Integration of Primary and Oral Health Care—An Unrealized Opportunity (2024)

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June24, 2024

LisaSimon,MD, DMD1,2; IraLamster,DDS, MMSc3

Author Affiliations Article Information

¹Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
²Harvard Medical School, Boston, Massachusetts
³School of Dental Medicine, Stony Brook University, Stony Brook, New York

JAMA Intern Med. Published online June 24, 2024. doi:10.1001/jamainternmed.2024.2267

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Primary care is the central component of a high-functioning and equitable health system. However, there is a shortage of primary care clinicians, and the time required to complete all recommended prevention services and counseling for a typical primary care panel is prohibitive. One solution is to use a team-based approach where a variety of professionals collaborate to meet patient needs. In 2021, the National Academies of Sciences, Engineering, and Medicine released a consensus report on implementing high-quality primary care, which emphasized the adoption of interprofessional teams and the use of nontraditional care settings to improve the quality and breadth of primary care in the US.¹ In this spirit, dentists are an important resource; they are medically trained and have longitudinal relationships with patients, who may not be seen by primary care clinicians.

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June 26, 2024

Integration of family medicine and dental care in family practice teams in Hungary

Csaba Moczar, associate lecturer | Family Medicine Dept. of Semmelweis University Budapest, Hungary

Congratulations on this valuable article about the problem of the integration of dental and family practices.
Working together in dental and family practices for some years in Hungary has been an opportunity.
In 2021, the members of primary care funded by the national health system ( adult, child, and dental care) could form a primary care team in a given administrative unit or district. A team consists of 5-12 practices that work together in a professional collaboration. Well-defined professional activities are a central part of the collaboration, and they are organized around communicable (vaccination, microbiological screening tests, etc.), non-communicable ( diabetes mellitus, hypertension, etc.) disease screening, and diagnostic ( mostly POC diagnostics) activities.
Beyond the typical dental prevention activities ( caries screening, periodontal risk screening), dentists can take vaccines, make microbiological screenings, screen for diabetes ( FINDRISK survey, blood test), hypertension, and pitvarfibrillation and then can refer screened cases to family medicine colleagues work together a team.
This system is still in the model phase today, but everything is ready for it to become a daily practice.

CONFLICT OF INTEREST: None Reported

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Simon L, Lamster I. Integration of Primary and Oral Health Care—An Unrealized Opportunity. JAMA Intern Med. Published online June 24, 2024. doi:10.1001/jamainternmed.2024.2267

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Integration of Primary and Oral Health Care—An Unrealized Opportunity (2024)

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