Sanders Kimberly A, Zerden Lisa de Saxe, Zomorodi Meg, Ciarrocca Katharine, Schmitz Karen L
University of North Carolina at Chapel Hill, Eshelman School of Pharmacy, US.
University of North Carolina at Chapel Hill, Adams School of Dentistry, US.
Int J Integr Care. 2021 Nov 18;21(4):20. doi: 10.5334/ijic.5814. eCollection 2021 Oct-Dec.
Dental settings have not traditionally functioned as access points to the health care system, however they can serve patients who may not otherwise seek routine health care. Millions of Americans annually visit either a dental or primary care provider, but not always both as recommended, even though multiple health co-morbidities can manifest in and impact oral health. Offering multidisciplinary health services in a dental setting has potential to reach unserved populations.
Innovative partnerships between schools of dentistry, pharmacy, social work, and nursing were designed to promote integrated service delivery in the emerging workforce and the purposeful inclusion of oral health in integrated care settings.
Oral complications of systemic disease and systemic complications of oral disease impose significant burdens on populations and the public health infrastructure in terms of economic cost, disability, and mortality. Exacerbated by the lack of integrated services, intersecting social, economic, and health issues perpetuate disparities and negative health outcomes. Care is often focused on reactive rather than preventive measures therefore addressing only the acute issue instead of the underlying, causative problem(s).
We describe steps for integrated, whole-health services and lessons learned for other academic health institutions and interprofessional settings considering integrated clinical models.
传统上，牙科诊所并非医疗保健系统的接入点，然而它们可以为那些可能不会寻求常规医疗保健的患者提供服务。每年有数百万美国人去看牙科或初级保健医生，但并不总是按照建议同时看这两者，尽管多种健康合并症可能会在口腔健康中表现出来并对其产生影响。在牙科诊所提供多学科健康服务有潜力覆盖未得到服务的人群。
牙科、药学、社会工作和护理学院之间建立了创新伙伴关系，旨在促进新兴劳动力中的综合服务提供，并将口腔健康有目的地纳入综合护理环境。
全身性疾病的口腔并发症和口腔疾病的全身性并发症在经济成本、残疾和死亡率方面给人群和公共卫生基础设施带来了重大负担。由于缺乏综合服务，社会、经济和健康问题相互交织，使差距和负面健康结果长期存在。医疗往往侧重于应对措施而非预防措施，因此只解决急性问题而非根本的致病问题。
我们描述了综合全面健康服务的步骤，以及其他考虑综合临床模式的学术健康机构和跨专业环境可吸取的经验教训。
