A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and the Allied Health Professions in Health Care ...
<ul><li>B.S. Physical Education, Cal Poly State Univ, San Luis Obispo, 1985 </li></ul><ul><li>D.D.S., Loma Linda Univ Scho...
Healthcare: a Retrospective
Healthcare: a Retrospective <ul><li>Middle Ages:  illnesses were self-limiting; patients either got well or died. </li></ul>
Healthcare: a Retrospective <ul><li>Middle Ages:  illnesses were self-limiting; patients either got well or died. </li></u...
Healthcare: a Retrospective <ul><li>Middle Ages:  illnesses were self-limiting; patients either got well or died. </li></u...
Aging Population
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul>
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is abou...
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is abou...
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is abou...
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is abou...
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is abou...
Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is abou...
Aging Population <ul><li>Baby boom generation – 76 million. </li></ul>
Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul>
Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophi...
Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophi...
Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophi...
Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophi...
Obesity
Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul>
Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul><ul><li>In 2002, 30% of Americans considered obese. ...
Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul><ul><li>In 2002, 30% of Americans considered obese. ...
Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul><ul><li>In 2002, 30% of Americans considered obese. ...
Obesity <ul><li>Collaboration and cooperation between all health care providers will be needed to help treat and combat th...
Obesity <ul><li>Collaboration and cooperation between all health care providers will be needed to help treat and combat th...
Prevention, Wellness and Fitness
Prevention, Wellness and Fitness <ul><li>Heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes...
Prevention, Wellness and Fitness <ul><li>Heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes...
Prevention, Wellness and Fitness <ul><li>Heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes...
Health Care Delivery
Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul>
Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul><ul><li>In 2004, Health care spending ...
Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul><ul><li>In 2004, Health care spending ...
Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul><ul><li>In 2004, Health care spending ...
Health Care Delivery <ul><li>Out of pocket expenses for health care for people over the age of 65 averages approximately 1...
Health Care Delivery <ul><li>Out of pocket expenses for health care for people over the age of 65 averages approximately 1...
Health Care Delivery <ul><li>Para-professional care providers will be needed to help control costs of health care. </li></ul>
Health Care Delivery <ul><li>Para-professional care providers will be needed to help control costs of health care. </li></...
Health Care Delivery <ul><li>Para-professional care providers will be needed to help control costs of health care. </li></...
Coordination of Care
Coordination of Care <ul><li>All healthcare professionals will need to have the increased capacity to know the treatments ...
Coordination of Care <ul><li>All healthcare professionals will need to have the increase capacity to know the treatments a...
Coordination of Care <ul><li>All healthcare professionals will need to have the increase capacity to know the treatments a...
Coordination of Care <ul><li>From a dental perspective. </li></ul>
Coordination of Care <ul><li>Sleep Apnea </li></ul>
Coordination of Care <ul><li>Sleep Apnea </li></ul><ul><li>Requires the diagnosis by a sleep physician. </li></ul>
Coordination of Care <ul><li>Sleep Apnea </li></ul><ul><li>Requires the diagnosis by a sleep physician. </li></ul><ul><li>...
Coordination of Care <ul><li>Sleep Apnea </li></ul><ul><li>Requires the diagnosis by a sleep physician. </li></ul><ul><li>...
Coordination of Care <ul><li>Periodontal Disease </li></ul>
Coordination of Care <ul><li>Periodontal Disease </li></ul><ul><li>Silent, generally non-painful. </li></ul>
Coordination of Care <ul><li>Periodontal Disease </li></ul><ul><li>Silent, generally non-painful. </li></ul><ul><li>Recent...
Coordination of Care <ul><li>Periodontal Disease </li></ul><ul><li>Silent, generally non-painful. </li></ul><ul><li>Recent...
Coordination of Care <ul><li>Temporo-Mandibular Joint Disease (TMJ/TMD) </li></ul>
Coordination of Care <ul><li>Temporo-Mandibular Joint Disease (TMJ/TMD) </li></ul><ul><li>Diagnosis – physician to rule ou...
Coordination of Care <ul><li>Temporo-Mandibular Joint Disease (TMJ/TMD) </li></ul><ul><li>Diagnosis – physician to rule ou...
Coordination of Care <ul><li>Medications/Therapy </li></ul>
Coordination of Care <ul><li>Medications/Therapy </li></ul><ul><li>NSAID’s – inhibit tooth movement. </li></ul>
Coordination of Care <ul><li>Medications/Therapy </li></ul><ul><li>NSAID’s – inhibit tooth movement. </li></ul><ul><li>Bio...
Coordination of Care <ul><li>Medications/Therapy </li></ul><ul><li>NSAID’s – inhibit tooth movement. </li></ul><ul><li>Bio...
Coordination of Care <ul><li>Imaging </li></ul>
Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul>
Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul><ul><li>MRI. </li></ul>
Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul><ul><li>MRI. </li></ul><ul><li>Tomography. </li...
Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul><ul><li>MRI. </li></ul><ul><li>Tomography. </li...
The Future
The Future <ul><li>Exciting! </li></ul>
The Future <ul><li>Exciting! </li></ul><ul><li>Fun!! </li></ul>
The Future <ul><li>Exciting! </li></ul><ul><li>Fun!! </li></ul><ul><li>Unbelievable!!! </li></ul>
<ul><li>“ Somewhere,  </li></ul><ul><li>Something  </li></ul><ul><li>Incredible is  </li></ul><ul><li>Waiting to be </li><...
<ul><li>Thank you! </li></ul>
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A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and the Allied Health Professions in Health Care Delivery

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A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and the Allied Health Professions in Health Care Delivery

  1. 1. A Modern Approach to Healthcare: Bridging Dentistry, Medicine, Pharmacy, and the Allied Health Professions in Health Care Delivery Pre-Medical Society of La Sierra University Brian H. Bergh, DDS, MS April 15, 2007
  2. 2. <ul><li>B.S. Physical Education, Cal Poly State Univ, San Luis Obispo, 1985 </li></ul><ul><li>D.D.S., Loma Linda Univ School of Dentistry, 1990 </li></ul><ul><li>M.S., Craniofacial Biology and certificate in Orthodontics, USC 1992 </li></ul><ul><li>Clinical Assistant Professor, USC School of Dentistry </li></ul><ul><li>Full-time private practice in Orthodontics, Glendale, CA </li></ul><ul><li>Husband and father of 3 </li></ul>
  3. 3. Healthcare: a Retrospective
  4. 4. Healthcare: a Retrospective <ul><li>Middle Ages: illnesses were self-limiting; patients either got well or died. </li></ul>
  5. 5. Healthcare: a Retrospective <ul><li>Middle Ages: illnesses were self-limiting; patients either got well or died. </li></ul><ul><li>Late 19 th Century: the role of healthcare expanded due to the understanding of infection and development of safe anesthesia. </li></ul>
  6. 6. Healthcare: a Retrospective <ul><li>Middle Ages: illnesses were self-limiting; patients either got well or died. </li></ul><ul><li>Late 19 th Century: the role of healthcare expanded due to the understanding of infection and development of safe anesthesia. </li></ul><ul><li>Early 21 st Century: delivery of care still heavily based upon models over 100 years old, but changing. </li></ul>
  7. 7. Aging Population
  8. 8. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul>
  9. 9. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is about 80 and climbing. </li></ul>
  10. 10. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is about 80 and climbing. </li></ul><ul><li>In 1900, 13% of population 50 or older. </li></ul>
  11. 11. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is about 80 and climbing. </li></ul><ul><li>In 1900, 13% of population 50 or older. </li></ul><ul><li>In 2002, 27% of population 50 or older. </li></ul>
  12. 12. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is about 80 and climbing. </li></ul><ul><li>In 1900, 13% of population 50 or older. </li></ul><ul><li>In 2002, 27% of population 50 or older. </li></ul><ul><li>In 2020, 35% of population 50 or older. </li></ul>
  13. 13. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is about 80 and climbing. </li></ul><ul><li>In 1900, 13% of population 50 or older. </li></ul><ul><li>In 2002, 27% of population 50 or older. </li></ul><ul><li>In 2020, 35% of population 50 or older. </li></ul><ul><li>In 2002, the median age was 34. </li></ul>
  14. 14. Aging Population <ul><li>100 years ago average lifespan was less than 50. </li></ul><ul><li>Today, life expectancy is about 80 and climbing. </li></ul><ul><li>In 1900, 13% of population 50 or older. </li></ul><ul><li>In 2002, 27% of population 50 or older. </li></ul><ul><li>In 2020, 35% of population 50 or older. </li></ul><ul><li>In 2002, the median age was 34. </li></ul><ul><li>In 2020, the median expected to be 38. </li></ul>
  15. 15. Aging Population <ul><li>Baby boom generation – 76 million. </li></ul>
  16. 16. Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul>
  17. 17. Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophisticated. </li></ul>
  18. 18. Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophisticated. </li></ul><ul><li>More knowledgeable. </li></ul>
  19. 19. Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophisticated. </li></ul><ul><li>More knowledgeable. </li></ul><ul><li>Will need more comprehensive care. </li></ul>
  20. 20. Aging Population <ul><li>Baby boom generation – 76 million. </li></ul><ul><li>More demanding. </li></ul><ul><li>More sophisticated. </li></ul><ul><li>More knowledgeable. </li></ul><ul><li>Will need more comprehensive care. </li></ul><ul><li>Geriatric care in all areas will increase in demand. </li></ul>
  21. 21. Obesity
  22. 22. Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul>
  23. 23. Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul><ul><li>In 2002, 30% of Americans considered obese. </li></ul>
  24. 24. Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul><ul><li>In 2002, 30% of Americans considered obese. </li></ul><ul><li>In 2025, 42% of Americans expected to obese. </li></ul>
  25. 25. Obesity <ul><li>In 1991, 22% of Americans considered obese. </li></ul><ul><li>In 2002, 30% of Americans considered obese. </li></ul><ul><li>In 2025, 42% of Americans expected to obese. </li></ul><ul><li>Obesity threatens to undermine many health gains made over the past 20 years. </li></ul>
  26. 26. Obesity <ul><li>Collaboration and cooperation between all health care providers will be needed to help treat and combat this problem. </li></ul>
  27. 27. Obesity <ul><li>Collaboration and cooperation between all health care providers will be needed to help treat and combat this problem. </li></ul><ul><li>AARP has partnered with USA Triathlon – Tri-Umph Classic Triathlon for 50+ (has an optional 6-8 week training program. </li></ul>
  28. 28. Prevention, Wellness and Fitness
  29. 29. Prevention, Wellness and Fitness <ul><li>Heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes cause 2/3 of deaths in the US. </li></ul>
  30. 30. Prevention, Wellness and Fitness <ul><li>Heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes cause 2/3 of deaths in the US. </li></ul><ul><li>1 out of 10 American lives affected on a daily basis from these diseases. </li></ul>
  31. 31. Prevention, Wellness and Fitness <ul><li>Heart disease, cancer, stroke, chronic obstructive pulmonary disease and diabetes cause 2/3 of deaths in the US. </li></ul><ul><li>1 out of 10 American lives affected on a daily basis from these diseases. </li></ul><ul><li>All health professions are important in the treatment of these diseases. </li></ul>
  32. 32. Health Care Delivery
  33. 33. Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul>
  34. 34. Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul><ul><li>In 2004, Health care spending was 16% of GDP. </li></ul>
  35. 35. Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul><ul><li>In 2004, Health care spending was 16% of GDP. </li></ul><ul><li>In 2014, Health care spending is expected to be 18.7% of GDP. </li></ul>
  36. 36. Health Care Delivery <ul><li>In 1960, Health care spending was 5% of GDP. </li></ul><ul><li>In 2004, Health care spending was 16% of GDP. </li></ul><ul><li>In 2014, Health care spending is expected to be 18.7% of GDP. </li></ul><ul><li>In the 21 st century, costs have climbed several times faster than inflation or personal income. </li></ul>
  37. 37. Health Care Delivery <ul><li>Out of pocket expenses for health care for people over the age of 65 averages approximately 19% of income. </li></ul>
  38. 38. Health Care Delivery <ul><li>Out of pocket expenses for health care for people over the age of 65 averages approximately 19% of income. </li></ul><ul><li>For those without Medicaid, health care expenses are over 50% of income. </li></ul>
  39. 39. Health Care Delivery <ul><li>Para-professional care providers will be needed to help control costs of health care. </li></ul>
  40. 40. Health Care Delivery <ul><li>Para-professional care providers will be needed to help control costs of health care. </li></ul><ul><li>Continued emphasis on the prevention of diseases will be necessary. </li></ul>
  41. 41. Health Care Delivery <ul><li>Para-professional care providers will be needed to help control costs of health care. </li></ul><ul><li>Continued emphasis on the prevention of diseases will be necessary. </li></ul><ul><li>A central data base will be needed to provide appropriate care and medication, including natural and OTC medications taken. </li></ul>
  42. 42. Coordination of Care
  43. 43. Coordination of Care <ul><li>All healthcare professionals will need to have the increased capacity to know the treatments and medications each patient is using. </li></ul>
  44. 44. Coordination of Care <ul><li>All healthcare professionals will need to have the increase capacity to know the treatments and medications each patient is using. </li></ul><ul><li>Relying on patients to provide an accurate history of treatments and medications will continue to cause problems. </li></ul>
  45. 45. Coordination of Care <ul><li>All healthcare professionals will need to have the increase capacity to know the treatments and medications each patient is using. </li></ul><ul><li>Relying on patients to provide an accurate history of treatments and medications will continue to cause problems. </li></ul><ul><li>A centralized data base will become more necessary in the future. </li></ul>
  46. 46. Coordination of Care <ul><li>From a dental perspective. </li></ul>
  47. 47. Coordination of Care <ul><li>Sleep Apnea </li></ul>
  48. 48. Coordination of Care <ul><li>Sleep Apnea </li></ul><ul><li>Requires the diagnosis by a sleep physician. </li></ul>
  49. 49. Coordination of Care <ul><li>Sleep Apnea </li></ul><ul><li>Requires the diagnosis by a sleep physician. </li></ul><ul><li>Historical treatments have included surgery and CPAP units. </li></ul>
  50. 50. Coordination of Care <ul><li>Sleep Apnea </li></ul><ul><li>Requires the diagnosis by a sleep physician. </li></ul><ul><li>Historical treatments have included surgery and CPAP units. </li></ul><ul><li>More and more apnea sufferers can be treated minimally and effectively with a special dental appliance. </li></ul>
  51. 51. Coordination of Care <ul><li>Periodontal Disease </li></ul>
  52. 52. Coordination of Care <ul><li>Periodontal Disease </li></ul><ul><li>Silent, generally non-painful. </li></ul>
  53. 53. Coordination of Care <ul><li>Periodontal Disease </li></ul><ul><li>Silent, generally non-painful. </li></ul><ul><li>Recently linked definitively to increased chance of heart disease. </li></ul>
  54. 54. Coordination of Care <ul><li>Periodontal Disease </li></ul><ul><li>Silent, generally non-painful. </li></ul><ul><li>Recently linked definitively to increase chance of heart disease. </li></ul><ul><li>Significantly increased chance with smokers. </li></ul>
  55. 55. Coordination of Care <ul><li>Temporo-Mandibular Joint Disease (TMJ/TMD) </li></ul>
  56. 56. Coordination of Care <ul><li>Temporo-Mandibular Joint Disease (TMJ/TMD) </li></ul><ul><li>Diagnosis – physician to rule out systemic/neurological problems prior to dentist treating. </li></ul>
  57. 57. Coordination of Care <ul><li>Temporo-Mandibular Joint Disease (TMJ/TMD) </li></ul><ul><li>Diagnosis – physician to rule out systemic/neurological problems prior to dentist treating. </li></ul><ul><li>Dentist may treat with dental appliance only and/or refer to physical therapist, psychiatrist, etc. for additional care. </li></ul>
  58. 58. Coordination of Care <ul><li>Medications/Therapy </li></ul>
  59. 59. Coordination of Care <ul><li>Medications/Therapy </li></ul><ul><li>NSAID’s – inhibit tooth movement. </li></ul>
  60. 60. Coordination of Care <ul><li>Medications/Therapy </li></ul><ul><li>NSAID’s – inhibit tooth movement. </li></ul><ul><li>Biophosphonates – inhibit tooth movement and cause osteo-necrosis. </li></ul>
  61. 61. Coordination of Care <ul><li>Medications/Therapy </li></ul><ul><li>NSAID’s – inhibit tooth movement. </li></ul><ul><li>Biophosphonates – inhibit tooth movement and cause osteo-necrosis. </li></ul><ul><li>Radiation therapy – can cause osteo-necrosis and tooth loss. </li></ul>
  62. 62. Coordination of Care <ul><li>Imaging </li></ul>
  63. 63. Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul>
  64. 64. Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul><ul><li>MRI. </li></ul>
  65. 65. Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul><ul><li>MRI. </li></ul><ul><li>Tomography. </li></ul>
  66. 66. Coordination of Care <ul><li>Imaging </li></ul><ul><li>CAT Scan. </li></ul><ul><li>MRI. </li></ul><ul><li>Tomography. </li></ul><ul><li>3-D imaging (cone beam technology). </li></ul>
  67. 67. The Future
  68. 68. The Future <ul><li>Exciting! </li></ul>
  69. 69. The Future <ul><li>Exciting! </li></ul><ul><li>Fun!! </li></ul>
  70. 70. The Future <ul><li>Exciting! </li></ul><ul><li>Fun!! </li></ul><ul><li>Unbelievable!!! </li></ul>
  71. 71. <ul><li>“ Somewhere, </li></ul><ul><li>Something </li></ul><ul><li>Incredible is </li></ul><ul><li>Waiting to be </li></ul><ul><li>Known.” </li></ul><ul><li>Carl Sagan </li></ul>
  72. 72. <ul><li>Thank you! </li></ul>

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