Oral health assessment in domiciliary care service planning of older people
Corresponding Author
Riikka Salmi, DDS
Department of Prosthetic Dentistry and Stomatognathic Physiology, University of Turku, City of Turku, Finland
Correspondence
Riikka Salmi, Department of Prosthetic Dentistry and Stomatognathic Physiology, 20014 University of Turku, Finland.
Email: [email protected]
Search for more papers by this authorSatu Lahti, DDS, PhD
Department of Community Dentistry, University of Turku, City of Turku, Finland
Turku Clinical Research Centre, Turku University Hospital, City of Turku, Finland
Search for more papers by this authorMimmi Tolvanen, MSc, PhD
Department of Community Dentistry, University of Turku, City of Turku, Finland
Search for more papers by this authorRiitta Suhonen, RN, PhD
Departement of Nursing Science, University of Turku, City of Turku, Finland
Welfare Division, Turku University Hospital, City of Turku, Finland
Search for more papers by this authorTimo Närhi, DDS, PhD
Department of Prosthetic Dentistry and Stomatognathic Physiology, University of Turku, City of Turku, Finland
Clinic of Oral Diseases, Turku University Hospital, City of Turku, Finland
Search for more papers by this authorCorresponding Author
Riikka Salmi, DDS
Department of Prosthetic Dentistry and Stomatognathic Physiology, University of Turku, City of Turku, Finland
Correspondence
Riikka Salmi, Department of Prosthetic Dentistry and Stomatognathic Physiology, 20014 University of Turku, Finland.
Email: [email protected]
Search for more papers by this authorSatu Lahti, DDS, PhD
Department of Community Dentistry, University of Turku, City of Turku, Finland
Turku Clinical Research Centre, Turku University Hospital, City of Turku, Finland
Search for more papers by this authorMimmi Tolvanen, MSc, PhD
Department of Community Dentistry, University of Turku, City of Turku, Finland
Search for more papers by this authorRiitta Suhonen, RN, PhD
Departement of Nursing Science, University of Turku, City of Turku, Finland
Welfare Division, Turku University Hospital, City of Turku, Finland
Search for more papers by this authorTimo Närhi, DDS, PhD
Department of Prosthetic Dentistry and Stomatognathic Physiology, University of Turku, City of Turku, Finland
Clinic of Oral Diseases, Turku University Hospital, City of Turku, Finland
Search for more papers by this authorAbstract
Objectives
The aim was to examine importance and consideration of oral health-related issues (OHRIs) during service planning by the case managers (CMs).
Methods and results
The study was conducted in a major Finnish city. All 25 CMs, supervising over 450 domiciliary care employees who are caring for 4600 domiciliary care clients, received a multiple-choice questionnaire with additional open-ended questions. CMs were dichotomized by age and educational background. Differences were compared with the chi-square test and Fisher´s exact test. Response rate was 88%. All CMs considered OHRIs important. However, OHRIs were not routinely considered during service planning, especially by the CMs with a social service than health background (0% vs 30%, P < 0, 0.056). OHRIs were considered never or seldom by 73% of the CMs. OHRIs were mostly considered after evaluating the overall need for domiciliary care. A lack of guidelines was reported by 45% of the CMs. Of the CMs, 41% could use their knowledge for paying attention to OHRIs. All CMs wished for better routines for paying attention to OHRIs.
Conclusion
OHRIs are not routinely considered in service planning. This study indicated a need for structured guidelines and further education for assess the need for oral home care assistance.
CONFLICT OF INTEREST STATEMENT
During the writing process, first author has been employed by the same city, but by different organization where the study was conducted. Despite of this fact, all the authors do not have conflicts of interest.
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