Dental Care Needs in Montcalm County. Presented by Just Another Group.
Just Another Group
When thinking of unmet healthcare needs many people think of things like mental health, maternal and newborn needs, and risks of diseases. One need that is often overlooked is dental care, even though poor dental care can lead to major health concerns. Our group chose to focus on the unmet dental care needs of Montcalm County.Unmet dental care needs affect more than what your teeth look like.
Mid-Michigan Health Department (MMHD), in response to legislation by the Affordable Care Act, encouraged the three Montcalm County Health Systems (Carson City Hospital, Spectrum Health United/Kelsey, and Sheridan Community Hospital) along with Cherry Street-Montcalm Area Health Center to collaborate together and complete a comprehensive community health assessment.
For completing the Health Assessment, Montcalm was awarded the Rural Health Network Developing planning grant.
The 2011 Montcalm Community Survey results indicate that only 62% of adults had received an oral exam or dental cleaning in the past two years (compared to 61.6% nationally), this number fell to 41% for adults that were uninsured.
This assessment also asked respondents to rank whether certain healthcare issues were serious or moderate according to their personal perception, dental access ranked 32.4%.
PA161, which is a Public Dental Prevention Program, allows the use of dental hygienists in collaboration with a supervisory dentist to provide preventative dental services to underserved populations in Michigan.
Areas such as schools, head starts, and long term care facilities are the areas underserved. This program provides cleanings, fluorides and sealants.
Montcalm County offers dental services to those with special needs, such as; low income, patients on Medicaid, those with no insurance, those who are homebound or in nursing homes, and those in need of dental care that otherwise could not afford it.
Other areas of concern are education regarding soda and tooth decay and smoking and its effect on teeth.
Increase the percentage of persons living in Montcalm County who have access to dental care by 10% over the next 2 years as evidenced by improved rates in Montcalm County as compared to the Michigan rate published in the District 10 community assessment report.
Montcalm County Profile 2011
I would expect dental health to improve within the next two years.
By providing dental assessment’s, referrals and vouchers can be made for those who are at risk for cavities, infections, and oral cancers.
Reduction in the number of cavities and oral cancers.
See an increase in the number of craniofacial protectors purchased and used in contact sports.
See an increase in the number of MI resident’s who have seen a dentist in the next two years. (Kaiser Family Foundation)
Encourage use of available dental clinics for low-income residents
Ferris State University Dental Hygiene Clinic
Available September through April (231) 591-2260
MCDC Sidney Clinic (989) 328-2200
Two plans available if pt. does not have Medicaid starting as low as $50. For more info visit www.midental.org
Theory of Reasoned Action
Based on attitude and belief.
Societal influence plays a big role
Ferris State University Dental Hygiene HIPAA Policies and Procedures
American Dental Association
Nursing Theorist Betty Neumann tells us:
"Health is a condition in which all parts and subparts are in harmony with the whole of the client.”
Using this theory we are able to recognize that prevention and wellness are important in healthcare. Assisting with unmet dental care needs is just one way to do this.
American Dental Association. (2009). ADA positions, policies and statements. http://www.ada.org/~/media/ADA/About%20the%20ADA/Files/statements_ethics_patient_rights.ashx
Ferris State University. N.d. Dental Hygiene Clinic. http://www.ferris.edu/HTMLS/colleges/alliedhe/DentalHygiene-MedicalImaging/dental-hygiene/Dental-Hygiene-Clinic.htm
Ferris State University. (2014). Dental Hygiene HIPPA Policy and Procedures. http://www.ferris.edu/HTMLS/colleges/alliedhe/DentalHygiene-MedicalImaging/dental-hygiene/HIPAA_MANUAL_2014.pdf
Harkness, G.A., & DeMarco, R.F. (2012). Community and public health nursing: Evidence for practice. Philadelphia, PA: WoltersKluwer Lippincott Williams & Wlikins
Malinski, V. (2003). Research issues. Nursing research and nursing conceptual models: Betty Neuman's Systems Model. Nursing Science Quarterly, 16(3), 201.
Mid-Michigan District Health Department. (2011). Community Health Assessment; Montcalm County Health Profile 2011. Retrieved July 24, 2014
Mid Michigan Community Dental Clinics (MCDC). (2012). About us. http://midental.org
Michigan Oral Health Plan. (2010). In Michigan Department of Community Health. Retrieved July 24, 2014, from www.michigan.gov/mdch
Kaiser Family Foundation. (2014). State health facts: Michigan health status. http://kff.org/state-category/health-status/?state=MI
Truman, B., Gooch, B., Sulemana, I., Gift, H., Horowitz, A., Evans, C., et al. A comparison of selected evidence reviews and recommendations on interventions to prevent dental caries, oral and pharyngeal cancers, and sports-related craniofacial injuries. American Journal of Preventive Medicine, 23, 55-80
U.S Department of Health and Human Services. (2013). Health, United States, 2013; With Special Feature on prescription drugs. In . (Ed.). Retrieved July 24, 2014
Yu, S., Bellamy, H., Kogan, M., Dunbar, J., Schwalberg, R., Schuster, M. (2002). Factors that influence receipt of recommended preventive pediatric health and dental care. Pediatrics. 110(6).