Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032 Zurich, Switzerland.
Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstrasse 12, 04103 Leipzig, Germany.
Int J Environ Res Public Health. 2022 May 18;19(10):6148. doi: 10.3390/ijerph19106148.
People in need of care also require support within the framework of structured dental care in their different life situations. Nowadays, deteriorations in oral health tend to be noticed by chance, usually when complaints or pain are present. Information on dental care is also lost when life situations change. An older person may rely on family members having oral health skills. This competence is often not available, and a lot of oral health is lost. When someone, e.g., a dentist, physician, caregiver, or family member notices a dental care gap, a structured transition to ensure oral health should be established. The dental gap can be detected by, e.g., the occurrence of bad breath in a conversation with the relatives, as well as in the absence of previously regular sessions with the dental hygienist. The aim of the article is to present a model for a structured geriatric oral health care transition. Due to non-existing literature on this topic, a literature review was not possible. Therefore, a geriatric oral health care transition model (GOHCT) on the basis of the experiences and opinions of an expert panel was developed. The GOHCT model on the one hand creates the political, economic, and legal conditions for a transition process as a basis in a population-relevant approach within the framework of a transition arena with the representatives of various organizations. On the other hand, the tasks in the patient-centered approach of the transition stakeholders, e.g., patient, dentist, caregivers and relatives, and the transition manager in the transition process and the subsequent quality assurance are shown.
需要护理的人在不同的生活情况下也需要在结构化的牙科护理框架内得到支持。如今，口腔健康恶化往往是偶然发现的，通常是在出现抱怨或疼痛时。当生活情况发生变化时，有关牙科护理的信息也会丢失。老年人可能依赖于家庭成员具备口腔健康技能。但这种能力往往并不具备，大量的口腔健康因此受损。当有人（例如牙医、医生、护理人员或家庭成员）注意到牙科护理差距时，应建立一个结构化的过渡程序来确保口腔健康。牙科差距可以通过与亲戚交谈时出现口臭，以及以前定期与牙科保健师就诊的情况不复存在等方式来发现。本文的目的是提出一种结构化老年人口腔保健过渡模型。由于这个主题没有相关文献，因此无法进行文献回顾。因此，根据专家小组的经验和意见，开发了一种老年人口腔保健过渡模型（GOHCT）。一方面，GOHCT 模型在过渡领域内为过渡过程创造了政治、经济和法律条件，该领域以人口为基础，涉及各种组织的代表。另一方面，它展示了过渡利益相关者（如患者、牙医、护理人员和亲属以及过渡经理）在以患者为中心的过渡方法中的任务，以及过渡过程和随后的质量保证。
