On the Necessity of a Geriatric Oral Health Care Transition Model: Towards an Inclusive and Resource-Oriented Transition Process

Ina Nitschke, Siri Nitschke, Cornelius Haffner, Bernhard A. J. Sobotta and Julia Jockusch
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Ina Nitschke: Clinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032 Zurich, Switzerland
Siri Nitschke: Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstrasse 12, 04103 Leipzig, Germany
Cornelius Haffner: Dentistry at the Harlaching Municipal Hospital, Munich, Sanatoriumsplatz 2, 81545 München, Germany
Bernhard A. J. Sobotta: Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstrasse 12, 04103 Leipzig, Germany
Julia Jockusch: Gerodontology Section, Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstrasse 12, 04103 Leipzig, Germany

IJERPH, 2022, vol. 19, issue 10, 1-19

Abstract: People in need of care also require support within the framework of structured dental care in their different life situations. Nowadays, deteriorations in oral health tend to be noticed by chance, usually when complaints or pain are present. Information on dental care is also lost when life situations change. An older person may rely on family members having oral health skills. This competence is often not available, and a lot of oral health is lost. When someone, e.g., a dentist, physician, caregiver, or family member notices a dental care gap, a structured transition to ensure oral health should be established. The dental gap can be detected by, e.g., the occurrence of bad breath in a conversation with the relatives, as well as in the absence of previously regular sessions with the dental hygienist. The aim of the article is to present a model for a structured geriatric oral health care transition. Due to non-existing literature on this topic, a literature review was not possible. Therefore, a geriatric oral health care transition model (GOHCT) on the basis of the experiences and opinions of an expert panel was developed. The GOHCT model on the one hand creates the political, economic, and legal conditions for a transition process as a basis in a population-relevant approach within the framework of a transition arena with the representatives of various organizations. On the other hand, the tasks in the patient-centered approach of the transition stakeholders, e.g., patient, dentist, caregivers and relatives, and the transition manager in the transition process and the subsequent quality assurance are shown.

Keywords: geriatric oral health care transition model; transition; older adults; family caregivers; care experience; oral health outcomes; care management; evidence-based practice (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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