Table 2 Person-Centered Care in Dentistry: Person-Centered Care for Person with Diabetes
Person | Providers | Care designer |
|---|---|---|
Learn • Learn current oral health status and problems • Learn optimal oral health hygiene habits, and diet pattern | Learn/Examine • Learn about the person’s oral health and diabetes status supported by medical records and a clinical examination • Learn personal barriers making it difficult to achieve optimal oral health and diabetes control • Perform diabetes screening and check blood glucose level or HA1c | Learn/Examine • Learn and examine existing oral health care models and person-centered care models for people with diabetes • Learn the geographical context (state law, coverage, oral health and health needs) to design a care model that is the best fit for the context |
Relate • Understand how oral health is related to diabetes • Relate daily oral hygiene habits, and diet pattern to oral health | Relate • Relate oral health conditions to current diabetes status and other medical conditions • Relate a person’s barriers to ideal care to a future plan Share • Communicate with the person about the oral-systemic link in context of diabetes • Share both oral and medical findings with a person’s primary care provider team as necessary and inform them about the oral-systemic link in diabetes context. • Share how the person can improve oral health and diabetes status both in and out of clinical settings. | Relate • Relate those successful person- centered care models in designing operative system • Relate current models to the target community and state demographic and characteristics Share • Share opportunities to implement person-centered care in people with diabetes with internal stakeholders • Develop an oral-systemic link message for providers to share with persons with diabetes • Share person-centered care model outcomes with both internal and external partners |
Plan • Set personal oral health goals and plan out actionable items • Decide on treatment plan with provider | Plan • Present treatment and behavior modification plan to the person for an informed decision | Design • Design a system that incentivizes person-provider teams who meet key person-centered care measures • Design a coordinated care system that exists between medical and dental providers |
Act • Actively participate in the agreed plan in both prevention and treatment procedures • Modify oral hygiene habits and diet pattern as planned outside of the clinical setting | Provide • Provide preventive and or definitive care as planned Track • Track the person’s adherence to the agreed plan, progress on oral health improvement and diabetes control Evaluate • Evaluate the progress on pre-determined evaluation measures | Implement • Implement demonstration projects to improve health of the diabetic population, a reduction in both medical and dental costs, and an increase in satisfaction of the care experience of both person and providers Track • Track the progress of the implemented person-centered care model • Support person-provider team to track the progress using health information technology and personalized health platform Evaluate • Develop a set of evaluation tools that are aligned with major oral health and diabetes measures |
Revise • Revise plans based on personal experience, diabetes status, and oral health outcomes from the current plan | Revise • Revise the plan with the person to achieve the set goals or to modify the goal | Revise • Revise the person-centered care model incorporating reflections from people with diabetes and providers • Modify person-centered care models for diabetes to improve care outcomes, costs, and care experience |