase oral health screenings in adults with diabetes from 0% to 80%; subaim was to increase access to dental services by increasing referrals from 0% to 50%. Adults with diabetes without insurance or dental care in the past 12 months were eligible for the project ( n = 263). Outcome measures were tracked using a longitudinal chart.

Interventions: Eligible patients were screened and referred to a dental office with an income-based financial assistance program using Plan-Do-Study-Act methodology. Staff education, referral order set, and follow-up calls were additional processes implemented.

Results: Fifty-two percent of eligible patients were screened, 35.9% were referred to dental services, and 17.7% of those referred established care with dental clinic.

Conclusions: Interventions were successful in improving access to dental care, although target goal was not met. Creating systems that facilitate interdisciplinary care improved health equity and standards of health in chronic disease.

改善社区卫生诊所糖尿病患者的口腔健康筛查和牙科转诊。
背景:成人糖尿病患者接受口腔健康检查和牙科治疗可改善健康状况和生活质量。在获得医疗服务方面存在障碍的患者,其医疗和牙科效果不佳的风险更大。当地的问题:德克萨斯州普莱诺市的一家社区卫生诊所没有进行口腔筛查和牙科转诊:这个为期 6 个月的质量改进项目的目标是将成人糖尿病患者的口腔健康筛查率从 0% 提高到 80%;次目标是通过将转诊率从 0% 提高到 50%,增加获得牙科服务的机会。在过去 12 个月中没有保险或牙科治疗的成人糖尿病患者有资格参与该项目(n = 263)。采用纵向图表对结果进行跟踪:采用 "计划-实施-研究-行动 "的方法对符合条件的患者进行筛查,并将其转介到一家有基于收入的经济援助项目的牙科诊所。此外,还实施了员工教育、转诊单设置和后续电话跟进等流程:结果:52%的合格患者接受了筛查,35.9%的患者被转介到牙科服务机构,17.7%的转介患者在牙科诊所接受了治疗:结论:尽管没有达到目标,但干预措施成功地改善了牙科保健的可及性。建立促进跨学科护理的系统提高了慢性病患者的健康公平性和健康标准。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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