Preventive Fluoride Programs in Price County, Wi: An Ongoing Investigation of Accessing Care in a Rural Community

Abstract

Problem Statement: Little research exists documenting Quality of Care (QoC) and Quality of Life (QoL) for individuals accessing preventive fluoride and dental services in the United States through public health departments when a consultative/referral model is used. Using a consultative/referral model is one way of addressing issues related to declining funding, access to care and workforce development. Improving oral health of families for those with economic disparities and cultural differences living in healthcare deserts can impact QoL through preventive services. Purpose: The aim of this article was providing a review of the various preventive fluoride programs offered for children through the Price County public health department. Materials And Methods: A retrospective, longitudinal cohort group study was conducted. Data retrieved and analyzed was in the Centers for Disease Control (CDC) Secure Public Health Record Environment (SPHERE) database.  Data are displayed descriptively using percentages and graphically representing trends and Chi Square was calculated with p=.05. Results: From 2005-2011, 3633 oral health education sessions were provided. Two thousand, two hundred and sixteen (2216) fluoride assessments were conducted; and 1734 (61%) children received systemic fluoride supplements. 1667 children were eligible for a weekly topical mouth rinse program, with 1258 (75%) participating. 1606 (71%) children received fluoride varnish. All results were statistically significant. Fifty-nine (59) minorities received care. 30-35% of clients were socioeconomically disadvantaged and were either Medicaid or Badger Care recipients. Conclusions: Data describes how individuals with economic disparities & cultural differences living in a healthcare desert were able to receive preventive care in the community studied. Access trends were noted. This analysis documents positive impacts made using a consultative/referral model for access to care in a healthcare desert.