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Related Experiment Videos

Oral fluoride supplementation: improving practitioner compliance by using a protocol.

S Messimer, J Hickner

    The Journal of Family Practice
    |November 1, 1983
    PubMed
    Summary

    Implementing a specific protocol and team approach significantly improved oral fluoride supplementation compliance in a family practice. This strategy ensured more children received essential fluoride and had their water sources checked.

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    Area of Science:

    • Family Medicine
    • Pediatric Dentistry
    • Public Health

    Background:

    • Oral fluoride supplementation is crucial for preventing dental caries but receives limited attention in family practice.
    • A knowledge gap and compliance issues among physicians and patients hinder appropriate fluoride prescription.

    Purpose of the Study:

    • To assess the effectiveness of a developed protocol in improving oral fluoride supplementation compliance.
    • To evaluate the impact of a multidisciplinary team approach on fluoride prescription and patient adherence.

    Main Methods:

    • A pilot study involved chart reviews and surveys to identify initial compliance problems.
    • A detailed protocol was created, assigning responsibilities to physicians, receptionists, nurses, and physician assistants.
    • A follow-up chart audit tracked fluoride intake and well water testing in at-risk children post-protocol implementation.

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    Main Results:

    • Following protocol implementation, 58% of at-risk children were taking fluoride.
    • 79% of families had their wells tested for fluoride levels.
    • The study identified significant physician and patient compliance issues prior to the protocol.

    Conclusions:

    • A structured protocol and a team-based approach are effective in enhancing oral fluoride supplementation compliance.
    • Delegating responsibilities across clinical staff improves the delivery of preventive dental care in family practice settings.
    • This model demonstrates a successful strategy for increasing adherence to essential public health recommendations.