8D: Integrating Oral and General Health Care in Australia: Utilising Aged Care to demonstrate essential elements of this global issue (Workshop)
Tracks
Track 4
| Tuesday, November 12, 2019 |
| 4:00 PM - 5:30 PM |
| Room 106 |
Details
This workshop is followed by the launch of the Oral Health Special Interest Group and which will run from 5.30pm – 6.30pm – for more information on the SIG please contact Rachel Martin at rachelm@nrch.com.au
Chaired by A/Professor Rachel Martin, Manager Oral Health, North Richmond Community Health
Speaker
A/Prof Rachel Martin
Manager Oral Health
North Richmond Community Health
237Integrating Oral and General Health Care in Australia: Utilising Aged Care to demonstrate essential elements of this global issue.
Abstract
Good Oral Health (OH) is important for general health and wellbeing.
Oral diseases (tooth decay, gum disease and oral cancer), although largely preventable, are among the most prevalent chronic diseases in Australia. As with chronic disease, oral disease follows a socio- economic gradient. The most vulnerable people wait years for public dental care, whilst disease worsens.
Evidence indicates that poor OH impacts on management of general diseases and negatively impacts quality of life (QoL). For example, gum disease and diabetes have a bi-directional relationship. Untreated gum disease can affect glycemic control and lead to complications.
Health literacy, early detection and intervention are key to primary disease prevention and management.
Historically, the mouth has been separated from the body across health education programs, service delivery, policy setting and funding. To reduce costs and improve health outcomes, spending on dental care must be shifted from a focus on surgical treatment to early intervention and prevention. OH must be integrated into general health with all health professionals sharing responsibility for OH promotion and prevention. This quantum shift challenges traditional values and practices, requires leadership in change, and capacity building for consumers and the healthcare sector.
Many issues need addressing at clinical, professional, organisational and system levels to fully realise the population and economic benefits of sharing responsibility for OH care. It is crucial to demonstrate to government and policy makers the improved health, well-being and economic benefits of integrating OH into preventive models of general healthcare.
1. Aims and Objectives
To address the factors required for integration of OH into general healthcare systems utilising an example of the aged population in Australia. The following will be achieved:
a. Demonstration of a model of care in the aged care sector that integrates oral health as part of the general health care of this population
b. The development of the key elements of a consensus statement and framework for integrating OH into general health
2. Target audience
a. Healthcare professionals, policy makers, health funders, carers and consumers
3. Learnings
a. How Oral Health care contributes to the overall management of chronic conditions
b. General healthcare professionals’ roles in contributing to good oral and general health
c. Simple, low cost interventions that can significantly contribute to improved QoL in vulnerable populations
d. Examples of current interdisciplinary models of healthcare in Aged Care
e. Essential elements of a consensus statement for the integration of OH with general health care
4. Format
Introduction 5 minutes A/Prof Rachel Martin
The problem 5 minutes Prof Clive Wright
Models of oral health for aged care 20 minutes Presenters: A/Prof Janet Wallace, Dr Kavitha Sivisithamparam
Panel discussion 45 minutes Essentials for OH integration into general care: Aged Care example
Moderator: Prof Clive Wright. Invited Panel members: Geriatrician, Council of the Ageing, Personal Carer, Nurse, Oral Health Professional, Aged Care Industry.
Summary 15 minutes From consensus statement to policy – considering the landscape. Dr Lisa Studdert, Deputy Secretary for Population Health, Sport and Aged Care Quality
5. Preferred length
a. 90 minutes
Oral diseases (tooth decay, gum disease and oral cancer), although largely preventable, are among the most prevalent chronic diseases in Australia. As with chronic disease, oral disease follows a socio- economic gradient. The most vulnerable people wait years for public dental care, whilst disease worsens.
Evidence indicates that poor OH impacts on management of general diseases and negatively impacts quality of life (QoL). For example, gum disease and diabetes have a bi-directional relationship. Untreated gum disease can affect glycemic control and lead to complications.
Health literacy, early detection and intervention are key to primary disease prevention and management.
Historically, the mouth has been separated from the body across health education programs, service delivery, policy setting and funding. To reduce costs and improve health outcomes, spending on dental care must be shifted from a focus on surgical treatment to early intervention and prevention. OH must be integrated into general health with all health professionals sharing responsibility for OH promotion and prevention. This quantum shift challenges traditional values and practices, requires leadership in change, and capacity building for consumers and the healthcare sector.
Many issues need addressing at clinical, professional, organisational and system levels to fully realise the population and economic benefits of sharing responsibility for OH care. It is crucial to demonstrate to government and policy makers the improved health, well-being and economic benefits of integrating OH into preventive models of general healthcare.
1. Aims and Objectives
To address the factors required for integration of OH into general healthcare systems utilising an example of the aged population in Australia. The following will be achieved:
a. Demonstration of a model of care in the aged care sector that integrates oral health as part of the general health care of this population
b. The development of the key elements of a consensus statement and framework for integrating OH into general health
2. Target audience
a. Healthcare professionals, policy makers, health funders, carers and consumers
3. Learnings
a. How Oral Health care contributes to the overall management of chronic conditions
b. General healthcare professionals’ roles in contributing to good oral and general health
c. Simple, low cost interventions that can significantly contribute to improved QoL in vulnerable populations
d. Examples of current interdisciplinary models of healthcare in Aged Care
e. Essential elements of a consensus statement for the integration of OH with general health care
4. Format
Introduction 5 minutes A/Prof Rachel Martin
The problem 5 minutes Prof Clive Wright
Models of oral health for aged care 20 minutes Presenters: A/Prof Janet Wallace, Dr Kavitha Sivisithamparam
Panel discussion 45 minutes Essentials for OH integration into general care: Aged Care example
Moderator: Prof Clive Wright. Invited Panel members: Geriatrician, Council of the Ageing, Personal Carer, Nurse, Oral Health Professional, Aged Care Industry.
Summary 15 minutes From consensus statement to policy – considering the landscape. Dr Lisa Studdert, Deputy Secretary for Population Health, Sport and Aged Care Quality
5. Preferred length
a. 90 minutes
Biography
Rachel Martin, dentist and specialist in Public Health Dentistry, manages the large North Richmond Community Health (NRCH) Oral Health service (Melbourne, Victoria) providing person-centred integrated oral healthcare to the community through a health promoting and prevention-based model of clinical care and outreach.
Through practice-based research at NRCH, collaborating with many partner organisations (University of Melbourne, La Trobe University, Deakin University, St Vincent’s Hospital Melbourne, and others) Rachel is an investigator on a number of interdisciplinary oral health research projects aiming improve oral health for vulnerable groups in the community. Passionate about health equity and affordable quality public oral healthcare, Rachel chairs the Public Dentists Committee of the ADAVB, is a member of Alliance for a Cavity Free Future, and the Dental Board of Australia Victorian Registration and Notification committee. In 2015 she developed the conference series Where the Mind Meets the Mouth, and in 2017 co-founded the Network for Interdisciplinary Oral Health (NIOH). NIOH is committed to improving the oral health of Australians through collaborating across the country to build the evidence base and translation into practice of oral health within general health. NIOH membership includes oral and general health clinicians, academics, educators, consumers, government bodies and industry from across Australia. Examples of current pilot models of integrated oral and general health are: maternal and child health nurse training in oral screening and referrals; and oral health and medical professionals shared care model for patients with diabetes.
