scholarly journals A national analysis of dental waiting lists and point-in-time geographic access to subsidised dental care: can geographic access be improved by offering public dental care through private dental clinics?

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Yevgeni Dudko ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Dental Care ◽  
Waiting Lists ◽  
Geographic Access ◽  
Dental Clinics ◽  
National Analysis ◽  
Public Dental Care

scholarly journals National dental waitlists: what would it take to reset to zero?

2016 ◽  
Vol 40 (3) ◽  
pp. 277 ◽  
Author(s):  
Yevgeni Dudko ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Dental Care ◽  
Service Providers ◽  
Cost Model ◽  
Dental Health ◽  
Public Funds ◽  
Dental Clinics ◽  
The Media ◽  
The Subject ◽  
The Cost ◽  
Public Dental Care

Objective Over the years, long public dental waitlists across Australia have received much attention from the media. The issue for eligible patients, namely a further deterioration of dental health because of not being able to address dental concerns relatively quickly, has been the subject of several state and Federal initiatives. The present study provides a cost model for eliminating public dental waitlists across Australia and compares these results with the cost of contracting out public dental care to private clinics. Methods Waitlist data from across Australia were collected from publicly available sources and confirmed through direct communication with each individual State or Territory Dental Health body. Average costs associated with employing key dental personnel and performance figures were used from previously published data to estimate the potential financial commitment and probable public benefits. Results The cost model suggests that, on average, it would be more than twice as expensive to contract the work out to private dental clinics as to treat eligible patients within public dental clinics. It is estimated that the cost of eliminating the legacy dental waiting lists (over 12 months) would be between A$50 and A$100 million depending on the method adopted. The effort would require some 360 dental teams. Conclusion The design of the Australian public dental care system that is targeted at meeting the needs of eligible patients into the future, in addition to being effective and sustainable, must also offer a level of protection to the taxpayer. The ability to address waitlist backlog identified in the present study clearly would require a mix of service models depending on service availability at different locations. Further research is needed to optimise the mix of service providers to address community needs. What is known about the topic? Long public dental waitlists across Australia have received much attention from the media. The topic has been the subject of debate at the government level and, over the years, has seen an increase in allocation of public funds in an effort to address the policy needs. What does this paper add? This study calculates the actual number of people on the public dental waitlist, provides a detailed analysis of the distribution of the demand for the services and offers a cost model for resetting public dental waitlists across Australia. What are the implications for practitioners? This study carries no implications for individual practitioners at the clinical level. However, at the state and national levels, this model offers direction to a more cost-effective allocation of public funds and human resources.

scholarly journals Perspectives from Dentists, Dental Assistants, Students, and Patients on Dental Care Adapted to the COVID-19 Pandemic: A Cross-Sectional Survey

2021 ◽  
Vol 18 (8) ◽  
pp. 3940
Author(s):  
Maximiliane Amelie Schlenz ◽  
Alexander Schmidt ◽  
Bernd Wöstmann ◽  
Andreas May ◽  
Hans-Peter Howaldt ◽  
...  
Keyword(s):  
Patient Care ◽  
Dental Care ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Safety Measures ◽  
Dental Clinics ◽  
Positive Perspective ◽  
Dental Assistants

Dental care has been affected by SARS-CoV-2 (COVID-19) worldwide. In contrast to other dental clinics, the Justus-Liebig-University Giessen (Germany) decided not to limit dental treatment to emergencies alone, but to continue dental care for all patients, with increased safety measures. As such, health care professionals may be exposed to additional physical and mental stress. The aim of this study was to assess the perspectives of all persons involved in dental care (dentists, dental assistants, students, and patients) regarding the aspects of safety measures, anxiety about self-infection and infecting others, and other prospects in the period March to December 2020 using a questionnaire. Data collection was performed between 14 December 2020 and 23 January 2021. A total of 35 dentists (response rate of 79.5%), 23 dental assistants (65.7%), 84 students (80%), and 51 patients (21.8%) completed the survey. The patients did not notice any changes in the care received. Dentists and dental assistants reported a higher workload due to additional safety measures. The majority of dentists, students, and patients agreed that normal patient care was maintained. One-third of dental assistants would have preferred emergency treatment alone and expressed significantly higher anxiety about COVID-19 infection than all other groups (p < 0.05). In conclusion, all groups showed a predominantly positive perspective on dental care, and anxiety about self-infection and infecting others was especially low. However, additional measures are time-consuming and compound daily patient care. This concept, based on well-established infection control, might be a viable proposal for current and future pandemics.

O impacto da Covid-19 na Odontologia – revisão sistemática

2021 ◽  
Vol 12 (46) ◽  
pp. 15-22
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Francisca Janiele de Sousa
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Dental Care ◽  
Dental Treatment ◽  
Dental Trauma ◽  
Urgent Care ◽  
Inclusion Criteria ◽  
Dental Clinics ◽  
Mode Of Transmission ◽  
Irreversible Pulpitis

This study aimed to review, qualify and summarize the existing evidence on associations and risk factors for Covid-19 during dental treatment and dentists’ knowledge about these risks. After being registered with PROSPERO, the systematic review was carried out in accordance with the PRISMA guidelines, with searches in electronic databases, in specific journals, manual searches and Google Scholar, without language restrictions, from December 2019 to August 2020. Two questions were asked to be investigated: did patients seek dental care in the emergency room and do dentists know the symptoms and the mode of transmission of Covid-19, feeling qualified to attend them? Only 6 articles were included because they met all defined inclusion criteria. It was concluded that endodontic urgencies and emergencies with symptomatic irreversible pulpitis are the most common, consisting of a much higher proportion of dental emergencies during Covid-19 epidemic compared with dental trauma and no-urgent care. Although dentists are aware of the symptoms, mode of transmission, infection controls, and measures in dental clinics, they do not feel confident about the correct measures to be taken to prevent Covid-19 for their staff and patients.

The Effectiveness of Public Dental Care Programs

Medical Care ◽  
1976 ◽  
Vol 14 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Eugene G. Geiser ◽  
Fredric C. Menz
Keyword(s):  
Dental Care ◽  
Public Dental Care

scholarly journals The role of tobacco use on dental care and oral disease severity within community dental clinics in Japan

2013 ◽  
Vol 11 (1) ◽  
pp. 13 ◽  
Author(s):  
Miki Ojima ◽  
Takashi Hanioka ◽  
Kaoru Shimada ◽  
Satoru Haresaku ◽  
Mito Yamamoto ◽  
...  
Keyword(s):  
Disease Severity ◽  
Tobacco Use ◽  
Dental Care ◽  
Oral Disease ◽  
Dental Clinics

scholarly journals Rationalisation in public dental care – impact on clinical work tasks and mechanical exposure for dentists – a prospective study

Ergonomics ◽  
2013 ◽  
Vol 56 (2) ◽  
pp. 303-313 ◽  
Author(s):  
D. Jonker ◽  
B. Rolander ◽  
I. Balogh ◽  
L. Sandsjö ◽  
K. Ekberg ◽  
...  
Keyword(s):  
Prospective Study ◽  
Dental Care ◽  
Clinical Work ◽  
Work Tasks ◽  
A Prospective Study ◽  
Public Dental Care

scholarly journals Geographic access to dental care varies in Missouri and Wisconsin

2017 ◽  
Vol 77 (3) ◽  
pp. 197-206 ◽  
Author(s):  
Kamyar Nasseh ◽  
Yochai Eisenberg ◽  
Marko Vujicic
Keyword(s):  
Dental Care ◽  
Geographic Access ◽  
Access To Dental Care

scholarly journals Identifying and Ranking Areas of Relative Need for New Public Dental Clinics Using a State-of-the-Art Data Simulation Approach

2017 ◽  
Vol 12 (1) ◽  
pp. 11-16
Author(s):  
Yevgeni Dudko ◽  
Dennis E Robey ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Dental Care ◽  
Public Hospital ◽  
Primary Objective ◽  
Australian Bureau ◽  
Public Hospitals ◽  
Distribution Data ◽  
Hospital Medical ◽  
Dental Clinics ◽  
New Public ◽  
Australian Bureau Of Statistics

Background: Lower socioeconomic groups and country residents are more likely to experience dental disease. Previous research has found that it is generally more cost effective to provide subsidised dental care through publically employed dentists when compared to subcontracting the work out to the private sector. Objective: The primary objective of this study was to identify and rank areas of relative need for new public dental care facilities across Australia. The secondary objective was to gauge how many of these areas arelocated in the vicinity of an existing public hospital (medical) with a view to utilise existing infrastructure for future service rollout. Methods: Usual resident population, employment status and socioeconomic distribution data was downloaded from the Australian Bureau of Statistics website at Statistical Area 1 level. A mathematical weighing formula was applied to those variables, which subsequently allowed for ranking of the results based on magnitude of the product values. The findings were considered in terms of proximity to existing public health infrastructure. Results: A total of 49 SA1 areas were identified and preselected as potential sites for new public dental clinics across Australia. Eighty per cent of the identified areas of relative need were located outside metropolitanareas. Fifty per cent of those were found to be in close proximity to an existing public hospital (medical). Conclusion: Offering subsidised dental care through existing public hospitals may be an option. Such an approach has a potential to improve access to subsidised dental care in regional centres while minimising capitalexpenditure on infrastructure. Abbreviations: ABS – Australian Bureau of Statistics; ASGS – Australian Statistical Geography Standard; SEIFA – Socio-Economic Indexes for Areas

scholarly journals STUDY OF HEALTH INSURANCE COSTS IN COMPARISON OF INCOME AND EXPENSES OF DENTAL PRACTICE BY TYPE OF TREATMENT

2021 ◽  
Vol 10 (34) ◽  
Author(s):  
V.S SERIKOV ◽  
Keyword(s):  
Health Insurance ◽  
Dental Care ◽  
Preventive Measures ◽  
Dental Treatment ◽  
Dental Materials ◽  
Medical Insurance ◽  
Dental Practice ◽  
Dental Services ◽  
Economic Significance ◽  
Dental Clinics

Currently, the number of private dental clinics is growing. However, there is also mandatory medical insurance for free dental care. The purpose of this study is to study the costs of health insurance in comparison of income and expenses of dental practice by type of treatment. The study examined all medical expenses for dental care, purchase of dental materials, depending on the type of dental treatment. The economic significance of expenses and revenues for dental materials was calculated depending on the type of treatment, as well as the optimal amount of remuneration for employees. In our study, regular dental examinations are covered by insurance, since patients who visit dental clinics for regular dental examinations carry out preventive measures at the expense of mandatory medical insurance. In the course of the study, we calculated the economic significance of preventive measures and the cost-effectiveness of dental care. Thus, early diagnostics of dental pathology and high-quality provision of dental services at the early stages under the mandatory medical insurance policy are effective for improving the entire management balance of dental clinics.

Organization of nursing care in dentistry

2021 ◽  
pp. 61-75
Author(s):  
Anna Sergeevna Zinkovskaya
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Dental Care ◽  
Age Group ◽  
High Quality ◽  
Dental Clinics ◽  
Dental Pathology ◽  
Dental Diseases ◽  
Main Factor

The aim of the study is to characterize the organization of nursing care in dentistry, to assess the level of patient satisfaction with the quality of medical services provided. Results. The main factor that determines the population's need for dental care is caries, which ranks first in the structure of dental pathology in patients of dental clinics in Samara, at the time of the study: the prevalence of caries was 80 % in patients of the age group under 49 years old, periodontal disease — 83 % in persons aged 30 to 39 years, secondary partial adentia— 25 % in persons aged 20 to 29 years, deformation of the dentition— the frequency of detection of this pathology is 18 cases per 100 patients. Conclusion. Analysis of the factors that determine the population's need for dental care showed an increase in the number of dental diseases in Samara, which determines the population's need for high-quality dental care.

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