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

消除初级保健环境中使用含氟清漆的障碍 (增刊) 项目摘要/摘要：龋齿是一个重要的、持续的公共卫生问题 这影响到来自低收入家庭以及来自种族和少数民族的儿童 这一比例高于普通人群。因为年幼的孩子更有可能去参观 初级保健提供者(PCP)比牙医，包括适当和有效的预防性口腔 儿科健康儿童就诊的卫生服务(POHS)有显著改善的潜力 儿童口腔健康。氟化物清漆(FV)应用就是这样一种POHS，由 在初级保健环境中为年幼儿童提供保险计划，但只占一小部分 的医生使用FV。联邦合格的卫生中心(FQHC)在获得 经历健康差距的人口。在本补充资料中，我们建议扩大 我们最初的R15区域赠款的范围是：消除氟化物清漆(FV)的应用障碍 通过更深入地研究FQHC来进行初级保健设置。 本行政副刊的具体目的是解决预防性干预问题 经历健康差距的人群包括：目标1：了解方案水平 FQHC诊所探井期间FV整合的挑战和现状。公共政策研究所的调查于 佐治亚州各地的FQHC诊所将提供量化数据，以阐明FV的状况 在各个FQHC进行交付，并就FV面临的计划级挑战提供见解 实施。目标2：评估FQHC FV整合和 在组织层面实施。在综合框架的指导下 实施研究(CFIR)，FQHC董事将接受采访，以了解他们的 对阻碍或促进FV应用程序在 FQHC设置。目标3：完成FQHC的工作流建模和分析。工作流图 这可以作为FQHC了解FV应用如何适应井中的起点- 参观，将被建造和评估。这些将增强R15目标3仿真模型。 这项研究的目的是评估和减少目前阻碍FQHC的障碍 在健康儿童探视期间，防止初级保健医生提供FV。总体的研究贡献将是具体的。 工作流程建议和由此产生的资源和成本数据，以及更好地了解 实施的障碍和促进者，这将允许医生办公室做出决定 结合自身实践谈如何在儿科亲子访视中融入FV 特点。这些改进的框架，广泛传播，将促进更多 广泛提供POHs，减少预防保健方面的健康差距。

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.