The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review.

Abstract:

BACKGROUND AND OBJECTIVES:Despite recent improvements in access to health care, many Americans still lack access to dental care. There has been a national focus on interprofessional education and team-based care to work toward the integration of services including dental care into primary care. The purpose of this systematic review is to understand the impact of implementing oral health curricula in primary care training on measurable changes in primary care practice. METHODS:Researchers utilized a two-step process, first a scoping review and then using the PRISMA systematic review method to develop inclusion and exclusion criteria around audience, curricula, and outcomes to identify practice change due to oral health education curricula delivered in primary care clinician training. Researchers assessed titles, abstracts, and full texts and abstracted data for the review. RESULTS:Researchers reviewed 2,749 articles and found 12 meeting the systematic review criteria. The reported outcomes and evaluations differed for each of the 12 studies identified. Over 40% utilized self-reporting. Seven of the included studies tracked outcomes by checklists embedded in electronic health records changes to well-child visit forms, or chart audits, one of which also tracked billing reimbursements. CONCLUSIONS:Oral health curricula for primary care clinicians are too heterogeneous to determine the effects on practice behavior. Future research should focus on developing a clear evaluation framework for measuring practice level changes in primary care settings as a result of implementing an oral health curriculum.

journal_name

Fam Med

journal_title

Family medicine

authors

Dwiel K,Hesketh MA,Alpert JL,Cellini J,Goodell K,Phillips RS,Sullivan EE

doi

10.22454/FamMed.2019.232634

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

251-261

issue

3

eissn

0742-3225

issn

1938-3800

journal_volume

51

pub_type

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