The Oral Health of Seniors Project


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  • Health policy; management; organization; delivery of health services Governance; financing; effectiveness; and efficiency of the health system
  • The Oral Health of Seniors Project

    1. 1. The Oral Health of Seniors Project An Innovative Approach to Program Assessment and Model Development June 20, 2003 Mary McNally MSc,DDS Dalhousie University
    2. 2. Oral Health of Seniors’ Project Team <ul><li>Mary McNally, Faculty of Dentistry, Dalhousie University (Principal Investigator) </li></ul><ul><li>Renée Lyons, Atlantic Health Promotion, Research Centre (Principal Investigator) </li></ul><ul><li>William MacInnis, Faculty of Dentistry, Dalhousie University </li></ul><ul><li>Don Pamenter, Nova Scotia Dental Association </li></ul><ul><li>Gael Page, Northwoodcare Inc. </li></ul><ul><li>Gail Brown, Nova Scotia Dental Hygienist Association </li></ul><ul><li>Herenia Lawrence, Faculty of Dentistry, University of Toronto </li></ul><ul><li>James Leake, Faculty of Dentistry, University of Toronto </li></ul><ul><li>Joseph Murphy,Faculty of Dentistry, Dalhousie University </li></ul><ul><li>Gerard Ferguson, Manulife Financial </li></ul><ul><li>Aileen McCormick, Senior Representative </li></ul><ul><li>Paul Cameron, Practicing Dentist </li></ul><ul><li>Robert MacDonald, Faculty of Dentistry, Dalhousie University </li></ul><ul><li>Sandra Crowell, Atlantic Health Promotion Research Centre </li></ul><ul><li>Scott MacLean, Practicing Dentist </li></ul><ul><li>Terry Mitchell, Faculty of Dental Hygiene, Dalhousie University </li></ul><ul><li>Valerie White, Nova Scotia Senior Citizens' Secretariat </li></ul><ul><li>Patricia Williams, Atlantic Health Promotion Research Centre </li></ul><ul><li>Murray Nixon, Nova Scotia Department of Health </li></ul><ul><li>David Murphy, Oral Surgeon </li></ul><ul><li>Elizabeth Tait Project Coordinator, Oral Health of Seniors Project </li></ul><ul><li>Pam Magee Research Coordinator, Oral Health of Seniors Project </li></ul>
    3. 3. Working Group Framework Research Team Methodology & Analysis Working Group Best Practices & Policy Working Group Recruitment, Forum & Communications Working Group Staff Support
    4. 4. Project Overview 1. Health Service Evaluation 3. Oral Health Policy Forum 2. Best Practices Scan Communication & Dissemination
    5. 5. Best Practices Analysis Scan of barriers and facilitators in oral health services for seniors’. Critical analysis of experiences and lessons learned in Canada and elsewhere. Conduct a review of the literature relating to OH of seniors <ul><li>Conduct a scan for programs & services at 3 levels: </li></ul><ul><li>Seniors dental programs </li></ul><ul><li>Geriatric dental training </li></ul><ul><li>Seniors’ OH prevention / promotion services </li></ul>Conduct a scan of existing policies that address the OH of seniors: 4. Gov’t, insurance 5. National / international
    6. 6. Program Scan <ul><li>Limitations to Conventional Scan </li></ul><ul><ul><li>Cochranes and Campbells </li></ul></ul><ul><ul><li>Published studies and research </li></ul></ul><ul><ul><ul><li>Minimal research on seniors’ OH programs </li></ul></ul></ul><ul><ul><ul><li>Lack of secondary analyses </li></ul></ul></ul><ul><ul><li>Existing research identifies the need for further study </li></ul></ul><ul><li>OHS Scan </li></ul><ul><ul><li>Broad search with key words/variation from internet, popular press, non-academic literature </li></ul></ul><ul><ul><li>Valuable information from contacts (VON, seniors’ groups) </li></ul></ul><ul><ul><li>Used novel tools- listserves, email and word of mouth </li></ul></ul>
    7. 7. Filter – Funnel – Focus Non-traditional practice scan <ul><li>General scan for programs </li></ul><ul><li>gray literature </li></ul><ul><li>key contacts </li></ul>Creation of initial program database
    8. 8. Broadening of Search <ul><li>Indirect references </li></ul><ul><li>Found key contacts </li></ul><ul><li>Expanded with snowball technique </li></ul><ul><li>Identified 58 programs for OH of seniors’ </li></ul>Creation of initial program database
    9. 9. Profile of Programs Total 58 <ul><li>Canada </li></ul><ul><ul><li>Public </li></ul></ul><ul><ul><li>Private </li></ul></ul><ul><ul><li>Non-Profit </li></ul></ul><ul><li>US </li></ul><ul><ul><li>Public </li></ul></ul><ul><ul><li>Private </li></ul></ul><ul><ul><li>Non-Profit </li></ul></ul><ul><li>International </li></ul><ul><ul><li>Public </li></ul></ul><ul><ul><li>Non-Profit </li></ul></ul>
    10. 10. Possible Key Indicators for the Evaluation of Programs Sustainability Accessibility Program Effectiveness Needs Assessment OH Status Indicators Cost Benefit Analysis
    11. 11. Key Indicators Sustainability Public/Private Partnerships Financial By-in all sectors Geriatric Education Portability Awareness On-going evaluation Location Open to seniors Accessibility
    12. 12. Filter – Funnel – Focus <ul><li>58 national and international programs </li></ul><ul><li>Programs and components evaluated </li></ul><ul><li>Identification of programs and </li></ul><ul><li>program components exemplifying </li></ul><ul><li>accessibility & sustainability </li></ul>Contribution to the OH seniors’ model framework
    13. 13. Contribute to our progress Project website: Oral Health of Seniors [email_address] (902) 494-1912 Fax: (902) 494-3594