Dental Care in Programs of All-Inclusive Care for the Elderly: Organizational Structures and Protocols

Matthew M Oishi; Elizabeth T Momany; Robert J Collins; Pamela Z Cacchione; Joan I Gluch; Howard J Cowen; Peter C Damiano; Leonardo Marchini

doi:10.1016/j.jamda.2021.02.012

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Dental Care in Programs of All-Inclusive Care for the Elderly: Organizational Structures and Protocols

Journal article

Open access

Dental Care in Programs of All-Inclusive Care for the Elderly: Organizational Structures and Protocols

Matthew M Oishi, Elizabeth T Momany, Robert J Collins, Pamela Z Cacchione, Joan I Gluch, Howard J Cowen, Peter C Damiano and Leonardo Marchini

Journal of the American Medical Directors Association, Vol.22(6), pp.1194-1198

03/17/2021

DOI: 10.1016/j.jamda.2021.02.012

PMID: 33744273

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Abstract

This study uses a national model of community-based long-term services and supports, the Program of All-inclusive Care for the Elderly (PACE), to identify organizational structures and protocols that can facilitate the delivery of dental examinations. We developed an online survey instrument and conceptual model for this study representing 10 domains believed to characterize a quality PACE dental program. The Qualtrics survey was distributed nationally to all 124 PACE programs in the 31 states PACE was available. Respondents in this study represented 35 programs (program response rate = 28.2%) in 23 states (state response rate = 74.2%). Selected independent variables from each of the 10 domains were tested against the reported delivery of dental examinations variable using the Kendall τ and χ2. Twenty-nine programs were included in the final analysis. Most programs mandated a dental examination within 31–60 days of enrollment (63.6%). Few programs had a dental manual (15.6%) or any quality assurance for dental care (32.3%). A majority of programs (58.8%) stated that they had a protocol for enrollees to receive a cleaning every 6–12 months. Having a system for quality assurance for dental care, protocol for a cleaning every 6–12 months, mandating a comprehensive dental examination and providing preventive dental services onsite with built-in equipment, were all statistically associated with a higher reported delivery of dental examinations. Organizations providing long-term services and supports, including PACE, can use these identified domains to develop minimal standards to ensure dental care is part of innovative models of community-based long-term services and supports. Implementing these domains can facilitate effective delivery of dental examinations that have the potential to support positive oral health and general health outcomes.

oral health

frail elderly

LTSS

dental care for aged

PACE

Oral Health Policy

Details

Title: Subtitle: Dental Care in Programs of All-Inclusive Care for the Elderly: Organizational Structures and Protocols
Creators: Matthew M Oishi - Department of Preventive and Community Dentistry, University of Iowa College of Dentistry, Iowa City, IA, USA
Elizabeth T Momany - Public Policy Center, University of Iowa, Iowa City, IA, USA
Robert J Collins - Division of Community Oral Health, Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
Pamela Z Cacchione - Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
Joan I Gluch - Division of Community Oral Health, Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
Howard J Cowen - Department of Preventive and Community Dentistry, University of Iowa College of Dentistry, Iowa City, IA, USA
Peter C Damiano - Department of Preventive and Community Dentistry, University of Iowa College of Dentistry and the Public Policy Center, Iowa City, IA, USA
Leonardo Marchini - Department of Preventive and Community Dentistry, University of Iowa College of Dentistry and the Public Policy Center, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Journal of the American Medical Directors Association, Vol.22(6), pp.1194-1198
DOI: 10.1016/j.jamda.2021.02.012
PMID: 33744273
NLM abbreviation: J Am Med Dir Assoc
ISSN: 1525-8610
eISSN: 1538-9375
Publisher: Elsevier Inc
Grant note: Delta Dental of Iowa Foundation
Language: English
Date published: 03/17/2021
Academic Unit: Preventive and Community Dentistry; Health Management and Policy; Public Policy Center (Archive); University College Courses; Oral Health Policy Research
Record Identifier: 9984077784202771

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