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Implementing a community-based oral health care program: lessons learned.

Richard Diamond1, Eugene Litwak, Stephen Marshall

  • 1Columbia University School of Dental and Oral Surgery, Division of Community Health, 630 West 168th Street, New York, NY 10032, USA. rpd12@columbia.edu

Journal of Public Health Dentistry
|December 20, 2003
PubMed
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Implementing community-based oral healthcare programs requires adapting strategies to diverse communities. Key findings from the Community DentCare Network (DentCare) offer insights for establishing similar initiatives in underserved areas.

Area of Science:

  • Public Health
  • Community Dentistry
  • Health Services Research

Background:

  • Underserved communities face significant oral health disparities.
  • Community-based programs are crucial for addressing access to care.
  • Columbia University School of Oral and Dental Surgery established the Community DentCare Network (DentCare) in Harlem and Washington Heights/Inwood.

Purpose of the Study:

  • To report process evaluation findings for community-based oral healthcare programs.
  • To provide guidance for institutions implementing similar initiatives.
  • To share lessons learned from the DentCare program targeting children in underserved areas.

Main Methods:

  • Qualitative process evaluation using open-ended interviews.
  • Sociologist with expertise in qualitative methodology conducted interviews.

Related Experiment Videos

  • Participant-observer within the DentCare program assisted in data collection.

    • Main Results:

    • Community heterogeneity necessitated tailored strategies for trust and acceptance.
    • Columbia University School of Oral and Dental Surgery (SDOS) underwent fundamental changes, prioritizing community service.
    • Collaboration with medical clinics and shared philosophical goals facilitated network implementation.
    • Diverse faculty and staff skills were essential for program start-up and sustained development.

    Conclusions:

    • Successful community-based oral health programs require adaptable strategies and institutional commitment.
    • Partnerships with shared goals and diverse expertise are vital for program sustainability.
    • Process evaluation provides valuable insights for optimizing oral healthcare delivery in underserved populations.