Kids get care: integrating preventive dental and medical care using a public health case management model
Abstract
Kids Get Care is a public health-based program in the Seattle area designed to ensure that low-income children, regardless of insurance status, receive early integrated preventive medical, dental, and developmental health services through attachment to medical and dental homes (the usual sources of medical or dental care). The oral health component of the program focuses on cross-training medical and dental providers, providing partner medical clinics with a case manager, and educating staff in nearby community-based organizations about how to identify incipient dental disease and possible early childhood developmental delays. The program identifies a local, well-respected dentist to champion the delivery of oral health screening within a medical clinic and to provide oral health training to medical clinic staff. The program works with community agencies to educate families on the importance of healthy baby teeth, routine dental care beginning at age one, and general prevention. In its first year, the program trained 355 community staff and 184 primary care providers on how to conduct an oral health assessment. These staff and providers screened more than 5,500 children for oral health problems. One medical clinic more than doubled the number of fluoride varnishes it provided, increasing from 80 to 167 during a nine-month pilot phase. Other outcome studies are in progress.
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Training of paediatricians, family and primary care physicians and community health providers in a preventive dentistry programme in North Carolina, Seattle and Washington led to integration of preventive dental services into their practices.
“Training of paediatricians, family and primary care physicians and community health providers in a preventive dentistry programme in North Carolina (Into the Mouths of Babes), in Seattle (Kids Get Care) and in Washington led to the integration of preventive dental services into their practices.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [55]
Healthcare professionals have shown interest in the colocation model since it is the first step to merge primary care and dental care and allows establishing a relationship among the healthcare workforce, showing promising results in delivery of efficient care addressing both medical and oral health needs of patients.
“Healthcare professionals have shown interest in the colocation model since it is the first step to merge primary care and dental care and allows establishing a relationship among the healthcare workforce, showing promising results in the delivery of efficient care addressing both the medical and oral health needs of patients.”
From Barriers and facilitators in the integration of oral health into primary care: a scoping review (2017) · cites this paper as [55]
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- Authors
- Wysen, K. H., Hennessy, P. M., Lieberman, M. I., Garland, T. E., & Johnson, S. M.
- Affiliations
- Public Health – Seattle & King County (US)
- Corresponding author
- Hennessy, Patricia M.
- Venue
- Journal of Dental Education
- Publisher
- Wiley
- Published
- 2004-05
- Volume
- 68
- Issue
- 5
- Pages
- 522-530
- ISSN
- 0022-0337 (ISSN-L)
- 1930-7837
- OpenAlex
- W2141390220
- Cited by
- 21
- References
- 13
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2015: 1 · 2014: 2 · 2012: 1
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dental Education (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- preventive dentistry, low-income children, oral health screening, dental home, patient-centered medical home, case management, fluoride varnish, community organizations, primary care providers
- MeSH terms
- Child, Child, Preschool, Community Health Services, Comprehensive Health Care, Health Services Accessibility, Humans, Interprofessional Relations, Poverty, Preventive Dentistry, Preventive Medicine, Washington, Program Evaluation, Models, Organizational, Delivery of Health Care, Integrated, Case Management, Dental Care for Children
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