{"id":36817,"date":"2024-06-17T10:47:52","date_gmt":"2024-06-17T00:47:52","guid":{"rendered":"https:\/\/www.bitemagazine.com.au\/?p=36817"},"modified":"2024-06-17T10:47:33","modified_gmt":"2024-06-17T00:47:33","slug":"integrating-oral-health-into-primary-health-care","status":"publish","type":"post","link":"https:\/\/www.bitemagazine.com.au\/integrating-oral-health-into-primary-health-care\/","title":{"rendered":"Integrating oral health into primary health care"},"content":{"rendered":"\n<p class=\"yoast-reading-time__wrapper\"><span class=\"yoast-reading-time__icon\"><svg aria-hidden=\"true\" focusable=\"false\" data-icon=\"clock\" width=\"20\" height=\"20\" fill=\"none\" stroke=\"currentColor\" style=\"display:inline-block;vertical-align:-0.1em\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\"><path stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"2\" d=\"M12 8v4l3 3m6-3a9 9 0 11-18 0 9 9 0 0118 0z\"><\/path><\/svg><\/span><span class=\"yoast-reading-time__spacer\" style=\"display:inline-block;width:1em\"><\/span><span class=\"yoast-reading-time__descriptive-text\">Estimated reading time:  <\/span><span class=\"yoast-reading-time__reading-time\">5<\/span><span class=\"yoast-reading-time__time-unit\"> minutes<\/span><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1.jpg\" alt=\"integrating oral health into primary health care\" class=\"wp-image-36818 lazyload\" data-srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-300x200.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-768x512.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-630x420.jpg 630w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-150x100.jpg 150w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-600x400.jpg 600w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-696x464.jpg 696w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><noscript><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1.jpg\" alt=\"integrating oral health into primary health care\" class=\"wp-image-36818 lazyload\" srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-300x200.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-768x512.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-630x420.jpg 630w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-150x100.jpg 150w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-600x400.jpg 600w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2024\/05\/at-the-dentist-1-696x464.jpg 696w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><figcaption class=\"wp-element-caption\">Photo: yacobchuk &#8211; 123RF<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-link-between-oral-health-and-overall-wellbeing-is-evident-yet-dentistry-often-remains-siloed-from-general-health-and-medicine-one-organisation-is-part-of-the-push-to-move-towards-an-integrated-person-centred-approach-to-healthcare-by-shane-conroy\">The link between oral health and overall wellbeing is evident, yet dentistry often remains siloed from general health and medicine. One organisation is part of the push to move towards an integrated, person-centred approach to healthcare. By Shane Conroy<\/h2>\n\n\n\n<p>Oral health has been linked to a number of chronic non-communicable diseases including cardiovascular disease, diabetes, and cancer. Periodontal disease has been linked to acute infections such as endocarditis and pneumonia, and may be associated with the development of Alzheimer\u2019s disease and related dementias.&nbsp;<\/p>\n\n\n\n<p>This is not news for many dentists. However, while these links make it clear that oral health doesn\u2019t exist separately to the rest of a person\u2019s general health, dentistry continues to sit in a silo separate from general health medicine.&nbsp;<\/p><div class=\"bitem-article-desktop-720x300-in-text\" id=\"bitem-717461232\"><!-- Bite 720x300 [async] -->\r\n<script type=\"text\/javascript\">if (!window.AdButler){(function(){var s = document.createElement(\"script\"); s.async = true; s.type = \"text\/javascript\";s.src = 'https:\/\/servedby.engagemedia.com.au\/app.js';var n = document.getElementsByTagName(\"script\")[0]; n.parentNode.insertBefore(s, n);}());}<\/script>\r\n<script type=\"text\/javascript\">\r\nvar AdButler = AdButler || {}; AdButler.ads = AdButler.ads || [];\r\nvar abkw = window.abkw || '';\r\nvar plc705185 = window.plc705185 || 0;\r\ndocument.write('<'+'div id=\"placement_705185_'+plc705185+'\"><\\\/'+'div>');\r\nAdButler.ads.push({handler: function(opt){ AdButler.register(165450, 705185, [720,300], 'placement_705185_'+opt.place, opt); }, opt: { place: plc705185++, keywords: abkw, domain: 'servedby.engagemedia.com.au', click:'CLICK_MACRO_PLACEHOLDER' }});\r\n<\/script><\/div>\n\n\n\n<p>The <a href=\"https:\/\/niohaustralia.com\" target=\"_blank\" rel=\"noreferrer noopener\">Australian Network for Integration of Oral Health<\/a> (NIOH) is one organisation that is pushing to change this. Founded in 2017, NIOH is a network of professionals and organisations committed to driving the systems and social change that is required to integrate oral health into a more collaborative approach to overall healthcare.&nbsp;<\/p>\n\n\n\n<p>\u201cThat\u2019s really the key to this. There\u2019s a systems aspect needed to enable interprofessional collaboration on a practical day-to-day basis. But to widely implement such systems, we need social change across the entire healthcare sector to build the willingness to move forward,\u201d explains Rachel Martin, director of NIOH and Clinical Associate Professor, Melbourne Dental School, University of Melbourne.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-putting-patients-first\">Putting patients first<\/h3>\n\n\n\n<p>This social change begins with advocating for a person-centred approach to healthcare that recognises patients\u2019 individual needs and the complex matrix of co-occurrence, comorbidities, and interrelated conditions that often requires a holistic or whole-body approach to healthcare.&nbsp;<\/p>\n\n\n\n<p>Person-centred healthcare is essentially built around individualised care plans, interprofessional collaboration, and continuity of care. Care plans are tailored to the specific needs and goals of each patient, and managed by the relevant healthcare providers through open communication and shared decision-making. There is also a focus on building long-term relationships between patients and healthcare providers to ensure continuity of care over time.<\/p>\n\n\n\n<p>\u201cThere are significant benefits to this approach for both patients and dentists,\u201d says A\/Prof Martin. \u201cPatients obviously benefit from an integrated, long-term approach to their individual health needs and contributing factors, with potentially more focus on preventative healthcare. Meanwhile dentists become part of a wider informal referral network, and are better placed to connect their patients with other healthcare providers.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>We need national dental leadership that can drive progress towards a person-centred, integrated, and collaborative health system that includes oral health as a critical component. But there is currently no national chief dental or oral health officer to lead this change. <br><br><strong>A\/Prof Rachel Martin, director, NIOH<\/strong><\/p><\/blockquote><\/figure>\n\n\n\n<p>\u201cWhile this is happening in pockets around Australia, we realised that there is a need to find opportunities to share and connect with each other to boost some of the work that has been done, and help to replicate successful integrated healthcare models in other parts of the country.\u201d&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-the-software-solution\">The software solution<\/h3>\n\n\n\n<p>Person-centred healthcare is certainly a powerful concept, but what does it actually look like in day-to-day practice where time is often in short supply? Modern software that efficiently connects healthcare providers and supports communication and information sharing offers much of the solution.&nbsp;<\/p>\n\n\n\n<p>For example, electronic health records (EHR) systems are used to centralise patient health information\u2014such as medical history, diagnoses, medications, care plans, and laboratory results\u2014and health information exchange (HIE) systems enable the secure sharing of patient health information among healthcare providers.<\/p>\n\n\n\n<p>Likewise, care coordination platforms can be used to efficiently facilitate collaboration among the various healthcare providers involved in a given patient\u2019s care plan. And patient-facing portals can encourage patients to take a more active role in their treatment planning and management with the ability to access their health records, communicate with their healthcare providers, schedule appointments, request prescription refills, and view educational resources.&nbsp;<\/p>\n\n\n\n<p>\u201cThe good news is that these kinds of software platforms already exist,\u201d says A\/Prof Martin. \u201cHowever, even where they\u2019re in use, oral health is typically left out. We need national dental leadership that can drive progress towards a person-centred, integrated, and collaborative health system that includes oral health as a critical component. But there is currently no national chief dental or oral health officer to lead this change.\u201d &nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-change-starts-at-home\">Change starts at home<\/h3>\n\n\n\n<p>NIOH was part of the push to change that at the Select Committee into the Provision of and Access to Dental Services. The committee\u2019s final report was presented in November 2023, and cites \u201cvirtually unanimous support\u201d for establishing a chief dental or oral health officer. NIOH also advocated for the establishment of a multidisciplinary national oral health unit to support the chief dental or oral health officer.<\/p>\n\n\n\n<p>While that\u2019s a positive step forward, we\u2019re still a long way from seeing any kind of integrated, nationwide collaborative system rolled out to dental practices. In the meantime, A\/Prof Martin says the path forward for dental practices lies closer to home.&nbsp;<\/p>\n\n\n\n<p>\u201cI think dental practitioners should certainly reach out to other healthcare providers in their own communities,\u201d she says. \u201cPharmacists are on the frontline of healthcare in our communities, so making the time to build relationships with your local pharmacists is a good first step to build an informal referral network. Likewise, building relationships with your local GPs can be beneficial for both parties, and reaching out to diabetes educators can also help to make oral health part of diabetes care plans.\u201d&nbsp;<\/p>\n\n\n\n<p>A\/Prof Martin also encourages all dental practitioners to help educate other healthcare professionals about the role oral healthcare plays in patients\u2019 overall health.<\/p>\n\n\n\n<p>\u201cWe\u2019ve all got to be active in attending workshops and conferences to get the message out that including oral health in integrated, person-centred care plans is not only critical for patients, but will also benefit all healthcare providers,\u201d she says. \u201cWe also welcome dental practitioners to join us at NIOH or to donate to help support our work in advocating to bring oral health into patients\u2019 integrated treatment plans.\u201d &nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The link between oral health and overall wellbeing is evident, yet dentistry often remains siloed from general health and medicine. 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