{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:42:53Z","timestamp":1792093373752,"version":"4.4.0"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T00:00:00Z","timestamp":1622160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Primary care providers were assessed regarding their training and interest to screen oral conditions in patients \u226555\u00a0years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oral health (OH) is an essential component of overall health and can affect systemic health. Medical\/dental integration in older adults is underdeveloped.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A brief survey assessed primary care providers' self\u2010reported skills, practices and barriers towards integrating OH screening into adult primary care. Data were collected using Survey Monkey\n                      <jats:sup>\u00ae<\/jats:sup>\n                      . Respondents were physicians and advanced practice providers (APPs) working at a large mid\u2010western safety\u2010net hospital. Descriptive statistics, T\u2010tests and Chi\u2010squared tests were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010two of 202 participants (41%) completed the survey. Most respondents were female (75%). A majority were physicians (68%); the remainder APPs. All providers (100%) reported OH was important or extremely important to overall health. More physicians (93%) reported not being well\u2010trained to address adult OH issues and perceived less medical\u2010oral health integration in their practice (16%) compared to APPs (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05). Time was more of a barrier with APPs (74%), compared to physicians (51%), to integrate OH screening activities (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05). Most providers reported other barriers such as inadequate OH training and insurance coverage. Providers endorsed that OH should be assessed frequently (56%) including providing referrals to dentists (77%) and educating patients on oral\u2010systemic issues (63%). More female than male providers endorsed dental referrals and educating patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Primary care providers embraced greater medical\/dental integration for older adults. Instituting OH activities appears to be supported. Future interventions that are feasible in primary care settings are examined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.12561","type":"journal-article","created":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T22:31:07Z","timestamp":1622241067000},"page":"231-240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Time to integrate oral health screening into medicine? A survey of primary care providers of older adults and an evidence\u2010based rationale for integration"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5619-7290","authenticated-orcid":false,"given":"Lance T.","family":"Vernon","sequence":"first","affiliation":[{"name":"Veteran Affairs Quality Scholar\u2019s Program Cleveland VA Medical Center  Cleveland OH USA"},{"name":"The MetroHealth System  Cleveland OH USA"},{"name":"Mid\u2010America Health  Columbus OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn A.","family":"Teng","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland OH USA"},{"name":"Adult Health and Wellness Service line in The MetroHealth System Cleveland  Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Kaelber","sequence":"additional","affiliation":[{"name":"Pediatrics and Population and Quantitative Health Sciences Case Western Reserve University  Cleveland OH USA"},{"name":"Center for Clinical Informatics Research and Education The MetroHealth System Case Western Reserve University  Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory P.","family":"Heintschel","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Dental Medicine  Cleveland OH USA"},{"name":"Department of Dental Medicine The MetroHealth System  Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchitra","family":"Nelson","sequence":"additional","affiliation":[{"name":"Community Dentistry Case Western Reserve University School of Dental Medicine  Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,28]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Oral Health in America: A Report of the Surgeon General","author":"U.S. Department of Health and Human Services","year":"2000"},{"key":"e_1_2_9_3_1","volume-title":"Advancing Oral Health in America","author":"Institute of Medicine","year":"2011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12185"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa063186"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31825719f3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0077441"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12215"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"63","article-title":"Examining the link between oral health and common medical conditions in older adults living in seniors housing: recommendations to improve overall quality of life","volume":"27","author":"Nelson S","year":"2019","journal-title":"Seniors Hous Care J"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S54630"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1601\u20100825.2003.03967.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910408301S08"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976\u20109668.101932"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12264"},{"key":"e_1_2_9_15_1","unstructured":"BresnickJ.Preventive Dental Care Associated with Fewer ED Hospital Visits. 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