THE SCOPE OF ORAL HEALTH PRACTICE AND NEEDS OF CHILD HEALTH ...Presentation Transcript
THE SCOPE OF ORAL HEALTH PRACTICE AND NEEDS OF CHILD HEALTH CARE MEDICAL PROVIDERS IN FLORIDA Michelle Valdes, Hilma Benjamin, M.D., Maja Marinkovic, M.D., and Rani S Gereige, M.D., MPH. Department of Pediatrics, University of South Florida, Tampa, Florida, United States. Partially supported by a resident’s planning CATCH Grant from the American Academy of Pediatrics APA School and Community Health SIG
Rani Gereige and the co-authors of the abstract have documented that they have no relevant financial relationships to disclose or conflict of interests to resolve
Dental caries are the most common infectious disease in the U.S. (CDC)
The AAP adopted Oral Health as one of its focus areas for 2006-2007
The AAP goal is to train child health professionals to incorporate oral health risk assessment (OHRA) as part of well visits especially for children 0-3y
There is a great deal of variability in the oral health training and scope of practice of child health care professionals
No study has previously described how much Oral Health care child providers routinely perform (particularly in the State of Florida) .
Provide an indepth look at the pediatric oral health scope of practice of primary care providers (PCP) (Pediatrics, Med-Peds and Family Practice) and residents in the State of Florida
Assess current practice barriers and training issues
Web-based survey was sent to the AAP Florida Chapter listserv and resident section
The survey link was placed in the Florida Academy of Family Physicians (FAFP) electronic newsletter
Over the span of three months, four reminder e-mails we sent
The survey collected demographic data, oral health training data and practice patterns
Training institution has an affiliated dental school
Oral Health curriculum in residency
% Characteristics of Respondents
Results Fig 4.
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Results Fig 11.
Limitations and Challenges
Limitations inherent to the study design
Survey: Reporter bias
Small sample size did not allow stratification by specialty, year of practice, or training exposure
Residents sample limited by the number of residents in the State of Florida
Use the pilot data to design a larger scale study
Chart audits rather than reporting as a measure of practice pattern
More efforts to include Family Medicine residents
Will be used by Florida DOH
Overall, most PCPs and residents, despite inadequate oral health training, include OHRA as part of health maintenance visits
The oral health scope of practice could be improved with more needed training, Fluoride varnish application, and increased awareness of the role parent/caregiver oral health plays among others
Florida Health Insurance Study, Insurance Coverage Updates, Fact Sheet No. 2, August 2005.
U.S. Department of Health and Human Services. A National Call to Action to Promote Oral Health. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention and the National Institutes of Public Health, National Institute of Dental and Craniofacial Research. NIH Publication No. 03-0503, May 2003.
U.S. Department of Health and Human Services, A National Call to Action to Promote Oral Health, Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Center for Disease Control and Craniofacial Research. NIH Publication NO, 03-5303, May 2003.
Oral Health Resources,
Florida Department of Health, floridacharts.com, Access to Dental Care by Low Income Persons
Florida Department of Health, floridacharts.com, Percent of Access to Dental Care at 200% below the Federal Poverty Level by county
Oral Disease: A Crisis Amount Children of Poverty, National Maternal and Child Oral Health Resource Center, May 1998.