Dental Health Services Victoria, Carlton, VIC, Australia.
Health Promot J Austr. 2021 Oct;32 Suppl 2:126-138. doi: 10.1002/hpja.418. Epub 2020 Nov 4.
Population oral health (OH) improvements depend on successful, coordinated execution of oral health promotion (OHP) programs by both oral and general health professionals with key competencies (skills, abilities, knowledge and values). This study explored multidisciplinary professionals' perspectives of the competencies required for the successful implementation of a community-based OHP program called Smiles 4 Miles (S4M) in early childhood settings in Victoria, Australia.
Convenience sampling was used to recruit multidisciplinary professionals working in the S4M early childhood health promotion program in Victoria. Semi-structured focus groups were conducted with program managers/coordinators (n = 26) from 21 S4M sites and the state-wide program coordination team (n = 5). Focus groups explored OHP competency needs, capacity to promote child OH and strategies for enhancing OHP competencies. The competencies identified through focus groups were then compared to the International Union for Health Promotion and Education (IUHPE) competencies framework.
Strategies to enhance individual and organisational OHP competencies included intersectoral collaborations; working in multidisciplinary teams; support networks and partnerships; sharing skills and expertise between health professionals. The OHP competencies identified by the participants were consistent with key IUHPE domains including ethical values and health promotion knowledge base underpinning, enabling change, advocacy for health, mediating through partnerships, communication, leadership, assessment, planning, implementation, evaluation and research.
A multidisciplinary workforce based in community settings can play key and complementary roles in OHP and widen avenues for oral disease prevention. SO WHAT?: Integrated collaborative workforce models involving multidisciplinary professionals beyond the OH sector can more effectively support efforts to address the burden of oral disease.
人口口腔健康(OH)的改善取决于口腔和一般健康专业人员成功协调地执行口腔健康促进(OHP)计划,这些专业人员具有关键能力(技能、能力、知识和价值观)。本研究探讨了多学科专业人员对成功实施澳大利亚维多利亚州儿童早期环境中名为 Smiles 4 Miles(S4M)的基于社区的 OHP 计划所需能力的看法。
采用便利抽样法招募在维多利亚州 S4M 儿童健康促进计划中工作的多学科专业人员。对来自 21 个 S4M 地点的计划经理/协调员(n=26)和全州计划协调团队(n=5)进行了半结构化焦点小组讨论。焦点小组探讨了 OHP 能力需求、促进儿童 OH 的能力以及增强 OHP 能力的策略。然后将通过焦点小组确定的能力与国际健康促进与教育联盟(IUHPE)能力框架进行比较。
增强个人和组织 OHP 能力的策略包括跨部门合作;在多学科团队中工作;支持网络和伙伴关系;在卫生专业人员之间共享技能和专业知识。参与者确定的 OHP 能力与 IUHPE 的主要领域一致,包括道德价值观和健康促进知识库支撑、促进变革、倡导健康、通过伙伴关系进行调解、沟通、领导、评估、规划、实施、评估和研究。
以社区为基础的多学科劳动力可以在 OHP 中发挥关键和互补作用,并拓宽口腔疾病预防途径。因此:涉及 OH 部门以外的多学科专业人员的综合协作劳动力模式可以更有效地支持解决口腔疾病负担的努力。