Academic literature on the topic 'Dental care Community dental services Dental Care Dental Health Services'
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Journal articles on the topic "Dental care Community dental services Dental Care Dental Health Services"
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Thomas, Christine. "Dental care in older adults." British Journal of Community Nursing 24, no. 5 (May 2, 2019): 233–35. http://dx.doi.org/10.12968/bjcn.2019.24.5.233.
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Good oral health is an essential part of ageing well. Good mouth care enables people to eat, speak and socialise without pain or embarrassment and contributes hugely to quality of life and general health. Community-dwelling older adults may find access to dental services difficult, and increasing co-morbidities can make self-care a challenge. Older adults are at increased risk of dental disease, and general health complications can make access to dental services and treatment planning difficult. Further, they may find lengthy dental procedures overwhelming. Therefore, there is a need to prevent the decline in oral health in order to maintain general health.
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Yang, Stella Xinchen, Katherine Chiu Man Leung, Chloe Meng Jiang, and Edward Chin Man Lo. "Dental Care Services for Older Adults in Hong Kong—A Shared Funding, Administration, and Provision Mode." Healthcare 9, no. 4 (April 1, 2021): 390. http://dx.doi.org/10.3390/healthcare9040390.
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Hong Kong has a large and growing population of older adults but their oral health conditions and utilization of dental services are far from optimal. To reduce the financial barriers and to improve the accessibility of dental care services to the older adults, a number of programmes adopting an innovative shared funding, administration, and provision mode have recently been implemented. In this review, an online search on the Hong Kong government websites and the electronic medical literature databases was conducted using keywords such as “dental care,” “dental service,” and “Hong Kong.” Dental care services for older adults in Hong Kong were identified. These programmes include government-funded outreach dental care service provided by non-governmental organizations (NGOs), provision of dentures and related treatments by private and NGO dentists supported by the Community Care Fund, and government healthcare vouchers for private healthcare, including dental, services. This paper presents the details of the operation of these programmes and the initial findings. There is indirect evidence that these public-funded dental care service programmes have gained acceptance and support from the government, the service recipients, and the providers. The experience gained is of great value for the development of appropriate dental care services for the older adults in Hong Kong and worldwide.
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Newton, J. Timothy, Alison C. Williams, and Elizabeth J. Bower. "Inequalities in the Provision of NHS Primary Care Dental Services in Scotland in 2004." Primary Dental Care os14, no. 3 (July 2007): 89–96. http://dx.doi.org/10.1308/135576107781327098.
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Objective To assess inequalities in the provision of National Health Service (NHS) primary care dental services between Health Boards and the four provider groups (General Dental Service [GDS] non-specialist, GDS salaried, specialist working in primary care, Community Dental Service [CDS]) in Scotland. Methods A postal questionnaire survey of all dentists (N=2852) registered with the General Dental Council at an address in Scotland was undertaken. The following were assessed: the proportion of primary care dentists not accepting new children/adults for NHS care or using a waiting list, the proportion of dentists working in wheelchair-accessible surgeries, furthest distance travelled by patients to primary care surgery in an average week, waiting time for routine NHS treatment, and the proportion of dentists offering weekend or evening appointments to NHS patients. Data were analysed by Health Board and the four provider groups. Results A total of 2134 (74.8%) completed questionnaires were returned. One thousand, five hundred and seventy-seven dentists (73.9%) of the respondents were providing NHS primary care dental services for at least part of each week. There was a wide variation in the provision of NHS primary care dental services between Health Boards. Borders, Dumfries and Galloway, and Grampian performed poorly on most indicators, whereas Lanarkshire, Greater Glasgow, and Argyll and Clyde generally performed well. The CDS scored well on most indicators of service provision. There were problems with the provision of specialist dental services in primary care, and GDS services provided by Health Boards. Conclusions Because the problem issues differed between Health Boards and the four provider groups, it is likely that both local and national solutions are required to improve the provision of services. Further research on service demand is required to confirm the apparent inequalities in provision suggested by the study.
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Burchell, Anna, Sabin Fernbacher, Robert Lewis, and Andrew Neil. ""Dental as Anything" Inner South Community Health Service Dental Outreach to People with a Mental Illness." Australian Journal of Primary Health 12, no. 2 (2006): 75. http://dx.doi.org/10.1071/py06025.
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This article provides an overview of a unique way to respond to the complex oral health needs of people with a mental illness. People with a psychiatric disability, especially those of low income and insecure housing, are at high risk of developing oral disease, due to issues associated with mental illness, poverty and the side-effects of psychotropic medication. The 'Dental as Anything' program is a collaborative partnership between the mental health, dental and administration teams of the Inner South Community Health Service (ISCHS) in Melbourne. It provides a flexible program incorporating engagement, clinical care, education and support in response to client needs. Utilising a health promotion framework and an assertive outreach model, it accesses people who traditionally do not approach mainstream services. The program manages to "reach the unreachable".
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Bailit, H. L. "Health Services Research." Advances in Dental Research 17, no. 1 (December 2003): 82–85. http://dx.doi.org/10.1177/154407370301700119.
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The major barriers to the collection of primary population-based dental services data are: (1) Dentists do not use standard record systems; (2) few dentists use electronic records; and (3) it is costly to abstract paper dental records. The value of secondary data from paid insurance claims is limited, because dentists code only services delivered and not diagnoses, and it is difficult to obtain and merge claims from multiple insurance carriers. In a national demonstration project on the impact of community-based dental education programs on the care provided to underserved populations, we have developed a simplified dental visit encounter system. Senior students and residents from 15 dental schools (approximately 200 to 300 community delivery sites) will use computers or scannable paper forms to collect basic patient demographic and service data on several hundred thousand patient visits. Within the next 10 years, more dentists will use electronic records. To be of value to researchers, these data need to be collected according to a standardized record format and to be available regionally from public or private insurers.
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Dorner, Kinga, Bernadette Kerekes Mathe, Andreea Bors, Cristina Molnar Varlam, Vanda Roxana Nimigean, and Melinda Szekely. "Patients Attendance for Emergency Dental Services in Mures County." Revista de Chimie 69, no. 8 (September 15, 2018): 2115–20. http://dx.doi.org/10.37358/rc.18.8.6485.
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In Romania dental health services are provided mainly through user pays private practices and there is a limited reimbursement of dental services from the government. The economic recession lead to substantial lack of insurance coverage for oral health care of low-income population. The aim of this six-year retrospective study was to assess the prevalence of patients requesting public dental emergency care and to determine the characteristics of dental affections for which emergency interventions were requested in Tirgu-Mures, Romania. During the analyzed period, a total number of 38610 patients were treated in the Emergency Dental Office of Mures County Emergency Hospital. Of the total number of treated emergency patients 8017 (20.76%) were children and 30593 (79.25%) were adults. Significantly more adults requested emergency care than children (p[0.0001). Out of the investigated adults 3051 (9.98%) were aged 60 years or over. The high demand for emergency dental care reflects that dental care in private practices is unaffordable to socially disadvantaged patients and also the need for community based public dental care in Tirgu-Mures.
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Kruger, Estie, Irosha Perera, and Marc Tennant. "Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia." Australian Journal of Primary Health 16, no. 4 (2010): 291. http://dx.doi.org/10.1071/py10028.
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Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.
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Pinto-Grunfeld, Camila, Bernardita Garay, and Diego Majluf. "Effectiveness of dental emergency services in a community health center in Santiago, Chile." Journal of Oral Research 10, no. 1 (February 14, 2021): 1–8. http://dx.doi.org/10.17126/joralres.2021.010.
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Objective: Describe the demographic characteristics of the population attending the dental emergency services in health Center Juan Petrinovic, located in Santiago, Chile, and examine the effectiveness of dental treatment given to this population. Material and Methods: Before-after study, where 45 patients were surveyed twice, first, before their dental care and then in phone call follow-up. Patients completed interviewer-administered surveys that asked about patients’ self-reported pain level, oral health-related quality of life, and demographic information. Demographic information collected included age, sex, educational level, type of health insurance, and municipal district where patients lived. Self-reported pain level was measured using a Visual Analogue Scale (VAS), and oral health quality of life was measured using the Dental Health Status Quality of Life Questionnaire (DS-QoL). Statistical descriptive analyses were performed, and statistical tests were applied to determine if the care given was effective on pain relief and increased quality of life status. Results: Most of the patients seeking care at the dental emergency service were female (67%), adults (average age 46 years), with high school education (58%), and FONASA health insurance (98%). The most common reason for using dental emergency services was pain (51%). Dental treatment given to the patients was effective in relieving pain (reduction in VAS score was 34.34 between pre and post attention) and improving their oral health status (reduction in DS-QoL score was 3.18 between pre and post attention). Conclusion: This dental emergency service was effective in reducing pain and improving the quality of life of the patient.
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Yap, Matthew, Mei-Ruu Kok, Soniya Nanda, Alistair Vickery, and David Whyatt. "Hospital admissions and emergency department presentations for dental conditions indicate access to hospital, rather than poor access to dental health care in the community." Australian Journal of Primary Health 24, no. 1 (2018): 74. http://dx.doi.org/10.1071/py17044.
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High rates of dental-related potentially preventable hospitalisations are thought to reflect poor access to non-hospital dental services. The association between accessibility (geographic and financial) to non-hospital dentists and potentially preventable hospitalisations was examined in Western Australia. Areas with persistently high rates of dental-related potentially preventable hospitalisations and emergency department (ED) presentations were mapped. Statistical models examined factors associated with these events. Persistently high rates of dental-related potentially preventable hospitalisations were clustered in metropolitan areas that were socioeconomically advantaged and had more dentists per capita (RR 1.06, 95% CI 1.04–1.08) after adjusting for age, sex, socioeconomics, and Aboriginality. Persistently high rates of ED presentations were clustered in socioeconomically disadvantaged areas near metropolitan EDs and with fewer dentists per capita (RR 0.91, 0.88–0.94). A positive association between dental-related potentially preventable hospitalisations and poor (financial or geographic) access to dentists was not found. Rather, rates of such events were positively associated with socioeconomic advantage, plus greater access to hospitals and non-hospital dental services. Furthermore, ED presentations for dental conditions are inappropriate indicators of poor access to non-hospital dental services because of their relationship with hospital proximity. Health service planners and policymakers should pursue alternative indicators of dental service accessibility.
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Han, Sae Hwang, Bei Wu, and Jeffrey A. Burr. "Edentulism and Trajectories of Cognitive Functioning Among Older Adults: The Role of Dental Care Service Utilization." Journal of Aging and Health 32, no. 7-8 (May 26, 2019): 744–52. http://dx.doi.org/10.1177/0898264319851654.
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Objective: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults. Method: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years. Results: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline. Discussion: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.
Dissertations / Theses on the topic "Dental care Community dental services Dental Care Dental Health Services"
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Whittle, J. G. "Developing dental services for the elderly mentally ill." Thesis, University of Manchester, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.374576.
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Marshall, Keith Francis. "Standards and quality assessment in general dental practice." Thesis, King's College London (University of London), 1995. https://kclpure.kcl.ac.uk/portal/en/theses/standards-and-quality-assessment-in-general-dental-practice(8481398c-b8bf-438d-b96b-ab3d5f8d4083).html.
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Grover, Simran. "Racial disparities in dental care provided at community health center clinics." Thesis, Boston University, 2008. https://hdl.handle.net/2144/37812.
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Thesis (MSD)--Boston University, Henry M. Goldman School of Dental Medicine, 2008 (Dept. of Health Policy and Health Services Research).Includes bibliography: leaves 44-48.
0bjective: The objective of this study is to detemine if there are differences by race or ethnicity in dental care provided at community health center clinics resulting in oral health disparities. This study also provides detailed information about the types of dental procedures received by patients at community health center clinics. Methods: This was a retrospective observational study design, consisting of a convenience sample of patients seen and care provided by senior dental students during their ten-week externship at twenty one Boston University Goldman School of Dental Medicine affiliated community health center clinics. The data collected was analyzed SAS version 9.1. Frequencies for categorical variables, means for continuous variable, bivariate analyses and generalized models of logistic regression analysis were performed with the main dependent variable of interest being patient’s race/ethnicity. Results: The total sample was 62,112 observations, of which 56% were females. Regression analysis found that Blacks were 1.23 times and Asians and others were 1.09 times more likely to get diagnostic procedures than Whites. Hispanics were just as likely to receive diagnostic procedures as Whites. Blacks, Hispanics, Asians and others were more likely to get preventive procedures when compared to Whites (p[less than or equal to]0.0001 ). Blacks were less likely to get restorative procedures than Whites (p[less than or equal to]0.0001) whereas Hispanics were as likely to get restorative procedures as Whites. Further generalized logistic regression models to predict specific procedures were performed which indicates that Blacks were 1.99 times, Hispanics were 1.72 times, Asians and others were 1.21 times more likely to get amalgam restorations compared to composite restorations than Whites. However, Blacks were as likely to get root canal therapy compared to extractions as Whites whereas Hispanics were 27% and Asians and others were 37% more likely to get root canal therapy versus extractions than Whites (p[less than or equal to]0.0001). Blacks were 0.55 times, Asians and others were 0.37 times less likely to receive fixed partial dentures compared to removable partial dentures than Whites (p[less than or equal to]0.0001) whereas Hispanics were just as likely to receive fixed Partial dentures as Whites. Conclusion: Disparities were seen in the receipt of dental services provided such as diagnostic, preventive, and restorative procedures based on race at community health center clinics. This surprising finding related to community health center clinics indicate the need for future research focused on reasons for these disparities as community health center clinics are primary care providers for underserved populations.
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Pavi, Elpida. "The dental health needs of individuals living in areas of multiple deprivation in Glasgow." Thesis, University of Glasgow, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387919.
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Omar, Suleiman Mohammed. "A point-prevalence investigation of aspects of dental health in rural and urban Libyan children." Thesis, University of Dundee, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357189.
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Silalahi, Maria Som-Arch Wongkhomthong. "Assessment of community health volunteers in dental care activities in paktongchai district Nakornrajchasima Thailand /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-MariaS.pdf.
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Todd, Rebecca Vera. "An investigation of the dental health and behaviour of Vietmanese refugees in Britain from a cultural perspective." Thesis, King's College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309282.
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Khalfe, Abdulrasheed Dawood. "A comparative analysis of delivering different modes of dental care at district level." Thesis, University of the Western Cape, 1995. http://etd.uwc.ac.za/index.php?module=etd&.
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The aim of this study is to analyse and compare the delivery of oral health care services based on the prevailing curative paradigm and WHO-treatment norms for the school-going community of Mitchells Palin district in relation to selected alternative methods of dental care delivery. The optimal use of auxiliary personnel, purchasing care from private dental practitioners and intriducing water fluoridation was examined.
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Ranson, Sonya L. "A study of the dental health status of children participating in the Child Health Investment Partnership." Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-07292009-090354/.
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Brennan, David S. "Factors influencing the provision of dental services in private general practice /." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phb838.pdf.
Full textBooks on the topic "Dental care Community dental services Dental Care Dental Health Services"
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Office, Victoria Audit. Community dental services. Melbourne, Vic: Auditor General Victoria, 2002.
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National, Consortium Meeting of Oral Health 2000 (1992 Irvine Calif ). National Consortium Meeting Oral Health 2000: Adapted from a symposium at Beckman Conference Center, Institute of Medicine, Irvine, California, January 7-9, 1992. Chicago, Ill: American Fund for Dental Health, 1992.
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Kahabuka, Febronia Kokulengya. Oral heatlh care for socially disadvantaged communities. Hauppauge, N.Y: Nova Science, 2011.
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California. Legislature. Senate. Committee on Health and Human Services. Structural barriers to accessing dental services: Informational hearing of the Senate Committee on Health and Human Services. Sacramento, CA (1020 N Street, Sacramento): Additional copies, Senate Publications, 2001.
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Allison, Paul. Access to dental care for under-privileged people in Quebec: A description of the problem and potential means to address it = L*accès aux soins dentaires des personnes défavorisées au Québec : problématique et pistes de solutions. Montreal: Faculty of Dentistry, McGill University, 2004.
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American Dental Association. Survey Center. 1997 survey of current issues in dentistry. Chicago, Ill: American Dental Association, 1998.
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American Dental Association. Survey Center. 1997 survey of current issues in dentistry. Chicago, Ill: American Dental Association, 1998.
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Dickson, Murray. Donde no hay dentista. Berkeley, Calif., EE.UU: Fundación Hesperian, 2005.
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Jack, Susan S. Use of dental services and dental health, United States, 1986. Hyattsville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Center for Disease Control, National Center for Health Statistics, 1988.
Find full textBook chapters on the topic "Dental care Community dental services Dental Care Dental Health Services"
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Problems with health care delivery." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0030.
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Earlier chapters have highlighted the influence the medical model of health has had on both the philosophy of health care and the structures devised to deliver health care including dental care. The overriding influences of the medical model are the downstream focus on treatment of disease and the communication gap caused by differing concepts of health and need held by lay people and health professionals. Problems with health care delivery operate at a macro level (i.e. overall policy for and structure of health care) and at a micro level (how health care is delivered, one-to-one communication, and interaction with the patient and members of the dental team). Chapter 18 has described some of the specific problems with health care at the macro level. In this chapter we shall also look at some of the problems with how health care is delivered and problems with health services at the level of the user and the provider of health care. What should good health care look like? Maxwell (1984) defined six characteristics of a high-quality health care. Services should to be equitable (fair), accessible, relevant to health care needs, effective, efficient, and socially acceptable. There are recognized inequities in how health care is distributed; urban areas are often better provided for compared to rural areas, and hospital-based health care consumes more resources than community-based care. Not everyone has equal access to health care; for example, people living in deprived communities with greater health need have fewer doctors and dentists compared to richer areas with fewer health care needs. This phenomenon has been described as the inverse care law (Tudor Hart 1971). Uncomfortable choices and rationing have to take place in allocating health care resources. Ideally, these decisions should be based on the greatest health need (and the capacity to benefit) rather than who has the loudest voice. The focus on treatment inherent in the medical model of health means that resources are spent on high-technology medicine and hospitals, while programmes to prevent disease are poorly supported and resourced. There is an expectation that there will be a magic bullet for every health problem, yet most chronic diseases have no cure. People learn to adapt and cope with their chronic illness rather than recover.
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DeRuiter, Mark, Jeffrey Karp, and Peter Scal. "Building a Dental Home Network for Children with Special Health Care Needs." In Leading Community Based Changes in the Culture of Health in the US - Experiences in Developing the Team and Impacting the Community. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98455.
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Children with special health care needs (SHCNs) live in all communities. They present with a diverse group of diagnoses including complex chronic conditions and diseases; physical, developmental, and intellectual disabilities; sensory, behavioral, emotional, psychiatric, and social disorders; cleft and craniofacial congenital disabilities, anomalies, and syndromes; and inherited conditions causing abnormal growth, development, and health of the oral tissues, the teeth, the jaws, and the craniofacial skeleton. Tooth decay, gum disease, dental injuries, tooth misalignment, oral infections, and other oral abnormalities are commonly seen or reported in the health history of children with SHCNs. Nationally, dental and oral health care ranks as the second most common unmet health need, according to the most recent National Survey of Children with Special Health Care Needs. The State of Minnesota does not have enough dental professionals prepared to meet the demand for care. As a result, children with SHCNs either go untreated or receive inadequate services resulting in treatment delays, the need for additional appointments, poor management of oral pain and dysfunction, adverse dental treatment outcomes and/or a lack of appropriate referrals to needed specialists. Research suggests children with SHCNs are best served when assigned to dental homes where all aspects of their oral health care are delivered in a comprehensive, interdisciplinary, and family-centered way under the direction of knowledgeable, experienced dental professionals working collaboratively with an array of allied health, medical professionals, and community partners. An interdisciplinary team consisting of a pediatric dentist, pediatric physician, and speech-language pathology innovator collaborated to advance current and future dental providers’ knowledge and comfort in providing care for children with SHCNs and was accepted into the Clinical Scholars program. Their interdisciplinary collaborative team project was named MinnieMouths and included the following six methods or critical endeavors to ensure success: 1. Development of a project ECHO site focused on advancing care for children with SHCNs. 2. Creation of a 28-participant web-based professional network of current dental, community health liaisons, family navigators, and medical health providers. 3. Establishment of a 32-participant web-based interface of dental and medical students and residents, including new-to-practice dental providers. 4. Launching an annual conference focused on advancing oral health care for children with SHCN. 5. Build a toolkit aimed at allowing dentists and future leadership teams to launch dental home networks focused on children with SHCN. 6. Building a Dental Homes Network Field Guide for Providers who attended our first in-person conference. Findings from the MinnieMouths project suggest that development of peer networks to advance dental homes for children with SHCNs has merit. Network participants gained skills in collaborating with a range of health care providers, understanding the complexities of working within and among health and dental care systems to coordinate care, and the need to better understand and advocate for a more robust medical and dental reimbursement program when launching dental homes for children with SHCN.
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Barr, Owen, and Bob Gates. "Accessing general health services." In Oxford Handbook of Learning and Intellectual Disability Nursing, 347–416. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198782872.003.0010.
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The knowledge of practical-focused and applied information within this chapter builds on the underpinning information in Chapter 5 relating to physical health and well-being. This provides essential information to nurses for people with intellectual disabilities, so that they can support people access general healthcare services. It explores the remit of general primary, secondary, and palliative care services and the roles of people who work within these services. It provides clear information on the role of all members of the primary care team and the key professionals with whom people with intellectual disabilities will often be in contact, including dentists, podiatrists, audiologists, dieticians, physiotherapists, occupational therapists, community mental health nurses, and practice nurses. It also gives clear practical information about how to support people with intellectual disabilities to access services in general hospital, children departments, emergency departments, dental departments, mental health, and maternity and palliative care.
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Coltoff, Philip. "Why The Children’s Aid Society Is Involved in This Work." In Community Schools in Action. Oxford University Press, 2005. http://dx.doi.org/10.1093/oso/9780195169591.003.0009.
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The Children’s Aid Society (CAS), founded in 1853, is one of the largest and oldest child and family social-welfare agencies in the country. It serves 150,000 children and families through a continuum of services—adoption and foster care; medical, mental health, and dental services; summer and winter camps; respite care for the disabled; group work and recreation in community centers and schools; homemaker services; counseling; and court mediation and conciliation programs. The agency’s budget in 2003 was approximately $75 million, financed almost equally from public and private funds. In 1992, after several years of planning and negotiation, CAS opened its first community school in the Washington Heights neighborhood of New York City. If you visit Intermediate School (IS) 218 or one of the many other community schools in New York City and around the country, it may seem very contemporary, like a “school of the future.” Indeed, we at CAS feel that these schools are one of our most important efforts in the twentieth and twenty-first centuries. Yet community schools trace their roots back nearly 150 years, as previous generations tried to find ways to respond to children’s and families’ needs. CAS’s own commitment to public education is not new. When the organization was founded in the mid-nineteenth century by Charles Loring Brace, he sought not only to find shelter for homeless street children but to teach practical skills such as cobbling and hand-sewing while also creating free reading rooms for the enlightenment of young minds. Brace was actively involved in the campaign to abolish child labor, and he helped establish the nation’s first compulsory education laws. He and his successors ultimately created New York City’s first vocational schools, the first free kindergartens, and the first medical and dental clinics in public schools (the former to battle the perils of consumption, now known as tuberculosis). Yet this historic commitment to education went only so far. Up until the late 1980s, CAS’s role in the city’s public schools was primarily that of a contracted provider of health, mental health, and dental services.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Planning dental services." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0028.
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Planning is an integral part of dental care provision that can operate at many different levels. At a national level, government NHS policy impacts upon dental services in different ways. For example, in the General Dental Service, patient charge bands in England are currently set by the government. In the future, at the national level, the National Health Service Commissioning Board (NHSCB) will determine national policy and national delivery requirements. The NHSCB will be responsible for commissioning primary dental services and contractual arrangements with dentists. At the Health and Wellbeing Board (HWB) level in England, planners (in conjunction with general medical practioner (GMP) consortia/clinical care commissioning groups (CCGs)) will make decisions over the priorities for local services, and the types and range of services offered locally. Within a dental practice, dental practitioners and their team members may develop a range of practice policies aimed at improving the services provided. Finally, every day clinicians develop treatment plans for individual patient care based upon their oral health needs. All these activities are planning in action. This chapter will examine the basic principles of planning, and review the different steps in the planning process. At the most basic level, planning aims to guide choices so that decisions are made in the best manner to reach the desired outcomes. Planning provides a guide and structure to the process of decision-making to maximize results within the limited resources available. Is planning really necessary when there are so many other demands on practitioners’ time? Planning can be justified for the following reasons: . . . ● It provides an opportunity to be proactive in decision-making rather than constantly reacting to pressures and demands. . . . . . . ● It enables priorities to be set. . . . . . . ● It identifies where resources can be directed to have the greatest impact. . . . Various planning models have been proposed to act as a guide to the different steps in the planning process. The rational planning model provides a basic guide to the process (McCarthy 1982), and involves the following steps: . . . 1 Assessment of need: e.g. identification of the oral health problems and concerns of the population. . . . . . . 2 Identifying priorities: agreeing the target areas for action. . . .
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Dryfoos, Joy G. "Introduction." In Community Schools in Action. Oxford University Press, 2005. http://dx.doi.org/10.1093/oso/9780195169591.003.0013.
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We have invited some practitioners who “do the work” to tell us what they do. Six program areas are covered here: parent involvement, after-school and summer programs, early childhood programs, primary health services, mental health services, and community development. These are the basic components of the community school model developed by The Children’s Aid Society (CAS); most other models include some or all of these activities as well. We have asked our experts from CAS to provide the rationale for what they do in their components, describe a working example, discuss implementation issues and sources of financing for the component, and tell us about the challenges they faced and the lessons they have learned from their experiences. Many of these components require space within the school—a designated area for parents to congregate, rooms for a primary health care clinic, private offices for mental health counseling, and classrooms and gyms for before- and after-school activities. Not every school can meet these space requirements, or at least many schools do not think that they have room for one more activity. I have observed, though, that more space becomes available in direct relationship to how essential the services become. One principal, reluctant to place a school-based clinic in his building, offered one very small room in a dark corner. Yet five years later, a full suite of rooms had been designated the “Health Place” with two examining rooms, a dental office, a meeting room, three private offices, and an attractive waiting room. The principal described the facility as “my clinic” when a newscaster came to do a story on the program. Unquestionably, full-service community schools require delicate negotiations over many issues, especially space. The CAS schools make full use of classrooms for after-school activities and need access to the gymnasium, auditorium, band room, restrooms, cafeteria, and playground. The principal and the community school director must work out the arrangements for the use of facilities and for cleaning and maintaining them. As you will see from these descriptions of the core components, this work is labor intensive. In every aspect of community school work, individual attention to students and their families is paramount.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "The structure of dental services in the UK." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0026.
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This chapter will briefly describe how oral health care may be managed and organized and how health workers may be remunerated. This will be followed by a short outline of the ways in which oral health care is provided in the UK. A separate overview of dental care professionals (DCPs) is presented in this chapter. The reform of the NHS is ongoing, so this chapter discusses principles rather than detail. Since the devolution of health care to governments in Scotland, Wales, and Northern Ireland, variations in provision are occurring across the UK and some of these differences are highlighted. If oral health care is to be provided it has to be funded. The money has to be derived from the public and this can be either from individuals or from taxation. Within the UK there are a variety of ways in which oral health care is funded. Figure 19.1 shows the possible flows of money. The model that exists in the UK is in the main centred on routes 1 and 3, based on taxation, either direct or through national insurance contributions, and its subsequent allocation to various public-funded services, including dentistry. In Germany, the arrangement is slightly different in that third-party insurance groups are involved and a proportion of an individual’s annual salary is allocated to health care. A third model operates in the USA under the guise of managed care. Individuals buy into a care plan that is organized by a health care company, which subsequently contracts with dentists to provide a level of care. In route 2, the public pays the dentist directly for his or her services; this is a private arrangement. A third party may intervene to control pricing. For example, Dutch and Swedish adult dental care is now mostly in the private sector, but each year the profession negotiates the scale of fees with their government. The subsequent distribution process for paying oral care workers is illustrated in Figure 19.2. There are again three mechanisms: . . . 1 A purely private arrangement. . . . . . . 2 The state pays the total cost. . . .
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Syngelakis, A. I., Maria Kamariotou, Fotis C. Kitsios, Chrystala Charalambous, and Argy Polychronopoulou. "Quality Management in Primary Dental Care." In Interdisciplinary Perspectives on Operations Management and Service Evaluation, 192–212. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-5442-5.ch010.
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In dental care services, quality is an important factor that affects decision making, the planning of health strategies and policies, the cost of health services, and the evaluation of them. The evaluation of quality in dental services using the assessment methods that are used in other services of primary healthcare is difficult due to the special characteristics of dentistry. However, the improvement and the evaluation of primary oral healthcare services is a complicated issue because it involves many factors that affect it. Therefore, the purpose of this chapter is to provide a complete overview of the literature using Webster and Watson's methodology. Fifty peer-reviewed papers were analyzed and the results of this review revealed that the number of publications in this domain has increased in the last decade, and there is a need to foster research (especially empirical) in this field.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Defi nitions of health." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0007.
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In any discussion of public health, it is necessary to be able to define what is meant by the term ‘health’. The promotion and maintenance of health should be a goal of health services and thus a clear definition is essential. At a personal level we can distinguish the difference between feeling well and feeling ill, but converting this to an index that measures health and illness in a population is far more complex (Hart 1985). Health, disease, and disability mean different things to different people at different times, and providers of health care may hold very different views compared to the users of health care. Definitions of what constitutes health and illness ‘will vary within cultures, subcultures and communities and even within households’. The different ways in which people think about health influences what they do to protect their health, when they decide to use health services, and how they use health services. How health is defined also affects health care professionals’ attitudes to patients and how health care is organized. Different disciplines such as psychology, sociology, and epidemiology, for example, also construct health in different ways and they use different approaches and methods to study and understand health (Naidoo and Wills 2008). This chapter will briefly review the commonly used definitions of health, disease, illness, ill health, and disability. It will consider some of the implications these differences have for the measurement of health, the assessment of need, and how health care is delivered and used. Health can be defined objectively as normal functioning of the body systems and processes. It can be measured objectively, e.g. at an individual level the measurement of blood pressure against a ‘normal’ level, or in populations as the prevalence of people with or without a condition, for example the proportion of 5-year-olds who are caries free. Health may also be defined subjectively by age, gender, or social class. For example, young people may talk about health in terms of being physically fit and being able to participate in sport; older people may talk about health in terms of ability to undertake normal daily activities and tasks.
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Daly, Blánaid, Paul Batchelor, Elizabeth Treasure, and Richard Watt. "Health economics." In Essential Dental Public Health. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199679379.003.0029.
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Haycox (2009) describes economics as the science of scarcity. Economics analyses how choices about scarce goods and services are structured and prioritized by individuals in order to maximize welfare (Haycox 2009). Should economic theory have any relationship to health and health care? Clinicians will often state that they make their decisions based on their clinical judgement (what is best for the patient in front of them) and that they should not be influenced by concerns over money. Is this view entirely valid? Despite the improvements in health seen in the majority of countries, costs of health care have continued to rise above the general rate of inflation. For example, in the USA, health care costs account for 15% of Gross Domestic Product (GDP), compared to 17% in the UK (Morris et al. 2007). This is due to a number of factors, such as the price of materials, personnel salaries and wages, and the ever-increasing use of more advanced technology. There is little evidence, however, that the increased spending has contributed to better health (Abel-Smith 1996). Indeed, the evidence from Chapters 2 and 4 suggests that health will not be improved just by spending more money on health care. There is a growing awareness that health care resources are finite, while the demand for health care is apparently infinite (Cohen 2008). Economic analysis provides a systematic framework for answering questions about the justification for using these finite and scarce health resources and helps identify solutions to some common problems in health care (Morris et al. 2007). Health economics is therefore the study of the application of economic theory to decision-making about health and health care (Mooney 2003 ; Morris et al. 2007). In this context, health care decision-makers must prioritize choices about interventions informed by an analysis of both the costs and the benefits (Haycox 2009). Getting value for money involves a desire to achieve a health goal at the least cost or a desire to maximize benefits to patients where there is a limited pot of resources (Haycox 2009).
Conference papers on the topic "Dental care Community dental services Dental Care Dental Health Services"
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Özcan, Selami, Kerim Baş, and H. Yunus Taş. "Effects of Health Sector Information Asymmetry on Patient Satisfaction: An Appilication on Yalova Oral and Dental Care Centre." In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00673.
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Effects of excessive information level difference between providers and receivers of health care services on patients will be presented with this work. Fundamental concepts like health care service, information asymmetry and it’s effects will be explained. Information levels of attempts and treatments that were put in practice to the patients, surgical operations and billing will be studied and the outputs of the information level difference between the provider and the receiver will be determined. In this research, it will be revealed if the practical applications and the concepts in the literature overlap each other and developing a new method towards evaluating the information level difference will be attempted. Patients who received a certain number of treatments will be targeted. Survey questions that will be asked to the patients will try to reveal the amount of information on the procedure they have undertaken and the between this level of information and the their satisfaction. SPSS software is used for the analysis of the data. Resolving of the relation between patient satisfaction themeasured percentage of level of information about the procedure the subject have undertaken will be attempted during the evaluation of the survey results. The effects of gender, age and education on level of information-customer satisfaction will also be investigated while determining the patients level of information with this survey.
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Porumb, Andra-Teodora, Adina Săcara-Oniţa, and Cristian Porumb. "THE DENTAL MEDICINE SECTOR IN THE AGE OF THE COVID-19 PANDEMIC – RECOVERY BETWEEN RISKS AND CHALLENGES." In Sixth International Scientific-Business Conference LIMEN Leadership, Innovation, Management and Economics: Integrated Politics of Research. Association of Economists and Managers of the Balkans, Belgrade, Serbia, 2020. http://dx.doi.org/10.31410/limen.2020.101.
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In this paper we will show how the COVID-19 pandemic has affected one of the sectors that have undergone a booming development in recent years, namely the sector of dental medicine. This is an industry that includes numerous and diversified activities: treatments and surgical interventions in dental practices and clinics, dental aesthetics interventions in luxury clinics, the organization of specialization courses, conferences and congresses, the development of extremely innovative procedures and materials. Dental tourism has also had a spectacular trend, especially in Eastern European countries. Within a very short period of time, this highly profitable field, but which presents a huge risk of transmitting potential viruses, has recorded significant financial losses. In March 2020, in some European countries a lockdown was imposed by governmental decree or ordinance, all private practices having ceased their activity, whereas in other countries a significant number of clinics closed on their own initiative, and those remaining open recorded a staggering decrease in the number of patients. Courses, conferences, and congresses have been cancelled one after another throughout Europe. As a result of the cancellation of many flights, the activity in the branch of dental tourism has ceased almost entirely. For two months, an extremely small number of medical units, especially hospitals, were reorganized to provide care in dental emergencies, according to a very strict protocol to limit the risk of contamination. In view of resuming their activity as of May, professionals in the sector had to meet several severe protection conditions, regulated by institutional documents by the National Orders/Colleges of Dentists. In October, in the face of the second wave of the pandemic, the governments of European countries took less restrictive measures in an attempt to avoid a new lockdown and the decrease in the supply of goods and services to the population to such a great extent, so this time, governments have not closed private practices, despite the fact that in some countries the beginning of November has brought about a new isolation – albeit a partial one – and a renewed closedown of some businesses. We will analyze, in the context of the ongoing pandemic, the situation of this sector in several European countries. Given that the demand for dental services has only decreased very little, professionals in the sector have tried in various ways to continue their work so as not to sacrifice the dental health of the population. The risk/benefit ratio is very hard to manage in this field, so precautions, prevention, and protection measures in dental practices remain of the utmost importance. If the branch of organization of courses, conferences, congresses can compensate to a certain extent the sharp decline in revenues during the lockdown period by moving the activity on online platforms, the branch of dental tourism is still suffering massively, and the possibilities of recovery are greatly reduced. Dentists remain the most exposed to risks. They are facing medical and financial concerns and have to make final treatment decisions amidst an uncertain and dangerous situation
Reports on the topic "Dental care Community dental services Dental Care Dental Health Services"
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Fitzgerald, Constance. The health policy gap: income, health insurance and source of care effects on utilization of and access to dental, physician and hospital services by Oregon households. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.830.
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