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Yun A, Luo Y, Calache H, Wang Y, Darby I, Lau P. Diabetes and Oral Health (DiabOH): The Perspectives of Primary Healthcare Providers in the Management of Diabetes and Periodontitis in China and Comparison with Those in Australia. Healthcare (Basel) 2022; 10:healthcare10061032. [PMID: 35742083 PMCID: PMC9223094 DOI: 10.3390/healthcare10061032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/10/2022] [Accepted: 05/30/2022] [Indexed: 11/22/2022] Open
Abstract
Diabetes and periodontal disease are highly prevalent conditions around the world with a bilateral causative relationship. Research suggests that interprofessional collaboration can improve care delivery and treatment outcomes. However, there continues to be little interprofessional management of these diseases. DiabOH research aims to develop an interprofessional diabetes and oral health care model for primary health care that would be globally applicable. Community medical practitioners (CMPs), community health nurses (CNs), and dentists in Shanghai were recruited to participate in online quantitative surveys. Response data of 76 CMPs, CNs, and dentists was analysed for descriptive statistics and compared with Australian data. Health professionals in China reported that, while screening for diabetes and periodontitis, increasing patient referral and improving interprofessional collaboration would be feasible, these were not within their scope of practice. Oral health screening was rarely conducted by CMPs or CNs, while dentists were not comfortable discussing diabetes with patients. Most participants believed that better collaboration would benefit patients. Chinese professionals concurred that interprofessional collaboration is vital for the improved management of diabetes and periodontitis. These views were similar in Melbourne, except that Shanghai health professionals held increased confidence in managing patients with diabetes and were more welcoming to increased oral health training.
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Affiliation(s)
- Andrew Yun
- Department of General Practice, The University of Melbourne, Melbourne, VIC 3010, Australia;
| | - Yuan Luo
- Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai 200120, China;
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai 200120, China;
| | - Hanny Calache
- Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Sydney, NSW 2751, Australia;
- Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Burwood, VIC 3125, Australia
- Department of Rural Clinical Sciences, La Trobe Rural Health School, La Trobe University, Flora Hill, VIC 3550, Australia
- Melbourne Dental School, The University of Melbourne, Melbourne, VIC 3010, Australia;
| | - Yan Wang
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai 200120, China;
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai 200120, China
| | - Ivan Darby
- Melbourne Dental School, The University of Melbourne, Melbourne, VIC 3010, Australia;
| | - Phyllis Lau
- Department of General Practice, The University of Melbourne, Melbourne, VIC 3010, Australia;
- Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University, Sydney, NSW 2751, Australia;
- Melbourne Dental School, The University of Melbourne, Melbourne, VIC 3010, Australia;
- Department of General Practice, School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia
- Correspondence:
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