First of its kind feasibility study to work out the delivery of preventive oral healthcare by a hygienist-nurse team during routine home care visits
Notice bibliographique
Résumé
As the Government of Canada develops a new national dental plan for high-risk groups, it is timely to assess how non-invasive preventive dental care can be integrated into our overall healthcare system.Many older adults with chronic disease receiving home healthcare services experience poor oral health; A first-of-its-kind study is examining the use and delivery of Prevora (DIN 02046245) to avoid compounding health problems and costly care visits, while evaluating improvements in oral health, general health, and quality of life for patients in home care.The St. Joseph Health Systems Center for Integrated Care (The Centre) and St. Joseph Home Care are integrating preventive oral healthcare into the home healthcare programs of high-risk adult patients. The study is co-sponsored by CHX Technologies and Innovation Factory Southern Ontario Pharmaceutical and Health Innovation Ecosystem (SOPHIE) program, funded through FedDev, and is being facilitated through The Research Institute of St. Joe Hamilton. The study team is observing improvements in oral health, blood markers of inflammation, cholesterol and glucose, improvements in respiratory conditions, additional costs of care, and quality of life over five months of home care visits. Prevora is applied during a routine home care visit and patients are assessed on their oral health status during subsequent visits. Patients were involved in the design of the study and enrolled patients are providing feedback on overall experience after every interaction with study team members.Several factors have limited the delivery of preventive dental services in the hospital and home. Conventional delivery of dental hygiene services requires both significant equipment and time, and hence are expensive and difficult to deliver in home care settings and some procedures are technique sensitive and beyond the scope of skills, competencies and procedures of homecare providers. Specifically, the Centre is evaluating Prevora (DIN 02046245) as an additional homecare service to improve the health and recovery of patients. Prevora is approved to reduce root caries in high-risk adults and has for many years been shown to treat all stages of periodontal disease. The provision of treatment using Prevora is non-invasive and can be done rapidly (applied in minutes) without special equipment. The procedure can be performed readily by a nurse or PSW during a routine homecare visit. Importantly, at a point in time when the spread of respiratory airborne pathogens has become a major issue, this treatment emits no aerosols.The study full results are expected in the second quarter of 2024..To evaluate Prevora ability to improve oral health in adults with COPD or CHF or on dialysis or with chronic metabolic conditions (e.g., hypertension and diabetes) correlated with chronic oral inflammation and who are receiving home healthcare services.2. To evaluate Prevora ability to change blood-based markers of inflammation, serum cholesterol, serum glucose and glycated hemoglobin (HbAC) between the study start and end. An evaluation of Prevora effect on self-reported wheezing events will also be conducted.3.To evaluate qualitative measures of treatment effect in terms of a survey of participants for tolerability to treatment, general well-being, and willingness to continue treatment.4. To evaluate the feasibility of integrating preventive oral health services into a home healthcare program, including provider response to a survey, logistics, costs, training requirements, and revenues so as to define best practices for integration.Link between poor oral health and chronic disease.Opportunity to incorporate preventative healthcare into 'reactive' publicly funded health systems.Importance of and opportunity associated with integrated home and community services.Secure funding to support incorporation of preventive oral healthcare into standardized care paths for patients with chronic disease.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».