Gajendra S, Psoter W
Eastman Institute for Oral Health, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
JDR Clin Trans Res. 2025 Jul;10(1_suppl):17S-24S. doi: 10.1177/23800844251328677. Epub 2025 Jun 17.
There is a growing sense of urgency to address the oral health needs in the United States. The increased burden of oral diseases is compounded by the lack of access to dental care, including the lack of adequate providers to treat the underserved and disadvantaged population, leading to an exponential use of the emergency department for nontraumatic dental conditions. Strategies need to focus on the inadequacies of the current U.S. oral health care system not only to prevent and treat oral diseases but also to reduce oral health disparities. Several studies have underscored the need for collaborative efforts and community partnerships to improve oral health care access for the disadvantaged population. Public health as well as institutions in charge of professional training should implement innovative strategies that address barriers to increasing access to dental care through organized community efforts. Community-based learning and interprofessional collaboration are key strategies proposed by international and national organizations to address these concerns. Opportunities for extramural rotations are now provided by dental schools to all dental students and trainees to fulfill the Commission on Dental Accreditation's requirement of community-based learning. Community partnerships with academia can help improve access to dental care and increase the efficacy and efficiency between dental and primary care professionals for better integration and care coordination. In this article, the authors reviewed policy statements and position papers of health care agencies as well as the scientific literature on interprofessional dental education and collaborative practice in the community. Working with multidisciplinary teams, dental providers can provide distinctive insights and can add value to the team. With appropriate interprofessional education and practice in communities, robust community-academic partnerships can be built. The future health care workforce can address the needs of the diverse and ever-evolving patient population to prevent, diagnose, and treat oral and systemic diseases.Knowledge Transfer Statement:This article will help dental students, trainees, and academicians understand the issues related to access to dental care and how collaborative partnerships in the community, including interprofessional dental education and care, can help alleviate this problem.
在美国,满足口腔健康需求的紧迫感日益增强。口腔疾病负担的加重,又因难以获得牙科护理而雪上加霜,这包括缺乏足够的医疗服务提供者来治疗服务不足和处境不利的人群,导致非创伤性口腔疾病患者大量涌入急诊科。相关策略不仅需要关注美国当前口腔医疗体系在预防和治疗口腔疾病方面的不足,还需致力于减少口腔健康差异。多项研究强调,需要通过合作努力和社区伙伴关系来改善处境不利人群获得口腔医疗服务的机会。公共卫生部门以及负责专业培训的机构应实施创新策略,通过有组织的社区努力来消除增加牙科护理可及性的障碍。国际和国家组织提出,基于社区的学习和跨专业协作是解决这些问题的关键策略。现在,牙科学院为所有牙科学生和实习生提供校外轮转机会,以满足牙科认证委员会对基于社区学习的要求。与学术界建立社区伙伴关系有助于改善牙科护理的可及性,并提高牙科和初级护理专业人员之间的效力和效率,以实现更好的整合和护理协调。在本文中,作者回顾了医疗保健机构的政策声明和立场文件,以及关于社区跨专业牙科教育和协作实践的科学文献。牙科医疗服务提供者与多学科团队合作,可以提供独特的见解,并为团队增添价值。通过在社区进行适当的跨专业教育和实践,可以建立强大的社区 - 学术伙伴关系。未来的医疗保健劳动力能够满足多样化且不断变化的患者群体的需求,以预防、诊断和治疗口腔及全身疾病。知识转移声明:本文将帮助牙科学生、实习生和学者了解与获得牙科护理相关的问题,以及社区中的合作伙伴关系,包括跨专业牙科教育和护理,如何有助于缓解这一问题。