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Toward a Comprehensive Model of Medical-Dental-Behavioral Integration.

D W McNeil1, D B Pereira1, O S Ensz1

  • 1University of Florida, FL, USA.

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|November 19, 2024
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Summary
This summary is machine-generated.

A new transdisciplinary health care model integrates medical, dental, and behavioral services for whole-person health. This approach promotes health equity by addressing systemic factors and emphasizing prevention.

Keywords:
cross-disciplinary communicationinterdisciplinary communicationinterprofessional communicationinterprofessional relationshipsmultidisciplinary communicationpatient care team

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Area of Science:

  • Health Services Research
  • Public Health
  • Health Policy

Background:

  • Existing models of medical-dental and primary medical-behavioral health integration provide a foundation.
  • Recent advances in behavioral and social oral health sciences highlight the need for integration.

Purpose of the Study:

  • To propose a synthesized, expanded, multilevel model for integrated medical, dental, and behavioral health care.
  • To incorporate social and cultural determinants of health into a comprehensive care model.

Main Methods:

  • Review of existing medical-dental and primary medical-behavioral health integration models.
  • Development of a new multilevel model incorporating social and cultural determinants.

Main Results:

  • Contemporary integration strategies include referral, co-location, and side-by-side care.
  • Electronic health record interoperability, provider communication, and interprofessional education are crucial.
  • Evidence for existing models varies based on population and services.

Conclusions:

  • A fully integrated, transdisciplinary health care model is feasible and beneficial.
  • Expanding medical and dental home concepts to a person-centered health care home is proposed.
  • This model enhances health equity through a multilevel, multidirectional approach.