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E-grāmata: Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop

  • Formāts: 122 pages
  • Izdošanas datums: 31-Jul-2019
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309493512
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  • Formāts: 122 pages
  • Izdošanas datums: 31-Jul-2019
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309493512

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Oral health care and medical health care both seek to maintain and enhance human health and well-being. Yet, dentistry and primary care in the United States are largely separated and isolated from each other. Each has its own siloed systems for education, service delivery, financing, and policy oversight. The result has been duplication of effort, a cultural gap between the two professions, and lost opportunities for productive collaboration and better health.





On December 6, 2018, in Washington, DC, the National Academies of Sciences, Engineering, and Medicine held a workshop titled Integrating Oral and General Health Through Health Literacy Practices. This publication summarizes the presentations and discussions from the workshop.

Table of Contents



Front Matter 1 Introduction and Overview 2 Integrating Oral Health, Primary Care, and Health Literacy 3 Systems Thinking, Integration, and Health Literacy as a Catalyst 4 Health Literacy and Care Integration 5 Exploring Pathways to Integration 6 Developing a Research Agenda for Integration 7 Reflections on the Workshop References Appendix A Workshop Agenda Appendix B Biographical Sketches
Acronyms And Abbreviations xix
1 Introduction And Overview
1(4)
Structure of the Proceedings
3(2)
2 Integrating Oral Health, Primary Care, And Health Literacy
5(10)
Identifying Resources for the Environmental Scan
5(2)
Results of the Environmental Scan
7(2)
Including Health Literacy in Integration Efforts
9(2)
Training and Education of Health Professionals
11(2)
Conclusions
13(2)
3 Systems Thinking, Integration, And Health Literacy As A Catalyst
15(10)
Integrating Oral Health with General Medicine
16(1)
Interprofessional Collaboration
17(1)
Designing Delivery Systems
18(2)
Getting People to Work Together
20(1)
The Role of Health Literacy in Integration
21(1)
Involving Consumers in the Discussion
22(1)
Questions for Discussion
23(2)
4 Health Literacy And Care Integration
25(18)
The Need for Public Health Literacy
25(3)
Shared Risk Exposures and the Cycle of Disease: Added Sugar, Nonfluoridated Water
28(5)
Countering Harmful Communications
33(1)
How Oral Health Literacy Shapes Policy Making
34(2)
Creating a Pathway to Solutions
36(1)
Organizing a Public Health Literacy Campaign
37(1)
Where Should Oral Health Be Delivered?
38(2)
Fostering Preventive Interventions
40(3)
5 Exploring Pathways To Integration
43(20)
A Federal Infrastructure
43(3)
Activities Within HRSA
46(2)
Driving Integration Through Combined Electronic Health Records
48(2)
Using an Integrated Electronic Health Record to Change Practice
50(1)
Integrating Oral Health and Primary Care at Kaiser Permanente
51(4)
Delivering Preventive Oral Health Services
55(3)
Effective Referrals
58(1)
Behavioral Health
59(1)
Interprofessional Education
60(1)
Languages Other Than English
60(1)
Questions from Workshop Participants
61(2)
6 Developing A Research Agenda For Integration
63(14)
The Forces Driving Education
64(1)
What Patients Want
65(2)
The Potential for Savings
67(1)
Achieving Integration Through Education
68(2)
The Effects of Accreditation on Education
70(1)
Outcome Measures
70(1)
Comparing Costs and Benefits
71(2)
The Power of Anecdotes
73(1)
Urban and Rural Environments
74(1)
Disruptive Technologies
74(1)
Transitioning Through an Inflection
75(2)
7 Reflections On The Workshop
77(12)
The Prospects for and Barriers to Integration
77(2)
Professional Burnout as a Factor in Integration
79(1)
The Need to Address Social Determinants
80(1)
The Role of Health Literacy
81(1)
Health Literacy and Communication
81(1)
Education as a Driver of Integration
82(1)
Having an Opportunity to Explore Integration
83(2)
References
85(4)
APPENDIXES
A Workshop Agenda
89(4)
B Biographical Sketches
93