Removing Barriers to Fluoride Varnish Application in Primary Care Settings (Supplement)

消除初级保健机构中氟化物清漆应用的障碍（补充）

• 批准号: 10675269
• 负责人: Christina Scherrer
• 金额: $ 15.48万
• 依托单位: KENNESAW STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-22 至 2025-02-14
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10675269
• 关键词: Address; Administrative Supplement; Area; Award; Characteristics; Child; Childhood; Clinic; Consolidated Framework for Implementation Research; Data; Decision Making; Dental; Dental caries; Dentists; Development; Effectiveness; Engineering; Federally Qualified Health Center; Fluoride Varnishes; Funding; General Population; Goals; Grant; Health Services; Household; Individual; Industrialization; Insurance; Interview; Low income; Maps; Methods; Modeling; Oral health; Parents; Patients; Perception; Physicians; Physicians' Offices; Play; Population; Prevalence; Preventive; Preventive care; Primary Health Care; Provider; Public Health; Reduce health disparities; Research; Research Personnel; Resources; Role; Site; Specialist; Students; Suggestion; Surveys; Time; Underserved Population; Uninsured; United States National Institutes of Health; Visit; Well Child Visits; Work; base; care providers; cost; economic disparity; ethnic minority; experience; federal poverty level; health disparity; implementation facilitators; implementation science; improved; insight; interest; models and simulation; parent project; preventive intervention; primary care setting; programs; racial disparity; racial minority; recruit; safety net; service member; service organization

Removing Barriers to Fluoride Varnish Application in Primary Care Settings (Supplement) Project Summary/Abstract: Dental decay is an important, ongoing public health concern that impacts children from low-income households and from racial and ethnic minorities at higher rates than the general population. Because young children are much more likely to visit a primary care provider (PCP) than a dentist, including appropriate and effective preventive oral health services (POHS) at pediatric well-child visits has the potential to dramatically improve children’s oral health. Fluoride varnish (FV) application is one such POHS that is reimbursed by insurance programs in the primary care setting for younger children, yet only a small proportion of physicians apply FV. Federally Qualified Health Centers (FQHCs) play a vital role in reaching populations that experience health disparities. In this supplement, we propose to expand the scope of our original R15 AREA grant ‘Removing Barriers to Fluoride Varnish (FV) Application in Primary Care Settings’ by studying FQHCs in greater depth. The Specific Aims for this administrative supplement to address preventive interventions with populations that experience health disparities include: Aim 1: Understand the program level challenges and status of FV integration during well visits in FQHC clinics. Surveys of PCPs at FQHC clinics across Georgia will yield quantitative data that will elucidate the status of FV delivery at the individual FQHCs and provide insights on program level challenges to FV implementation. Aim 2: Assess barriers and facilitators to FQHC FV integration and implementation at the organizational level. Guided by the Consolidated Framework for Implementation Research (CFIR), FQHC directors will be interviewed to understand their perceptions of the factors that either impede or facilitate the integration of FV application in the FQHC setting. Aim 3: Complete workflow modeling and analysis for FQHCs. Workflow maps that can be the starting point for FQHCs to understand how FV application can fit into the well- visit, will be built and assessed. These will enhance the R15 Aim 3 simulation model. The objective of this study is to assess and reduce barriers currently dissuading FQHC PCPs from providing FV during well-child visits. The overall research contribution will be specific workflow suggestions and resulting resource and cost data, as well as a better understanding of barriers and facilitators to implementation, that will allow physicians’ offices to make decisions on how to integrate FV in their pediatric well-child visits based on their own unique practice characteristics. These improved frameworks, widely disseminated, will facilitate more widespread delivery of POHS and reduce health disparities in preventive care.

消除初级保健机构中氟化物清漆应用的障碍 （补充） 项目摘要/摘要：蛀牙是一个重要的、持续的公共卫生问题 这影响到来自低收入家庭以及少数种族和族裔的儿童 因为年幼的孩子更有可能去参观。 初级保健提供者 (PCP) 而非牙医，包括适当且有效的预防性口腔护理 儿科健康儿童就诊时的卫生服务 (POHS) 有可能显着改善 儿童口腔健康涂氟 (FV) 就是这样一种 POHS，可得到报销。 初级保健机构针对年幼儿童的保险计划，但只占一小部分 的医生应用 FV，联邦合格健康中心 (FQHC) 在实现这一目标方面发挥着至关重要的作用。 经历健康差异的人群 在本补充材料中，我们建议扩大范围。 我们最初的 R15 AREA 拨款范围“消除氟化物清漆 (FV) 应用的障碍” 初级保健机构通过更深入地研究 FQHC 来实现。 本行政补充文件的具体目标是解决预防性干预措施 存在健康差异的人群包括： 目标 1：了解计划水平 FQHC 诊所的 PCP 调查期间 FV 整合的挑战和现状。 乔治亚州各地的 FQHC 诊所将产生定量数据，阐明 FV 的状况 在各个 FQHC 进行交付，并就 FV 面临的计划层面挑战提供见解 目标 2：评估 FQHC FV 整合和实施的障碍和促进因素。 以组织层面的综合框架为指导。 实施研究 (CFIR)、FQHC 董事将接受采访，以了解他们的情况 对阻碍或促进 FV 应用整合的因素的看法 FQHC 设置。目标 3：完成 FQHC 的工作流程建模和分析。 这可以作为 FQHC 了解 FV 应用如何适应良好环境的起点 访问，将建立和评估这些将增强 R15 Aim 3 仿真模型。 本研究的目的是评估和减少目前阻碍 FQHC 的障碍 PCP 在健康儿童就诊期间提供 FV 的总体研究贡献将是具体的。 工作流程建议以及由此产生的资源和成本数据，以及更好地理解 实施的障碍和促进因素，这将使医生办公室能够做出决定 关于如何根据自己独特的实践将 FV 纳入儿科健康儿童就诊中 这些改进的框架得到广泛传播，将促进更多的工作。 广泛提供 POHS 并减少预防保健方面的健康差距。