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Published on: February 5, 2019
A model for community-based pediatric oral heath: implementation of an infant oral care program
1UCLA School of Dentistry, 10833 LeConte Ave, Los Angeles, CA 90048, USA.
Insights
The Infant Oral Care Program (IOCP) provides culturally competent dental services for underserved young children. This model improves oral health maintenance and early dental care access for vulnerable populations.
Area of Science:
- Pediatric Dentistry
- Public Health
- Health Services Research
Background:
- The Affordable Care Act (ACA) necessitates accessible, cost-effective healthcare models.
- Underserved populations, including low-income and minority children, face significant barriers to early oral healthcare.
- Existing healthcare models often lack cultural competence and flexibility for diverse communities.
Purpose of the Study:
- To introduce the Infant Oral Care Program (IOCP) as an innovative intervention model.
- To demonstrate a culturally competent approach to perinatal and infant oral care for vulnerable children aged 0-5.
- To highlight the importance of early intervention and prevention in pediatric oral health.
Main Methods:
- Collaboration between UCLA, community-based organizations, Venice Family Clinic, UCLA Pediatrics, WIC, and Head Start programs.
- Delivery of family-centered care in nontraditional, primary care settings.
- Interprofessional education focused on promoting pediatric oral health and the 'age-one visit'.
Main Results:
- Increased access to family-centered oral care for underserved children.
- Promoted early utilization of dental services in primary care settings.
- Improved oral health maintenance through disease prevention and culturally sensitive care.
Conclusions:
- The IOCP model effectively addresses oral health disparities in vulnerable populations.
- This innovative approach sets a new standard for minimally invasive, prevention-focused pediatric dental care.
- Strong community partnerships are crucial for high retention rates and successful implementation.
Abstract:
The Affordable Care Act (ACA) mandates risk assessments, preventive care, and evaluations based on outcomes. ACA compliance will require easily accessible, cost-effective care models that are flexible and simple to establish. UCLA has developed an Infant Oral Care Program (IOCP) in partnership with community-based organizations that is an intervention model providing culturally competent perinatal and infant oral care for underserved, low-income, and/or minority children aged 0-5 and their caregivers. In collaboration with the Venice Family Clinic's Simms/Mann Health and Wellness Center, UCLA Pediatrics, Women, Infants, and Children (WIC), and Early Head Start and Head Start programs, the IOCP increases family-centered care access and promotes early utilization of dental services in nontraditional, primary care settings. Emphasizing disease prevention, management, and care that is sensitive to cultural, language, and oral health literacy challenges, IOCP patients achieve better oral health maintenance "in health" not in "disease modality". IOCP uses interprofessional education to promote pediatric oral health across multiple disciplines and highlights the necessity for the "age-one visit". This innovative clinical model facilitates early intervention and disease management. It sets a new standard of minimally invasive dental care that is widely available and prevention focused, with high retention rates due to strong collaborations with the community-based organizations serving these vulnerable, high-risk children.
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