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

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

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A presentation given to students of La Sierra University Pre-Medical Society

A presentation given to students of La Sierra University Pre-Medical Society

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

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