Overcoming challenges to integration of oral health into geriatric primary care

The Age-Friendly Health System movement has been a unifying factor in caring for older adults at the University of Utah Health. Despite progress, challenges to efficient healthcare collaboration exist, particularly between geriatric primary care and oral health. This manuscript presents four of thos...

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Main Authors: Alberto Enrique Varela, Donna Baluchi, Timothy W. Farrell, José E. Rodríguez
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2025-01-01
Series:Exploration of Medicine
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Online Access:https://www.explorationpub.com/uploads/Article/A1001277/1001277.pdf
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author Alberto Enrique Varela
Donna Baluchi
Timothy W. Farrell
José E. Rodríguez
author_facet Alberto Enrique Varela
Donna Baluchi
Timothy W. Farrell
José E. Rodríguez
author_sort Alberto Enrique Varela
collection DOAJ
description The Age-Friendly Health System movement has been a unifying factor in caring for older adults at the University of Utah Health. Despite progress, challenges to efficient healthcare collaboration exist, particularly between geriatric primary care and oral health. This manuscript presents four of those challenges (lack of communication between medical and dental providers, the distance between medical and dental services, patient discomfort with the inclusion of oral health in primary health care, and provider discomfort in requesting oral health information in medical encounters) with the solutions derived at the University of Utah Health. Leaders at University of Utah Health developed five interventions to address these challenges (participation in the development of EPIC Wisdom©, a fully integrated oral health record in the electronic health record (EHR), co-location in new centers and oral health consultation in existing centers, implementing a geriatric health assessment that included oral health, widespread adoption of the 4 Ms framework). Applying the lessons learned from these challenges can benefit all older adults and may help prevent the conditions associated with periodontal disease.
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institution Kabale University
issn 2692-3106
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publisher Open Exploration Publishing Inc.
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spelling doaj-art-e852d8fd779d417f863996399e8e1fd62025-01-26T08:32:27ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062025-01-016100127710.37349/emed.2025.1001277Overcoming challenges to integration of oral health into geriatric primary careAlberto Enrique Varela0https://orcid.org/0000-0002-3312-8006Donna Baluchi1https://orcid.org/0000-0003-1229-9102Timothy W. Farrell2https://orcid.org/0000-0003-0070-8757José E. Rodríguez3https://orcid.org/0000-0001-9015-5097Division of Special Care, School of Dentistry, The University of Utah, Salt Lake City, UT 84108-1213, United StatesSpencer S. Eccles Health Sciences Library, The University of Utah, Salt Lake City, UT 84132-0002, United StatesDivision of Geriatrics, Department of Medicine, Spencer Fox Eccles School of Medicine, Salt Lake City, UT 84112, United States; VA Salt Lake City Geriatric Research, Education, and Clinical Center, Salt Lake City, UT 84148, United StatesDepartment of Family and Preventive Medicine, Spencer Fox Eccles School of Medicine, Salt Lake City, UT 84132-0001, United StatesThe Age-Friendly Health System movement has been a unifying factor in caring for older adults at the University of Utah Health. Despite progress, challenges to efficient healthcare collaboration exist, particularly between geriatric primary care and oral health. This manuscript presents four of those challenges (lack of communication between medical and dental providers, the distance between medical and dental services, patient discomfort with the inclusion of oral health in primary health care, and provider discomfort in requesting oral health information in medical encounters) with the solutions derived at the University of Utah Health. Leaders at University of Utah Health developed five interventions to address these challenges (participation in the development of EPIC Wisdom©, a fully integrated oral health record in the electronic health record (EHR), co-location in new centers and oral health consultation in existing centers, implementing a geriatric health assessment that included oral health, widespread adoption of the 4 Ms framework). Applying the lessons learned from these challenges can benefit all older adults and may help prevent the conditions associated with periodontal disease.https://www.explorationpub.com/uploads/Article/A1001277/1001277.pdfgeriatricsoralsystemicinterprofessionalcollaborationperiodontal disease
spellingShingle Alberto Enrique Varela
Donna Baluchi
Timothy W. Farrell
José E. Rodríguez
Overcoming challenges to integration of oral health into geriatric primary care
Exploration of Medicine
geriatrics
oral
systemic
interprofessional
collaboration
periodontal disease
title Overcoming challenges to integration of oral health into geriatric primary care
title_full Overcoming challenges to integration of oral health into geriatric primary care
title_fullStr Overcoming challenges to integration of oral health into geriatric primary care
title_full_unstemmed Overcoming challenges to integration of oral health into geriatric primary care
title_short Overcoming challenges to integration of oral health into geriatric primary care
title_sort overcoming challenges to integration of oral health into geriatric primary care
topic geriatrics
oral
systemic
interprofessional
collaboration
periodontal disease
url https://www.explorationpub.com/uploads/Article/A1001277/1001277.pdf
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AT donnabaluchi overcomingchallengestointegrationoforalhealthintogeriatricprimarycare
AT timothywfarrell overcomingchallengestointegrationoforalhealthintogeriatricprimarycare
AT joseerodriguez overcomingchallengestointegrationoforalhealthintogeriatricprimarycare