首页 > 最新文献

Journal of dental hygiene : JDH / American Dental Hygienists'' Association最新文献

英文 中文
Advancing Oral Health Equity through Medical-Dental Integration: Dental hygienists as catalysts for change in an evolving health care system. 通过医牙结合促进口腔健康公平:在不断发展的医疗保健系统中,牙科保健员是变革的催化剂。
John Ahern

This report explores the changing landscape of oral health care delivery in the United States, highlighting the evolving role of dental hygienists. The 2021 National Institutes of Health report "Oral Health in America: Advances and Challenges" has become a key milestone in addressing oral health inequities, acknowledging the important role that dental hygienists could play in expanding innovative care models, and promoting medical-dental integration (MDI). The Rainbow Model of Integrated Care offers a framework to examine facilitators of MDI care models, revealing supportive policies, interprofessional collaborative practice, incremental change, and local leadership as some of the crucial components needed for success. Dental hygienists emerge as catalysts for change, as such, the overarching aim of this report is to contribute to the broader conversation about optimizing oral health care accessibility through integrated care models led by dental hygienists.

本报告探讨了美国口腔保健服务不断变化的情况,重点介绍了牙科保健师不断演变的角色。美国国立卫生研究院 2021 年的报告《美国口腔健康:进步与挑战 "已成为解决口腔健康不平等问题的一个重要里程碑,它承认了口腔卫生医师在扩大创新护理模式和促进医疗-牙科一体化(MDI)方面可以发挥的重要作用。彩虹综合护理模式为研究 MDI 护理模式的促进因素提供了一个框架,揭示了成功所需的一些关键要素,包括支持性政策、跨专业合作实践、渐进式变革和地方领导力。牙科保健师是变革的催化剂,因此,本报告的总体目标是通过由牙科保健师主导的综合护理模式,促进有关优化口腔保健可及性的更广泛对话。
{"title":"Advancing Oral Health Equity through Medical-Dental Integration: Dental hygienists as catalysts for change in an evolving health care system.","authors":"John Ahern","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report explores the changing landscape of oral health care delivery in the United States, highlighting the evolving role of dental hygienists. The 2021 National Institutes of Health report \"Oral Health in America: Advances and Challenges\" has become a key milestone in addressing oral health inequities, acknowledging the important role that dental hygienists could play in expanding innovative care models, and promoting medical-dental integration (MDI). The Rainbow Model of Integrated Care offers a framework to examine facilitators of MDI care models, revealing supportive policies, interprofessional collaborative practice, incremental change, and local leadership as some of the crucial components needed for success. Dental hygienists emerge as catalysts for change, as such, the overarching aim of this report is to contribute to the broader conversation about optimizing oral health care accessibility through integrated care models led by dental hygienists.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 3","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical-Dental Integration in Ohio: Improving prevention and coordination at the local level. 俄亥俄州的医疗牙科一体化:改善地方一级的预防和协调。
Matthew Vermillion, Rebekah Mathews

Access to high-quality, preventive oral health care is fundamental for an individual to achieve positive health outcomes. Recognizing that health is influenced by where a person lives, it is important to consider how systems of care must adapt to meet the changing needs of a community over time. Medical-dental integration is a critical component designed to enhance and broaden the oral health care delivery model. MORE Care® is a framework for communities to leverage their resources and relationships by providing tools and resources to integrate preventive oral health services into primary care settings. This report will show how local stakeholders advocated for an innovative approach to improve oral health gaps for children in Ohio. The MORE Care Ohio pilot is expanding access to preventive oral health services by featuring medical-dental integration to close patient care gaps and build an integrated oral health network. Providing a framework for medical and dental teams to collaborate, seven clinical practices (three medical and four dental) agreed to participate in a 9-month learning collaborative and 16-months of performance monitoring.

获得高质量的预防性口腔保健是个人取得积极健康结果的基础。认识到一个人的健康受其居住地的影响,考虑医疗系统必须如何调整以满足社区随着时间推移而不断变化的需求是非常重要的。医疗-牙科一体化是旨在加强和拓宽口腔医疗服务模式的重要组成部分。MORE Care® 是一个社区利用其资源和关系的框架,通过提供工具和资源,将预防性口腔保健服务整合到初级保健中。本报告将展示当地利益相关者如何倡导一种创新方法,以改善俄亥俄州儿童口腔健康的差距。俄亥俄州 "更多关怀"(MORE Care Ohio)试点项目正在扩大预防性口腔健康服务的可及性,其特点是通过医疗与牙科的整合来缩小患者护理差距并建立综合口腔健康网络。七家临床实践机构(三家医疗机构和四家牙科机构)同意参与为期 9 个月的学习合作和 16 个月的绩效监测,为医疗和牙科团队提供合作框架。
{"title":"Medical-Dental Integration in Ohio: Improving prevention and coordination at the local level.","authors":"Matthew Vermillion, Rebekah Mathews","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Access to high-quality, preventive oral health care is fundamental for an individual to achieve positive health outcomes. Recognizing that health is influenced by where a person lives, it is important to consider how systems of care must adapt to meet the changing needs of a community over time. Medical-dental integration is a critical component designed to enhance and broaden the oral health care delivery model. MORE Care<sup>®</sup> is a framework for communities to leverage their resources and relationships by providing tools and resources to integrate preventive oral health services into primary care settings. This report will show how local stakeholders advocated for an innovative approach to improve oral health gaps for children in Ohio. The MORE Care Ohio pilot is expanding access to preventive oral health services by featuring medical-dental integration to close patient care gaps and build an integrated oral health network. Providing a framework for medical and dental teams to collaborate, seven clinical practices (three medical and four dental) agreed to participate in a 9-month learning collaborative and 16-months of performance monitoring.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 3","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral Health Screening by MassHealth Accountable Care Organizations: An opportunity for equity-focused interventions. MassHealth 责任医疗组织的口腔健康筛查:以公平为重点的干预机会。
John Ahern, Laura Sullivan, Caleb Tam, Kara Keating Bench, Benjamin Le Cook

Establishing reliable access to dental services for publicly insured patients is an important part of achieving equitable oral health care. In 2023, an oral health screening requirement was added to the MassHealth Accountable Care Organization contract, which has the capacity to affect over 1.3 million members enrolled in MassHealth Accountable Care Organizations throughout the state. The goal of the oral health screening requirement is to identify MassHealth-insured patients who do not have reliable access to dental services and to provide them with resources to establish a dental home with a MassHealth-participating dentist. Primary care providers were surveyed, and results indicate a need for a care coordination mechanism to assist MassHealth-insured patients with establishing a dental home, in addition to an option to request telehealth-enabled and/or urgent dental appointments. This report describes the oral health screening program at one MassHealth Accountable Care Organization and presents some of the data collected during the first year of its implementation, in addition to discussing how this data is being used to guide equity-focused interventions with the potential for policy implications.

为公共保险患者建立可靠的牙科服务渠道是实现公平口腔保健的重要部分。2023 年,在 MassHealth 责任医疗组织合同中增加了口腔健康筛查要求,这将影响全州 130 多万 MassHealth 责任医疗组织的参保成员。口腔健康筛查要求的目的是识别无法可靠获得牙科服务的大众医疗保险患者,并为他们提供资源,使其与大众医疗保险参与牙医建立牙科之家。对初级保健提供者进行了调查,结果表明需要一个护理协调机制来帮助参加大众健康保险的患者建立牙科之家,此外还需要一个申请远程医疗和/或紧急牙科预约的选项。本报告介绍了一家 MassHealth 责任医疗组织的口腔健康筛查项目,并介绍了在其实施的第一年中收集到的一些数据,此外还讨论了如何利用这些数据来指导以公平为重点的干预措施,并可能对政策产生影响。
{"title":"Oral Health Screening by MassHealth Accountable Care Organizations: An opportunity for equity-focused interventions.","authors":"John Ahern, Laura Sullivan, Caleb Tam, Kara Keating Bench, Benjamin Le Cook","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Establishing reliable access to dental services for publicly insured patients is an important part of achieving equitable oral health care. In 2023, an oral health screening requirement was added to the MassHealth Accountable Care Organization contract, which has the capacity to affect over 1.3 million members enrolled in MassHealth Accountable Care Organizations throughout the state. The goal of the oral health screening requirement is to identify MassHealth-insured patients who do not have reliable access to dental services and to provide them with resources to establish a dental home with a MassHealth-participating dentist. Primary care providers were surveyed, and results indicate a need for a care coordination mechanism to assist MassHealth-insured patients with establishing a dental home, in addition to an option to request telehealth-enabled and/or urgent dental appointments. This report describes the oral health screening program at one MassHealth Accountable Care Organization and presents some of the data collected during the first year of its implementation, in addition to discussing how this data is being used to guide equity-focused interventions with the potential for policy implications.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 3","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Making Progress in Medical Dental Integration. 在医疗牙科一体化方面取得进展。
Katy Battani
{"title":"Making Progress in Medical Dental Integration.","authors":"Katy Battani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 3","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Education for Integration: Dental hygiene student and family medicine residents. 融合教育:口腔卫生学生和家庭医学住院医生。
Hannah L Maxey, Sierra X Vaughn, John N Williams, Kevin B Gebke

Purpose The integration of oral health and primary care offers promising solutions to overcome barriers hindering patient access to oral health care. However, primary care providers require training in basic preventive oral health care and information regarding interprofessional practice opportunities. The purpose of this feasibility study was to examine the perspective of families, learners, faculty, and administrators who engaged in an interprofessional training experience for family medicine residents and dental hygiene students.Methods Family medicine residents and dental hygiene students participated in an interprofessional oral health integration training experience, which included didactic, preclinical, and clinical components. The clinical experience was conducted during a Medicaid Managed Care clinic session, which included the participation of children who had not undergone a well-child visit within the past year. The care teams were comprised of a family medicine resident and dental hygiene student, who collaborated on the provision of preventive oral health care services, including oral examinations, preventive interventions, patient education, and care coordination. Qualitative data gathered using field notes, focus groups, and key informant interviews were analyzed to identify themes from care team, patient/family, and administrative perspectives.Results The care teams provided preventive health oral health care services to 10 pediatric patients during their well child visit. Patients and family members reported appreciating the convenience and value of the care provided. The experience was well received by family medicine residents, dental hygiene students, and clinical faculty members, who highlighted the value of the experience in expanding access to care. The family medicine residents reported the training and interprofessional practice opportunity to be highly valuable, reporting better preparation for the identification, evaluation, and treatment of oral conditions that they may have otherwise overlooked or misdiagnosed.Conclusions This interprofessional educational experience demonstrates the potential value of integrating preventive oral health in primary care visits for children. This care integration may be especially helpful for populations that experience barriers to oral health care. Results of this study suggest that expanding interprofessional education between dental hygiene programs and family medicine residencies may be beneficial for preparing the future workforce for integrated care. Additional research is needed to formalize training models that support integration and promote interprofessional collaboration and practice.

目的 口腔保健与初级保健的结合为克服阻碍患者获得口腔保健的障碍提供了有希望的解决方案。然而,初级保健提供者需要接受基本的预防性口腔保健培训,并获得有关跨专业实践机会的信息。这项可行性研究的目的是研究参与家庭医学住院医师和牙科卫生学学生跨专业培训体验的家庭、学员、教师和管理人员的观点。方法 家庭医学住院医师和牙科卫生学学生参与了跨专业口腔健康整合培训体验,其中包括教学、临床前和临床部分。临床经验是在医疗补助管理式保健门诊期间进行的,其中包括在过去一年中没有接受过儿童健康检查的儿童。护理小组由一名家庭医学住院医师和一名牙科卫生学学生组成,他们合作提供预防性口腔保健服务,包括口腔检查、预防性干预、患者教育和护理协调。通过现场记录、焦点小组和关键信息提供者访谈收集的定性数据进行了分析,以确定护理团队、患者/家属和行政管理角度的主题。患者和家属对护理服务的便利性和价值表示赞赏。家庭医学住院医师、牙科卫生学学生和临床教师对这次体验反应良好,他们强调了这次体验在扩大医疗服务方面的价值。家庭医学住院医师认为这次培训和跨专业实践机会非常有价值,他们表示为识别、评估和治疗口腔疾病做了更好的准备,否则他们可能会忽视或误诊这些疾病。这种护理整合可能对那些在口腔保健方面遇到障碍的人群特别有帮助。这项研究的结果表明,扩大牙科卫生项目和家庭医学住院医生之间的跨专业教育可能有利于培养未来的综合护理人才。还需要进行更多的研究,以正式确定支持整合和促进跨专业合作与实践的培训模式。
{"title":"Education for Integration: Dental hygiene student and family medicine residents.","authors":"Hannah L Maxey, Sierra X Vaughn, John N Williams, Kevin B Gebke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> The integration of oral health and primary care offers promising solutions to overcome barriers hindering patient access to oral health care. However, primary care providers require training in basic preventive oral health care and information regarding interprofessional practice opportunities. The purpose of this feasibility study was to examine the perspective of families, learners, faculty, and administrators who engaged in an interprofessional training experience for family medicine residents and dental hygiene students.<b>Methods</b> Family medicine residents and dental hygiene students participated in an interprofessional oral health integration training experience, which included didactic, preclinical, and clinical components. The clinical experience was conducted during a Medicaid Managed Care clinic session, which included the participation of children who had not undergone a well-child visit within the past year. The care teams were comprised of a family medicine resident and dental hygiene student, who collaborated on the provision of preventive oral health care services, including oral examinations, preventive interventions, patient education, and care coordination. Qualitative data gathered using field notes, focus groups, and key informant interviews were analyzed to identify themes from care team, patient/family, and administrative perspectives.<b>Results</b> The care teams provided preventive health oral health care services to 10 pediatric patients during their well child visit. Patients and family members reported appreciating the convenience and value of the care provided. The experience was well received by family medicine residents, dental hygiene students, and clinical faculty members, who highlighted the value of the experience in expanding access to care. The family medicine residents reported the training and interprofessional practice opportunity to be highly valuable, reporting better preparation for the identification, evaluation, and treatment of oral conditions that they may have otherwise overlooked or misdiagnosed.<b>Conclusions</b> This interprofessional educational experience demonstrates the potential value of integrating preventive oral health in primary care visits for children. This care integration may be especially helpful for populations that experience barriers to oral health care. Results of this study suggest that expanding interprofessional education between dental hygiene programs and family medicine residencies may be beneficial for preparing the future workforce for integrated care. Additional research is needed to formalize training models that support integration and promote interprofessional collaboration and practice.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 3","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community Oral Health Initiative: Driving value-based transformation in North Carolina. 社区口腔健康倡议:推动北卡罗来纳州基于价值的转型。
Christine Kanan, Stephanie Clester, Daijah Street Davis, Heather Edly, Crystal Adams, J Steven Cline

CareQuest Institute for Oral Health's mission is to improve the oral health of all. One way to achieve this is through programmatic initiatives, which train dental clinics to provide equitable, integrated and accessible care for their communities. The Community Oral Health Transformation (COrHT) Initiative, allowed CareQuest Institute to collaborate with the North Carolina Oral Health Collaboration (NCOHC) and Blue Cross Blue Shield (BCBS) of North Carolina Foundation to implement and support the initiative in North Carolina. This mixed methods study was designed to collect quantitative and qualitative data while 11 dental clinics and a control clinic participated in the program through the end of the program. Quantitative data included patient demographics, claims data, and financial and data measures. Descriptive statistics of participating clinics and the control clinic were analyzed, and aggregated clinic data showed improvements in patient care delivery measures. Qualitative interviews were also conducted at midpoint and conclusion, and an outcome evaluation was completed. This short report will provide readers with results from the COrHT Initiative, with an emphasis on medical-dental integration (MDI) as an integral component of comprehensive, person-centered care. The evaluation of programmatic strengths and weaknesses has been included to identify the potential for future implementation, sustainability, and policy making.

CareQuest 口腔健康研究所的使命是改善所有人的口腔健康。实现这一目标的方法之一是通过计划性倡议,培训牙科诊所为其社区提供公平、综合和便捷的医疗服务。社区口腔健康转型 (COrHT) 计划允许 CareQuest 研究所与北卡罗来纳州口腔健康合作组织 (NCOHC) 和北卡罗来纳州蓝十字蓝盾基金会 (BCBS) 合作,在北卡罗来纳州实施并支持该计划。这项混合方法研究旨在收集 11 家牙科诊所和一家对照诊所在项目结束时参与项目的定量和定性数据。定量数据包括患者人口统计数据、索赔数据以及财务和数据措施。对参与诊所和对照诊所的描述性统计进行了分析,诊所的综合数据显示,患者护理服务措施有所改善。在中期和结束时还进行了定性访谈,并完成了成果评估。这份简短的报告将向读者介绍 COrHT 计划的成果,重点是作为以人为本的综合护理不可或缺的组成部分的医疗牙科一体化(MDI)。报告还包括对计划优缺点的评估,以确定未来实施、可持续性和政策制定的潜力。
{"title":"Community Oral Health Initiative: Driving value-based transformation in North Carolina.","authors":"Christine Kanan, Stephanie Clester, Daijah Street Davis, Heather Edly, Crystal Adams, J Steven Cline","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>CareQuest Institute for Oral Health's mission is to improve the oral health of all. One way to achieve this is through programmatic initiatives, which train dental clinics to provide equitable, integrated and accessible care for their communities. The Community Oral Health Transformation (COrHT) Initiative, allowed CareQuest Institute to collaborate with the North Carolina Oral Health Collaboration (NCOHC) and Blue Cross Blue Shield (BCBS) of North Carolina Foundation to implement and support the initiative in North Carolina. This mixed methods study was designed to collect quantitative and qualitative data while 11 dental clinics and a control clinic participated in the program through the end of the program. Quantitative data included patient demographics, claims data, and financial and data measures. Descriptive statistics of participating clinics and the control clinic were analyzed, and aggregated clinic data showed improvements in patient care delivery measures. Qualitative interviews were also conducted at midpoint and conclusion, and an outcome evaluation was completed. This short report will provide readers with results from the COrHT Initiative, with an emphasis on medical-dental integration (MDI) as an integral component of comprehensive, person-centered care. The evaluation of programmatic strengths and weaknesses has been included to identify the potential for future implementation, sustainability, and policy making.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 3","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conducting a Systematic Review of the Literature. 对文献进行系统回顾。
Cheryl M Theile, Andrea L Beall

This overview of the systematic review provides guidance regarding how and when to use this approach to a research question. High quality systematic reviews are essential to assist health care practitioners keep current with the large and rapidly growing body of scientific evidence. The systematic review is a transparent and reproducible synthesis of all the available evidence on a clearly defined research question or topic. Key stages in conducting a systematic review include clarification of aims and methods in a protocol, finding all of the relevant research, data collection, quality assessments, synthesizing evidence, and interpreting the findings. This short report provides examples for the various stages and steps of the systematic review research approach.

本篇系统综述将就如何以及何时使用这种方法解决研究问题提供指导。高质量的系统综述对于帮助医疗从业人员了解大量快速增长的科学证据至关重要。系统综述是对明确界定的研究问题或主题的所有可用证据进行透明、可重复的综合。进行系统性综述的关键阶段包括在协议中明确目的和方法、查找所有相关研究、数据收集、质量评估、综合证据以及解释研究结果。本简短报告举例说明了系统综述研究方法的各个阶段和步骤。
{"title":"Conducting a Systematic Review of the Literature.","authors":"Cheryl M Theile, Andrea L Beall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This overview of the systematic review provides guidance regarding how and when to use this approach to a research question. High quality systematic reviews are essential to assist health care practitioners keep current with the large and rapidly growing body of scientific evidence. The systematic review is a transparent and reproducible synthesis of all the available evidence on a clearly defined research question or topic. Key stages in conducting a systematic review include clarification of aims and methods in a protocol, finding all of the relevant research, data collection, quality assessments, synthesizing evidence, and interpreting the findings. This short report provides examples for the various stages and steps of the systematic review research approach.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 2","pages":"51-56"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Protocol for Treating Patients with Post-Covid Conditions in Dental Settings. 在牙科环境中治疗病毒感染后患者的方案。
Peggy J Lelesi, Leciel Bono, JoAnn R Gurenlian

Purpose The relative newness of Post-COVID Conditions (PCC) has revealed a void in assessment protocols and treatment guidelines for dental settings. Providing oral health care practitioners with an assessment and treatment protocol could facilitate the delivery of comprehensive oral health care. The purpose of this study was to test a protocol for assessing and treating patients with PCC in dental practice settings.Methods A qualitative exploratory research design was used to conduct the study. A PCC assessment and treatment protocol (ATP) was developed and was used by dental hygienists in clinical practice in California for a period of 6 weeks. Following the use of the PCC ATP practitioners were invited to participate in individual interviews. Online individual interviews were comprised of 20 dental hygienists recruited via purposive sampling. Participant anonymity was preserved using pseudonyms. A qualitative analysis software program was used to identify codes and themes. Investigator triangulation, member checks, and saturation were used to validate responses.Results Fifty-six participants completed the six-week PCC ATP and twenty participants took part in the interview session. Four themes were identified: awareness, accessibility, resources, and complications. Within the accessibility theme, subthemes of ease of use and guidance emerged. The complications theme yielded three subthemes: time, clinician hesitation, and patient lack of cooperation.Conclusion This study demonstrated that a PCC ATP created awareness of the varied symptoms of PCC and is a useful resource for clinical practitioners. Providing dental hygienists with a treatment protocol supports efforts to provide person-centered evidence-based care.

目的 后COVID病症(PCC)是一种相对较新的病症,它揭示了牙科机构在评估方案和治疗指南方面的空白。为口腔医疗从业人员提供评估和治疗方案有助于提供全面的口腔医疗服务。本研究的目的是测试在牙科实践环境中评估和治疗 PCC 患者的方案。研究制定了一个 PCC 评估和治疗方案 (ATP),并由加利福尼亚州的牙科保健师在临床实践中使用了 6 周。在使用 PCC ATP 之后,从业人员被邀请参加个人访谈。在线个人访谈由 20 名通过目的性抽样招募的牙科保健师组成。访谈者使用化名,保持匿名。我们使用定性分析软件程序来确定代码和主题。结果 56 名参与者完成了为期六周的 PCC ATP,20 名参与者参加了访谈。确定了四个主题:意识、可及性、资源和并发症。在可及性主题中,出现了易用性和指导性两个子主题。并发症主题产生了三个次主题:时间、临床医师的犹豫不决以及患者的不合作。为牙科保健师提供治疗方案有助于提供以人为本的循证护理。
{"title":"A Protocol for Treating Patients with Post-Covid Conditions in Dental Settings.","authors":"Peggy J Lelesi, Leciel Bono, JoAnn R Gurenlian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> The relative newness of Post-COVID Conditions (PCC) has revealed a void in assessment protocols and treatment guidelines for dental settings. Providing oral health care practitioners with an assessment and treatment protocol could facilitate the delivery of comprehensive oral health care. The purpose of this study was to test a protocol for assessing and treating patients with PCC in dental practice settings.<b>Methods</b> A qualitative exploratory research design was used to conduct the study. A PCC assessment and treatment protocol (ATP) was developed and was used by dental hygienists in clinical practice in California for a period of 6 weeks. Following the use of the PCC ATP practitioners were invited to participate in individual interviews. Online individual interviews were comprised of 20 dental hygienists recruited via purposive sampling. Participant anonymity was preserved using pseudonyms. A qualitative analysis software program was used to identify codes and themes. Investigator triangulation, member checks, and saturation were used to validate responses.<b>Results</b> Fifty-six participants completed the six-week PCC ATP and twenty participants took part in the interview session. Four themes were identified: awareness, accessibility, resources, and complications. Within the accessibility theme, subthemes of ease of use and guidance emerged. The complications theme yielded three subthemes: time, clinician hesitation, and patient lack of cooperation.<b>Conclusion</b> This study demonstrated that a PCC ATP created awareness of the varied symptoms of PCC and is a useful resource for clinical practitioners. Providing dental hygienists with a treatment protocol supports efforts to provide person-centered evidence-based care.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 2","pages":"7-20"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update on Oral and Oropharyngeal Cancers: A guide for oral health care providers. 口腔癌和口咽癌的最新进展:口腔医疗服务提供者指南。
Lisa Bennett Johnson, Alex Samuel Reznik, Alessandro Villa

Oral squamous cell carcinomas (OSCC) signs and symptoms may be first identified by dental hygienists during routine extra and intra-oral examinations. A comprehensive extra-oral and intra-oral examination during regular dental hygiene assessment is paramount to identifying oral potentially malignant disorders (OPMD) and cancerous lesions for timely referral and treatment. Integrating a systematic list of questions during the medical and dental assessment along with careful visual and tactile examinations is critical to identifying OPMDs and cancerous lesions. Understanding the relationship between oropharyngeal squamous cell carcinomas (OPSCC) and Human Papilloma Virus (HPV) and how vaccination can prevent HPV-related OPSCC is critical to providing evidence-based recommendations and care. The purpose of this report is to provide an update on current epidemiological trends of OSCC and OPSCC rates in the United States (US) and provide the latest evidence on what dental hygienists must know to improve health outcomes and mitigate the consequences of undiagnosed cancer. This report considers enduring challenges with the annual rise in OPSCC rates and the public health burden of HPV-related cancers in the US. Emphasis on regular, quality continuing education about OSCC and OPSCC is emphasized along with recommendations for evidence-based training.

口腔鳞状细胞癌(OSCC)的症状和体征可能首先由牙科保健员在常规口腔内外检查中发现。在定期牙科卫生评估中进行全面的口腔外和口腔内检查,对于识别口腔潜在恶性疾病(OPMD)和癌症病变以便及时转诊和治疗至关重要。在医疗和牙科评估过程中,结合系统的问题清单以及仔细的视觉和触觉检查,对于识别口腔恶性疾病和癌症病变至关重要。了解口咽鳞状细胞癌(OPSCC)与人类乳头状瘤病毒(HPV)之间的关系以及接种疫苗如何预防与 HPV 相关的口咽鳞状细胞癌对于提供循证建议和护理至关重要。本报告旨在提供美国 OSCC 和 OPSCC 发病率的最新流行病学趋势,并提供牙科保健师必须了解的最新证据,以改善健康结果并减轻未诊断癌症的后果。本报告探讨了美国 OPSCC 发病率逐年上升所带来的持久挑战以及 HPV 相关癌症所造成的公共卫生负担。报告强调要定期开展有关 OSCC 和 OPSCC 的高质量继续教育,并提出了循证培训建议。
{"title":"Update on Oral and Oropharyngeal Cancers: A guide for oral health care providers.","authors":"Lisa Bennett Johnson, Alex Samuel Reznik, Alessandro Villa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Oral squamous cell carcinomas (OSCC) signs and symptoms may be first identified by dental hygienists during routine extra and intra-oral examinations. A comprehensive extra-oral and intra-oral examination during regular dental hygiene assessment is paramount to identifying oral potentially malignant disorders (OPMD) and cancerous lesions for timely referral and treatment. Integrating a systematic list of questions during the medical and dental assessment along with careful visual and tactile examinations is critical to identifying OPMDs and cancerous lesions. Understanding the relationship between oropharyngeal squamous cell carcinomas (OPSCC) and Human Papilloma Virus (HPV) and how vaccination can prevent HPV-related OPSCC is critical to providing evidence-based recommendations and care. The purpose of this report is to provide an update on current epidemiological trends of OSCC and OPSCC rates in the United States (US) and provide the latest evidence on what dental hygienists must know to improve health outcomes and mitigate the consequences of undiagnosed cancer. This report considers enduring challenges with the annual rise in OPSCC rates and the public health burden of HPV-related cancers in the US. Emphasis on regular, quality continuing education about OSCC and OPSCC is emphasized along with recommendations for evidence-based training.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 2","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges of Incivility in Dental Practice and Education. 牙科实践和教育中的不礼貌行为所带来的挑战。
Pamela Zarkowski, Phyllis L Beemsterboer

Professional collaboration is a key component of patient care and a source of fulfilment for oral health care providers. However, reports of incivility in employment as well as education are increasing impacting individuals in all settings including patients. Uncivil behavior implies a disregard for others and creates an atmosphere of disrespect, conflict, and stress. In contrast, civility towards others implies polite, respectful behavior towards others. This short report presents case studies in dental hygiene clinical practice and in dental hygiene education with strategies for approaching uncivil behavior.

专业合作是患者护理的关键组成部分,也是口腔医疗服务提供者的成就感来源。然而,有关就业和教育中不文明行为的报道越来越多,影响到包括患者在内的所有环境中的个人。不文明行为意味着对他人的漠视,并营造出一种不尊重、冲突和压力的氛围。与此相反,礼貌待人则意味着对他人的礼貌和尊重。这份简短的报告介绍了牙科卫生临床实践和牙科卫生教育中的案例研究,以及处理不文明行为的策略。
{"title":"Challenges of Incivility in Dental Practice and Education.","authors":"Pamela Zarkowski, Phyllis L Beemsterboer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Professional collaboration is a key component of patient care and a source of fulfilment for oral health care providers. However, reports of incivility in employment as well as education are increasing impacting individuals in all settings including patients. Uncivil behavior implies a disregard for others and creates an atmosphere of disrespect, conflict, and stress. In contrast, civility towards others implies polite, respectful behavior towards others. This short report presents case studies in dental hygiene clinical practice and in dental hygiene education with strategies for approaching uncivil behavior.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"98 2","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of dental hygiene : JDH / American Dental Hygienists'' Association
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1