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Article: Role and models for compensation of tobacco use prevention and cessation by oral health professionals

TitleRole and models for compensation of tobacco use prevention and cessation by oral health professionals
Authors
Issue Date2010
PublisherF D I World Dental Press Ltd. The Journal's web site is located at http://www.fdiworldental.org/resources/4_1journal.html
Citation
International Dental Journal, 2010, v. 60 n. 1, p. 73-79 How to Cite?
AbstractAppropriate compensation of tobacco use prevention and cessation (TUPAC) would give oral health professionals better incentives to provide TUPAC, which is considered part of their professional and ethical responsibility and improves quality of care. Barriers for compensation are that tobacco addiction is not recognised as a chronic disease but rather as a behavioural disorder or merely as a risk factor for other diseases. TUPAC-related compensation should be available to oral health professionals, be in appropriate relation to other dental therapeutic interventions and should not be funded from existing oral health care budgets alone. We recommend modifying existing treatment and billing codes or creating new codes for TUPAC. Furthermore, we suggest a four-staged model for TUPAC compensation. Stages 1 and 2 are basic care, stage 3 is intermediate care and stage 4 is advanced care. Proceeding from stage 1 to other stages may happen immediately or over many years. Stage 1: Identification and documentation of tobacco use is part of each patient's medical history and included into oral examination with no extra compensation. Stage 2: Brief intervention consists of a motivational interview and providing information about existing support. This stage should be coded/reimbursed as a short preventive intervention similar to other advice for oral care. Stage 3: Intermediate care consists of a motivational interview, assessment of tobacco dependency, informing about possible support and pharmacotherapy, if appropriate. This stage should be coded as preventive intervention similar to an oral hygiene instruction. Stage 4: Advanced care. Treatment codes should be created for advanced interventions by oral health professionals with adequate qualification. Interventions should follow established guidelines and use the most cost-effective approaches.
Persistent Identifierhttp://hdl.handle.net/10722/132045
ISSN
2015 Impact Factor: 0.967
2015 SCImago Journal Rankings: 0.512
ISI Accession Number ID
Funding AgencyGrant Number
Johnson Johnson
Orapharma
Philips Oral Health Care
Swiss National Stop Smoking Program
Funding Information:

This paper was generated on behalf of the second European Workshop on Tobacco use Prevention and Cessation for Oral Health Professionals, August 30 September 2, 2008, Zagreb, Croatia, wwwtobacco-oralhealth.net. The collaborative sponsorship from Johnson & Johnson, Orapharma, Philips Oral Health Care, and the patronage of the Swiss National Stop Smoking Program was greatly appreciated by all contributors.

 

DC FieldValueLanguage
dc.contributor.authorCrail, J-
dc.contributor.authorLahtinen, A-
dc.contributor.authorBeck-Mannagetta, J-
dc.contributor.authorBenzian, H-
dc.contributor.authorEnmarks, B-
dc.contributor.authorJenner, T-
dc.contributor.authorKnevel, R-
dc.contributor.authorLulic, M-
dc.contributor.authorWickholm, S-
dc.date.accessioned2011-03-07T08:53:31Z-
dc.date.available2011-03-07T08:53:31Z-
dc.date.issued2010-
dc.identifier.citationInternational Dental Journal, 2010, v. 60 n. 1, p. 73-79-
dc.identifier.issn0020-6539-
dc.identifier.urihttp://hdl.handle.net/10722/132045-
dc.description.abstractAppropriate compensation of tobacco use prevention and cessation (TUPAC) would give oral health professionals better incentives to provide TUPAC, which is considered part of their professional and ethical responsibility and improves quality of care. Barriers for compensation are that tobacco addiction is not recognised as a chronic disease but rather as a behavioural disorder or merely as a risk factor for other diseases. TUPAC-related compensation should be available to oral health professionals, be in appropriate relation to other dental therapeutic interventions and should not be funded from existing oral health care budgets alone. We recommend modifying existing treatment and billing codes or creating new codes for TUPAC. Furthermore, we suggest a four-staged model for TUPAC compensation. Stages 1 and 2 are basic care, stage 3 is intermediate care and stage 4 is advanced care. Proceeding from stage 1 to other stages may happen immediately or over many years. Stage 1: Identification and documentation of tobacco use is part of each patient's medical history and included into oral examination with no extra compensation. Stage 2: Brief intervention consists of a motivational interview and providing information about existing support. This stage should be coded/reimbursed as a short preventive intervention similar to other advice for oral care. Stage 3: Intermediate care consists of a motivational interview, assessment of tobacco dependency, informing about possible support and pharmacotherapy, if appropriate. This stage should be coded as preventive intervention similar to an oral hygiene instruction. Stage 4: Advanced care. Treatment codes should be created for advanced interventions by oral health professionals with adequate qualification. Interventions should follow established guidelines and use the most cost-effective approaches.-
dc.languageeng-
dc.publisherF D I World Dental Press Ltd. The Journal's web site is located at http://www.fdiworldental.org/resources/4_1journal.html-
dc.relation.ispartofInternational Dental Journal-
dc.subject.meshCurrent Procedural Terminology-
dc.subject.meshDental Staff - economics-
dc.subject.meshFees, Dental-
dc.subject.meshHumans-
dc.subject.meshTobacco Use Cessation - economics-
dc.titleRole and models for compensation of tobacco use prevention and cessation by oral health professionalsen_US
dc.typeArticleen_US
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0020-6539&volume=60&issue=1&spage=73&epage=79&date=2010&atitle=Role+and+models+for+compensation+of+tobacco+use+prevention+and+cessation+by+oral+health+professionals-
dc.identifier.emailLulic, M: mlulic@HKUCC-COM.hku.hk-
dc.identifier.doi10.1922/IDJ_2536-Lahtinen08-
dc.identifier.pmid20361576-
dc.identifier.hkuros182743-
dc.identifier.volume60-
dc.identifier.issue1-
dc.identifier.spage73-
dc.identifier.epage79-
dc.identifier.isiWOS:000274955000006-

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