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Geographic and health system correlates of interprofessional oral health practice

Family Medicine and Community Health 2018年第2期6卷 77-84页

作者： Sean G.Boynes Abigail Lauer Amy Martin Office of Interprofessional Practice The DentaQuest InstituteWestboroughMAUSA Department of Public Health Services Medical University of South CarolinaCharlestonSCUSA Division of Population Oral Health Medical University of South CarolinaCharlestonSCUSA

Objective:This study explores geographic,system,and organizational constructs that predict medical care teams’willingness to administer fluoride varnish and conduct oral health risk ***:A cross-sectional survey of voluntary health professionals attending trainings on interprofessional oral health practice was completed at ten meetings across the United States from April through September,*** and multivariate analyses were used to examine un-known correlates of oral health prevention and intervention at geographic,organizational,and sys-tem levels relating to the impact of referral mechanisms and systems as well as health information technology on fluoride varnish administration and risk-based oral ***:A convenience cohort(n=560)from 44 states was ***(68.7%,n=385)agreed with the dependent variable“medical providers at our site,or part of our network,are admin-istering fluoride varnish and identifying oral health risk factors in the majority of patients seen.”In bivariate analysis,organization type(P=0.0067),having successful referral systems(Preferral system indicators were significant in multivariate *** referrals(Preferral system and dependent variable agreement were 4.5 times greater than for those who lacked dependable referral systems(odds ratio 4.54,confidence interval 2.79-7.39).The odds of those who had dependable EHRs and dependent variable agreement were 2.4 times greater than for those who lacked useful EHRs(odds ratio 2.4,confidence interval 1.29-4.37).Conclusion:The dependability of medical-to-dental referral systems and processes impacts the administration of fluoride varnish and identification

关键词： Oral health referral management risk-based care population health coordinated care

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