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Kathryn A. Atchison Jane A. Weintraub R. Gary Rozier 《Journal of the American Dental Association (1939)》2018,149(10):850-858
Background
The National Academies of Sciences, Engineering, and Medicine commissioned an environmental scan describing the status of health care integration of oral health and primary care services.Methods
The authors conducted an environmental scan of US integration activities with publications from January 2000 through August 2017. They categorized services as preventive oral health services (POHS) provided by medical care providers, POHS provided by dental providers in nondental settings, preventive health services provided by dental providers, or care coordination using dedicated personnel and technology. The authors chose 4 programs as case studies and interviewed key personnel in each program. One case study illustrates each category of integrated services; additional examples describe category variation.Results
The case study involving Into the Mouth of Babes illustrates medical professionals delivering POHS to children. The case study involving Grace Health presents dental hygienists embedded in the obstetrics-gynecology clinic to provide oral screening, prophylaxis, and education to pregnant women. At HealthPartners, medical care providers refer patients with diabetes to dentists and waive copays for periodontal care. The InterCommunity Health Network Coordinated Care Organization uses dedicated patient coordinators, technology, and coordinated payment and referral mechanisms to facilitate care.Conclusions
Integration of dental and medical care increased access to and coordination of patient care by means of offering health care services traditionally provided by the other profession.Practical Implications
Integration models demonstrate the incorporation of POHS by primary care professionals, the embedding of dental professionals into primary care clinics, and the incorporation of care coordination to increase the delivery of oral health care. Similarly, dentists identify and refer patients with medical needs or preventive gaps to medical homes. 相似文献2.
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何燕 《中国民族民间医药杂志》2009,18(8):85-86
目的:探讨中医妇科学教学方法的应用.方法:通过查阅文献、资料的方法,收集中医妇科学教学方法的相关资料,分析中医妇产科学教学特点和归纳有效的教学方法.结果:随机选取本校100名学生分别应用案例教学法和PBL教学法,经过对100名学生问卷调查发现,94%的学生对案例教学法满意,96%的学生对PBL教学法满意.结论:PBL教学法的效果略高于案例教学法. 相似文献
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目的 :探讨经阴道超声 (TVS)对前置胎盘的诊断价值。方法 :对 78例孕妇的胎盘分别采用经腹部超声(TAS)和TVS检查进行定位 ,并与产时诊断进行比较。结果 :TVS检查诊断与产时诊断比较 ,敏感性、特异性、假阳性率和符合率分别为 10 0 % ,90 % ,10 %和 93 6 % ;TAS则分别为 71 4% ,6 0 % ,40 %和 6 4 1%。TVS的符合率与TAS比较 ,差异有显著性 (P <0 .0 1)。结论 :TVS对前置胎盘的诊断优于TAS。 相似文献
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