Increasing Access to Oral Health Care for People Living with HIV/AIDS in Rural Oregon

被引：5

作者：

Jones, Jill ^{[1
,2
]}

Mofidi, Mahyar ^{[3
]}

Bednarsh, Helene ^{[4
]}

Gambrell, Alan ^{[5
]}

Tobias, Carol R. ^{[6
]}

机构：

[1] Lane Community Coll, Hlth Profess Div, Eugene, OR 97405 USA

[2] HIV Alliance, Eugene, OR USA

[3] HIV AIDS Bur, Hlth Resources & Serv Adm, US Dept HHS, Rockville, MD USA

[4] Boston Publ Hlth Commiss, HIV AIDS Serv Div, HIV Dent Ombudsperson Program, Boston, MA USA

[5] Publ Ink, Washington, DC USA

[6] Boston Univ, Sch Publ Hlth, Hlth & Disabil Working Grp, Boston, MA USA

来源：

PUBLIC HEALTH REPORTS | 2012年 / 127卷

关键词：

DENTAL CASE-MANAGEMENT; UNMET NEEDS; MEDICAL PATIENTS;

D O I：

10.1177/00333549121270S209

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Access to oral health care for people living with HIV/AIDS is a severe problem. This article describes the design and impact of an Innovations in Oral Health Care Initiative program, funded through the Health Resources and Services Administration HIV/AIDS Bureau's Special Projects of National Significance (SPNS) program, that expanded oral health-care services for these individuals in rural Oregon. From April 2007 to August 2010, 473 patients received dental care (exceeding the target goal of 410 patients) and 153 dental hygiene students were trained to deliver oral health care to HIV-positive patients. The proportion of patients receiving oral health care increased from 10% to 65%, while the no-show rate declined from 40% to 10%. Key implementation components were leveraging SPNS funding and services to create an integrated delivery system, collaborations that resulted in improved service delivery systems, using dental hygiene students to deliver oral health care, enhanced care coordination through the services of a dental case manager, and program capacity to adjust to unanticipated needs.

引用

页码：65 / 72

页数：8

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