Oral Health Care of Nova Scotia Seniors

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  • Health services evaluation: To examine the continuity of care in the delivery pf oral health services to seniors Promising practices scan: To explore the kinds of strategies for enhancing the effectiveness of oral health service delivery systems s to seniors Forum: To develop action plans to address the oral health issues of seniors in Nova Scotia Dissemination/communication To undertake activities to disseminate the project findings and recommendations
  • Oral Health Care of Nova Scotia Seniors

    1. 1. Oral Health Care of Nova Scotia Seniors <ul><li>Let’s Talk Policy </li></ul>Terry Mitchell, BSc, RDH, MEd, CGN School of Dental Hygiene, Faculty of Dentistry Dalhousie University
    2. 2. Research question <ul><li>What are the key components of an oral health action plan, based on continuity of care, which will improve the oral health status of seniors in Nova Scotia? </li></ul>
    3. 3. Project objectives <ul><li>Health services evaluation </li></ul><ul><li>Promising practices scan </li></ul><ul><li>Forum </li></ul><ul><li>Dissemination & communication </li></ul>
    4. 4. Health services evaluation <ul><li>Focus groups </li></ul><ul><li>Key informant interviews </li></ul>
    5. 5. Promising practices scan <ul><li>Literature search </li></ul><ul><li>Informal discussions, key service delivery </li></ul>
    6. 6. Forum <ul><li>Data to date </li></ul><ul><ul><li>Power point </li></ul></ul><ul><ul><li>Story-telling </li></ul></ul><ul><li>Multi-sector small working groups </li></ul>
    7. 7. Dissemination & communication <ul><li>Conferences </li></ul><ul><li>Reports </li></ul><ul><li>Journal articles </li></ul><ul><li>Newsletter </li></ul><ul><li>Etc. </li></ul>
    8. 8. Oral Health of Seniors Project Team <ul><li>Aileen McCormick, Senior Representative </li></ul><ul><li>Debra Matthews, 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 Hygienists’ Association </li></ul><ul><li>Gerard Ferguson, Manulife Financial </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>Murray Nixon, Nova Scotia Department of Health </li></ul><ul><li>Patty Williams, Department of Family Studies, MSVU </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, School of Dental Hygiene, Dalhousie University </li></ul><ul><li>Valerie White, Nova Scotia Senior Citizens' Secretariat </li></ul><ul><li>William MacInnis, Faculty of Dentistry, Dalhousie University </li></ul><ul><li>Elizabeth Tait, Project Coordinator, Oral Health of Seniors Project </li></ul><ul><li>Pamela Magee, Researcher, Oral Health of Seniors Project </li></ul>Principal investigators: Mary McNally, Faculty of Dentistry, Dalhousie University Renée Lyons, Atlantic Health Promotion Research Centre
    9. 9. Funders <ul><li>CHSRF </li></ul><ul><li>NSHRF </li></ul><ul><li>Drummond Foundation </li></ul><ul><li>Manulife Financial </li></ul><ul><li>Nova Scotia Dental Association </li></ul><ul><li>Dentistry Canada Fund </li></ul><ul><li>CIHR for Forum Funding </li></ul>
    10. 10. Forum <ul><li>Participants </li></ul><ul><li>Seniors from community </li></ul><ul><li>Government </li></ul><ul><li>Researchers </li></ul><ul><li>Service & health care businesses </li></ul><ul><li>Associations </li></ul><ul><li>Action plans </li></ul><ul><li>Collaboration Steering committee </li></ul><ul><li>Policy development </li></ul><ul><li>Public awareness </li></ul><ul><li>Program delivery </li></ul><ul><li>Geriatric education of oral health care students </li></ul><ul><li>Geriatric education for non-oral health care providers </li></ul><ul><li>Research </li></ul>
    11. 12. Policy implications <ul><li>Oral health must be explicitly recognized as an essential component of overall health and quality of life. </li></ul><ul><ul><li>Increase awareness of decision-makers, public </li></ul></ul><ul><ul><li>Integrated health systems: coordinate private & public services </li></ul></ul>
    12. 13. Policy implications <ul><li>Infrastructure at either the provincial or federal government levels must be established for oral health care for seniors </li></ul><ul><ul><li>Leadership position in Health Canada, Provincial Departments of Health </li></ul></ul><ul><ul><li>Prevention, promotion of oral health care integrated with public, primary healthcare programs </li></ul></ul>
    13. 14. Infrastructure (continued) <ul><li>Review relevant legislation impacting oral health </li></ul><ul><li>Oral health programs </li></ul><ul><li>Guidelines for private & public continuing care facilities - oral health standards & service provision </li></ul><ul><li>Oral health exam component to “single-point” entry protocols </li></ul>
    14. 15. Policy implications <ul><li>Increase accessibility of oral health care services especially for rural dwelling, homebound, and long term care residents </li></ul><ul><ul><li>Mechanisms for service delivery, transportation </li></ul></ul><ul><ul><li>LTC facilities for on-site care delivery </li></ul></ul><ul><ul><li>Standardized oral health resource kit for non-dental care providers </li></ul></ul><ul><ul><li>Oral health care labour force issues </li></ul></ul>
    15. 16. Policy implications <ul><li>Investigate alternate methods of compensation for oral health professionals. </li></ul><ul><ul><li>Impact of poor oral health on healthcare and other social systems </li></ul></ul><ul><ul><li>Quantify financial support required (public & primary health care for seniors) </li></ul></ul><ul><ul><li>Develop and evaluate dental service fee guides specific to geriatric dental care </li></ul></ul>
    16. 17. Policy implications <ul><li>Foster research initiatives to establish data pertaining to oral health and oral health practises </li></ul><ul><ul><li>National consensus for oral health assessments for seniors </li></ul></ul><ul><ul><li>Assess oral health status of seniors </li></ul></ul>
    17. 18. Research (continued) <ul><ul><li>Collaborative research teams </li></ul></ul><ul><ul><ul><li>Develop & evaluate oral health promotion and oral disease prevention strategies </li></ul></ul></ul><ul><ul><ul><li>Develop and evaluate dental practice guidelines specifically for seniors’ needs </li></ul></ul></ul><ul><ul><ul><li>Determine the feasibility & mechanisms for integrating oral health interventions and practices into existing primary health care strategies </li></ul></ul></ul><ul><ul><ul><li>Assess the impact of the aging population on the dental workforce </li></ul></ul></ul><ul><ul><ul><li>Develop & test service delivery models </li></ul></ul></ul>
    18. 19. Policy implications <ul><li>Education for care providers and those who educate care providers must acknowledge the need for specific geriatric education </li></ul><ul><ul><li>Accreditation standards: dental , dental hygiene, health related professions </li></ul></ul><ul><ul><li>Non-traditional delivery models educational components </li></ul></ul><ul><ul><li>Geriatric dentistry - specialty recognition </li></ul></ul>
    19. 20. Education (continued) <ul><ul><li>Geriatric education for health care workers </li></ul></ul><ul><ul><ul><li>Nursing </li></ul></ul></ul><ul><ul><ul><li>Continuing care assistance </li></ul></ul></ul><ul><ul><ul><li>Pharmacy </li></ul></ul></ul><ul><ul><ul><li>Medicine </li></ul></ul></ul><ul><ul><li>Caregivers who provide personal care </li></ul></ul>
    20. 21. Current status <ul><li>Report submitted </li></ul><ul><li>Seniors oral health collaboration </li></ul><ul><li>COHR </li></ul><ul><li>Dissemination </li></ul>

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