Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey
Introduction: To conduct a statewide survey among Wisconsin-based dental providers evaluating current knowledgeability, attitudes and practice behaviors surrounding management of patients with diabetes/prediabetes in the dental setting. The study explored perceptions on feasibility, value, barriers,...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-11-01
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| Series: | Frontiers in Dental Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdmed.2021.674178/full |
| _version_ | 1819003804231663616 |
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| author | Neel Shimpi Aloksagar Panny Ingrid Glurich Po-Huang Chyou Amit Acharya |
| author_facet | Neel Shimpi Aloksagar Panny Ingrid Glurich Po-Huang Chyou Amit Acharya |
| author_sort | Neel Shimpi |
| collection | DOAJ |
| description | Introduction: To conduct a statewide survey among Wisconsin-based dental providers evaluating current knowledgeability, attitudes and practice behaviors surrounding management of patients with diabetes/prediabetes in the dental setting. The study explored perceptions on feasibility, value, barriers, and current status of integrated care model (ICM) adoption by dental practicesMaterials and Methods: A 32-question paper-based survey was mailed to all licensed dentists and dental hygienists practicing in Wisconsin. The study was conducted over a 4 week period in 2019. The survey instrument was adapted from a previous validated survey and was expanded to include questions on ICM adoption. Content and validity analyses and beta testing were conducted prior to dissemination of the survey. Descriptive statistics and chi-square tests were applied for data analyses. Thematic analyses was performed on open-ended questions.Results: Survey response rate was 12% (N = 854/7,356) representing 41% dentists and 59% dental hygienists. While 68% reported educating patients on oral health-diabetes association, only 18% reported medical consultations to inform dental treatment, and “frequent” (22%) or “occasional” (40%), medical triage. Knowledge-based questions were correctly answered by >70% of participants. While 50% valued chair-side glycemic screening and 85% supported non-invasive chair-side screening to identify at-risk patients,>88% relied on patient-reported diabetic status. Barriers to ICM adoption included time investment (70%), patient activation/cooperation (62%), cost (50%), insurance coverage (50%), infrequent interdisciplinary communication (46%), lack of equipment (33%) and provider (31%).Conclusion: Low rates of ICM adoption, chair-side testing, medical consultation and triage, and need for educational curricula reform were identified. |
| first_indexed | 2024-12-20T23:26:49Z |
| format | Article |
| id | doaj.art-33e01fe107a94f4f888e4a3e6442f18a |
| institution | Directory Open Access Journal |
| issn | 2673-4915 |
| language | English |
| last_indexed | 2024-12-20T23:26:49Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Dental Medicine |
| spelling | doaj.art-33e01fe107a94f4f888e4a3e6442f18a2022-12-21T19:23:22ZengFrontiers Media S.A.Frontiers in Dental Medicine2673-49152021-11-01210.3389/fdmed.2021.674178674178Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide SurveyNeel Shimpi0Aloksagar Panny1Ingrid Glurich2Po-Huang Chyou3Amit Acharya4Center for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, WI, United StatesCenter for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, WI, United StatesCenter for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, WI, United StatesCenter for Oral and Systemic Health, Marshfield Clinic Research Institute, Marshfield, WI, United StatesCenter for Oral and Systemic Health, Aurora Research Institute, Milwaukee, WI, United StatesIntroduction: To conduct a statewide survey among Wisconsin-based dental providers evaluating current knowledgeability, attitudes and practice behaviors surrounding management of patients with diabetes/prediabetes in the dental setting. The study explored perceptions on feasibility, value, barriers, and current status of integrated care model (ICM) adoption by dental practicesMaterials and Methods: A 32-question paper-based survey was mailed to all licensed dentists and dental hygienists practicing in Wisconsin. The study was conducted over a 4 week period in 2019. The survey instrument was adapted from a previous validated survey and was expanded to include questions on ICM adoption. Content and validity analyses and beta testing were conducted prior to dissemination of the survey. Descriptive statistics and chi-square tests were applied for data analyses. Thematic analyses was performed on open-ended questions.Results: Survey response rate was 12% (N = 854/7,356) representing 41% dentists and 59% dental hygienists. While 68% reported educating patients on oral health-diabetes association, only 18% reported medical consultations to inform dental treatment, and “frequent” (22%) or “occasional” (40%), medical triage. Knowledge-based questions were correctly answered by >70% of participants. While 50% valued chair-side glycemic screening and 85% supported non-invasive chair-side screening to identify at-risk patients,>88% relied on patient-reported diabetic status. Barriers to ICM adoption included time investment (70%), patient activation/cooperation (62%), cost (50%), insurance coverage (50%), infrequent interdisciplinary communication (46%), lack of equipment (33%) and provider (31%).Conclusion: Low rates of ICM adoption, chair-side testing, medical consultation and triage, and need for educational curricula reform were identified.https://www.frontiersin.org/articles/10.3389/fdmed.2021.674178/fullattitudeshealth care surveyshealth knowledgeinterprofessional relationsoral healthpatient care team |
| spellingShingle | Neel Shimpi Aloksagar Panny Ingrid Glurich Po-Huang Chyou Amit Acharya Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey Frontiers in Dental Medicine attitudes health care surveys health knowledge interprofessional relations oral health patient care team |
| title | Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey |
| title_full | Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey |
| title_fullStr | Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey |
| title_full_unstemmed | Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey |
| title_short | Knowledgeability, Attitude and Practice Behaviors of Dental Providers Toward Provisions of Integrated Care Delivery for Patients With Prediabetes/Diabetes: Wisconsin Statewide Survey |
| title_sort | knowledgeability attitude and practice behaviors of dental providers toward provisions of integrated care delivery for patients with prediabetes diabetes wisconsin statewide survey |
| topic | attitudes health care surveys health knowledge interprofessional relations oral health patient care team |
| url | https://www.frontiersin.org/articles/10.3389/fdmed.2021.674178/full |
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