{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T12:50:06Z","timestamp":1791031806358,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,4]],"date-time":"2024-08-04T00:00:00Z","timestamp":1722729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the feasibility of a medical dental integration program to provide overdue vaccinations to adolescents ages 9\u201317 and evaluate the facilitators and barriers to the process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The program was developed and implemented at one dental clinic co\u2010located within a medical clinic at a federally qualified healthcare center in Denver, Colorado. Utilizing a shared electronic health record, human papillomavirus, meningococcal, and\/or tetanus\u2010diphtheria\u2010acellular pertussis vaccines were recommended by dental providers and then administered by the medical team. Plan\u2010do\u2010study\u2010act cycles informed implementation. Descriptive analyses of eligible patients were performed and run charts were used track process implementation outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and sixty eligible adolescents were identified during a 6\u2010month period. Overall, 29 patients (18%) received 41 vaccines. Process facilitators included staff buy\u2010in and individual provider feedback and barriers included staff shortages and family vaccine refusal\/preference to receive vaccines in the medical home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Many adolescents see dental providers more than their primary care providers, creating an opportunity to vaccinate adolescents overdue for immunizations during dental visits. A medical dental integration program to provide adolescent vaccinations was feasible in a federally qualified health center with co\u2010located medical and dental services. Expansion to diverse healthcare settings is necessary to further explore implementation outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12638","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T05:14:07Z","timestamp":1722834847000},"page":"378-383","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility of an innovative medical dental integration program to provide overdue adolescent vaccinations in a federally qualified health center"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3876-807X","authenticated-orcid":false,"given":"Jessica L.","family":"Jack","sequence":"first","affiliation":[{"name":"Denver Health and Hospital Authority  Denver Colorado USA"},{"name":"University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Buban","sequence":"additional","affiliation":[{"name":"University of Colorado School of Dentistry  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Krentz","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Durniak","sequence":"additional","affiliation":[{"name":"Denver Health and Hospital Authority  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Denver Health and Hospital Authority  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua T. B.","family":"Williams","sequence":"additional","affiliation":[{"name":"Denver Health and Hospital Authority  Denver Colorado USA"},{"name":"University of Colorado School of Medicine  Aurora Colorado USA"},{"name":"Office of Research, Denver Health and Hospital Authority  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,4]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"417","article-title":"Addressing childhood overweight and obesity in the dental office: rationale and practical guidelines","volume":"32","author":"Tseng R","year":"2010","journal-title":"Pediatr Dent"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2017.07.032"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30588"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6733a2"},{"key":"e_1_2_6_6_1","unstructured":"HPV Vaccine.Centers for Disease Control and Prevention.2021.https:\/\/www.cdc.gov\/hpv\/parents\/vaccine-for-hpv.html(2021) Accessed 18 May 2023"},{"key":"e_1_2_6_7_1","first-page":"194","article-title":"Preventive dental services, anticipatory guidance\/counseling, and oral treatment for infants, children, and adolescents","volume":"40","author":"Periodicity of Examination","year":"2018","journal-title":"Pediatr Dent"},{"key":"e_1_2_6_8_1","first-page":"203","article-title":"Opportunities for age\u2010specific interprofessional collaboration between physicians and dentists in pediatric patients","volume":"42","author":"Okuji D","year":"2020","journal-title":"Pediatr Dent"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12256"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2019.1649550"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2020.05.004"},{"key":"e_1_2_6_12_1","unstructured":"Denver Health and Hospital Authority Report to the City. Denver CO.2022.https:\/\/www.denverhealth.org\/\u2010\/media\/2022\u2010denverhealth\u2010reporttothecity\u2010digital.pdfAccessed 18 May 2023"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12840"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200826020-00006"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.3028"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2018.01.002"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6833a2"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.35565\/DQP.2020.2013"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2020.12.010"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdmed.2021.670012"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12638","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T13:28:44Z","timestamp":1733405324000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12638"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,4]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/jphd.12638"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12638","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,4]]},"assertion":[{"value":"2024-01-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}