Abstract：
CareQuest Institute for Oral Health\'s mission is to improve the oral health of all. One way to achieve this is through programmatic initiatives, which train dental clinics to provide equitable, integrated and accessible care for their communities. The Community Oral Health Transformation (COrHT) Initiative, allowed CareQuest Institute to collaborate with the North Carolina Oral Health Collaboration (NCOHC) and Blue Cross Blue Shield (BCBS) of North Carolina Foundation to implement and support the initiative in North Carolina. This mixed methods study was designed to collect quantitative and qualitative data while 11 dental clinics and a control clinic participated in the program through the end of the program. Quantitative data included patient demographics, claims data, and financial and data measures. Descriptive statistics of participating clinics and the control clinic were analyzed, and aggregated clinic data showed improvements in patient care delivery measures. Qualitative interviews were also conducted at midpoint and conclusion, and an outcome evaluation was completed. This short report will provide readers with results from the COrHT Initiative, with an emphasis on medical-dental integration (MDI) as an integral component of comprehensive, person-centered care. The evaluation of programmatic strengths and weaknesses has been included to identify the potential for future implementation, sustainability, and policy making.
摘要：
CareQuest口腔健康研究所的使命是改善所有人的口腔健康。实现这一目标的一个方法是通过方案倡议，训练牙科诊所提供公平的，为他们的社区提供综合和无障碍的护理。社区口腔健康转型（COrHT）倡议，允许CareQuest研究所与北卡罗来纳州口腔健康合作组织（NCOHC）和北卡罗来纳州基金会的蓝十字蓝盾（BCBS）合作，在北卡罗来纳州实施和支持该计划。这项混合方法研究旨在收集定量和定性数据，而11个牙科诊所和一个对照诊所在计划结束时参与了该计划。定量数据包括患者人口统计学，索赔数据,以及财务和数据措施。分析了参与诊所和对照诊所的描述性统计数据，汇总的临床数据显示患者护理服务措施有所改善.在中点和结论时也进行了定性访谈，结果评估完成。这份简短的报告将为读者提供COrHT倡议的结果，强调医疗-牙科一体化(MDI)是综合的一个组成部分，以人为中心的护理。对方案的优缺点进行了评估，以确定未来实施的潜力，可持续性和政策制定。
