A multi-state initiative to implement pediatric oral health in primary care practice and clinical education

作者：Silk Hugh^*; Leicher Ellen Sachs; Alvarado Veronica; Cote Elizabeth; Cote Susan

来源：Journal of Public Health Dentistry, 2018, 78(1): 25-31.

DOI：10.1111/jphd.12225

• oral health
• fluoride
• topical

ObjectivesTo implement and study the effect of improving pediatric oral health by training primary care practices and training programs.
MethodIn six New England States, primary care practices and clinical training programs (medical schools, residencies, physician assistant programs) were recruited and trained to incorporate pediatric oral health into medical practice. We measured the results of varying practice recruitment approaches and measured training outcomes based on self-reported implementation and state reported EPSDT CMS oral health claims.
ResultsWe trained 415 practices across six states with a 74 percent average retention rate of providing services at 6 months. This resulted in 136,963 preventive oral health services (fluoride varnish, oral health assessment, or screening). Thirty-five of 52 health education programs established pediatric oral health curricula. The average cost of recruitment, training, and follow-up for an office or an educational program is approximately $1,000/site.
ConclusionWe have created an enduring infrastructure and model for primary care practices and education programs for training in pediatric oral health.

• 出版日期2018