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Research to Policy: Working Together to Improve the Oral Health of Seniors

Research to Policy: Working Together to Improve the Oral Health of Seniors. Mary McNally, MSc, DDS, MA* Renée Lyons, PhD, Pamela Magee, MA, Sandra Crowell, MPA *Faculty of Dentistry Atlantic Health Promotion Research Centre Dalhousie University

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Research to Policy: Working Together to Improve the Oral Health of Seniors

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  1. Research to Policy: Working Together to Improve the Oral Health of Seniors Mary McNally, MSc, DDS, MA* Renée Lyons, PhD, Pamela Magee, MA, Sandra Crowell, MPA *Faculty of Dentistry Atlantic Health Promotion Research Centre Dalhousie University Toward a New Perspective: From Ageing to Ageing Well   Oct 5, 2004

  2. PURPOSE • To develop an oral health action plan that will • achieve continuity of oral health care for • seniors in NS and elsewhere.

  3. WHY SENIORS ORAL HEALTH? • Oral health impacts overall health and QOL • Fastest growing segment of the population • More seniors are retaining their teeth • No policies and practices for managing seniors’ oral health care

  4. TEAM MEMBERS • AHPRC Dalhousie University • Faculty of Dentistry, Dalhousie University • School of Dental Hygiene, Dalhousie University • Nova Scotia Dental Hygienists Association • Nova Scotia Dental Association • Northwoodcare Inc. • Nova Scotia Senior Citizen’s Secretariat • Nova Scotia Department of Health • Manulife Financial • Faculty of Dentistry, University of Toronto

  5. PROJECT PHASES • Phase IHealth Services Evaluation • Phase II Promising Practices Scan • Phase III Oral Health Policy Forum • Phase IV Dissemination

  6. PROJECT OVERVIEW

  7. KEY FINDINGS • MANY SECTORS are affected by findings • Governments, seniors, insurance, long-term care, education, research, dentistry, health professionals • AWARENESS: Oral health is overlooked as an essential component of overall health and quality of life by all sectors. • COLLABORATION is essential to ensure continuity of care

  8. FINDINGS • No provincial or federal responsibility • Lack of accessible services - especially rural areas • Cost is a barrier • Lack of research data • Lack of education • Many implications for policy development

  9. WHAT DO WE NEED?

  10. WHAT DO WE NEED? • Innovation in service delivery • Creative financial solutions • More research • Education/training opportunities • To raise awareness

  11. HOW DO WE GET IT? • 7 working groups established: • OHS Collaboration Steering Committee • Program Delivery • Research • Policy Development • Public Awareness • Education for Dental Students, Professionals • Education for Non-Dental Care Providers

  12. HOW DO WE GET IT? I Collaboration

  13. HOW DO WE GET IT? II Impact Policy This research was directed toward those who forumlate policies and programs for seniors. We target relevant audiences and highlight the most significant implications.

  14. POLICY IMPLICATIONS FOR: • All stakeholder decision makers: • Awareness • Integrated health systems approach • Government policy makers - Leadership - Primary health programs include oral health - Legislation of health professions - Standards of service & Clinical guidelines

  15. POLICY IMPLICATIONS FOR: Oral Health Service Delivery (rural/homebound) - Transportation - Mobile clinics/LTC clinics - Oral health resource kit - Labor force issues Financial Implications - Cost to the healthcare system - Quantification of required financial support - Modification of fee guides, innovative payment plans

  16. POLICY IMPLICATIONS FOR: 5. Research - Standardized protocols for oral health surveillance - Oral health status research (national/provincial) - Collaborative research teams: • Prevention and promotion programs • Clinical practice guidelines • Feasibility of integration into primary health • Examination of dental workforce • Evaluation of service delivery models 6. Education • Accreditation standards for all health related programs • new models of service delivery • Geriatric dentistry as a discrete area of specialization

  17. Canadian Health Services Research Foundation • NS Health Research Foundation • Drummond Foundation • Manulife Financial • Dentistry Canada Fund • NS Dental Association THANK YOU TO OUR FUNDERS

  18. CONTACT INFORMATION MARY MCNALLY Faculty of Dentistry, Dalhousie University Tel: (902) 494-1294 Mary.mcnally@dal.ca www.ahprc.dal.ca/oralhealth

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