Access to Dental Care Ppt
Transcript of Access to Dental Care Ppt
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Access to
Dental Care
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What do we
mean by the termaccess to dental
care?
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The Inverse Care law
1. Who does it effect most?
2. How does it effect them?
3. What can be done to over come it?
4. Who is responsible for providing adequate
dental services?
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Access to
Dental Care
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Is there an
inverse care
dental carelaw?
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People most in need of healthcare do not gain the
most access.
Those with the least need of healthcare use the
health services more and more effectively than do
those with the greatest need. (Jones et. Al)
Definition
Is there an inverse care dental care law?
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1. The availability of dental in Newcastle-upon-Tyne was clearly
greater in more affluent areas and poorer in officially
designated priority areas. (Jones et. al)2. I have not seen a dentist for more than two years. I cant
afford it. Ive not been able to find an NHS dentist in my
area. (Response to Which? Research)
3. 16 and 35% of the public are experiencing difficulties inobtaining an NHS dentist. (McGrath et. al)
Is there an inverse care dental care law?
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1.29% of higher class werehaving difficulty in finding an
NHS dentist when only 20% ofthe lower class were.
(McGrath)
2.59% of people found no
difficulty in finding an NHS
dentist (McGrath)
Is there an inverse care dental care law?
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YES
Under pre-2006 arrangements, dentists were paid
per treatment, whereas in the new contract, for
example, one restoration is the same as seven.
Sense of goodwill is lost
Forces practices to become private in wealthier
areas so treatments are not paid out of the dentistspocket.
Therefore availability in poorer areas has declined
and inverse care law kicks in.
Is there an inverse care dental care law?
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What group of people in
society are most affectedby the inverse care
law and what affect doesthis half on their oral
health?
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What group of people in society are most affected
by the inverse care
law and what affect does this half on their oralhealth?
Children are the group people affected by this law (1).
Also, adults in lower socialclasses such as those in manual labour are affected by
this law aswell (2).
Effect on oral health:
An increase in dental decay which remains untreatedand can even pass into the
dentin (3).
An increase in the number of fillings that are being
carried out in primary teeth (3)
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Figure 1 (3)
What group of people in society are most affected by the
inverse care
law and what affect does this half on their oral health?
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A rise in number of children with gum inflammation (4).Tooth surface loss on the surfaces of primary incisors and permanent
molars (5)
Central incisors effected by opacities (5)
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inverse care
law and what affect does this half on their oral health?
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f ff
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What group of people in society are most affected by the
inverse care
law and what affect does this half on their oral health?
Wh t f l i i t t ff t d b th
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Jones CM, Capitation registration and social deprivation in England. An inverse dental
care law? , British Dental Journal, 24th February 2001, 190, 205-206
Julian Tudor Hart, The Inverse Care Law, online, Saturday 27th February 1991, (cited
21st October 2011), Available from http://www.sochealth.co.uk/history/inversecare.htm
Rachel Harker, John Morris, Children Dental Health in England 2003, March 2005 (cited
21st October 2011), available from
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4107311.pdf
Deborah White, Deborah Lader, Periodontal condition Hygiene behaviour and attitudes
to oral health, online, October 2004 (cited 21st October 2011), available from
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/di
gitalasset/dh_4092550.pdf
Barbara Chadwick, Liz Pendry, Children dental health in the United Kingdom 2003,October 2004 , (cited 21st October 2011),
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/di
gitalasset/dh_4092549.pdf
http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince19
90/Surveysonhealthissues/index.htm -finish off using this website
What group of people in society are most affected by the
inverse care
law and what affect does this half on their oral health?
http://www.sochealth.co.uk/history/inversecare.htmhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.sochealth.co.uk/history/inversecare.htm -
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Suggest what canbe done to
overcome the
inverse care law?
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What steps could you take as a dental care
professional to set the tone for a trusting
relationship with your patients?
-Majority of populationscared of dentist
very important to have a trusting
relationship with patientsPatient less nervous +
Dentist less nervous =
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Friendly receptionist
Receptionist is the first person
patient meets when walks into
surgery.Smiles, speaks clearly, willing to
help, gives concise instructions
i.e. if patient needs to fill in NHS
form.
Should be trained regularly
Whilst in the waiting room
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Ensure good time
management- if
dentist is running
late it is polite to
inform the patient of
this.
Whilst in the waiting room
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Layout of waiting room
calm colour scheme and designi.e. flowers in a vase (see picture)
Forms of entertainmentvariety of
magazines for adults, appropriate toys for
children i.e. a wendy house or television
with cartoons-must abide regulations-nosoft toys allowed comfortable chairs.
Whilst in the waiting room
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Whist in the Surgery
Atmosphere
Play appropriate music, but nottoo loud so they cant hear you
Setting of room: not messy, not too
cluttered
Good colour scheme, i.e. blue paint
not red paint
Room doesnt smell i.e. spray air
freshener.
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Dentist Essential Skills
Good communication: talk to patient make
conversation i.e. weather, more effective-lead
on from previous conversation-i.e. so how was
your holiday to Turkey. Also explain
procedure, let patient know what you are
doing, ask the patient, make them feel likethey have authority and they are in control.
SMILEAlso ability to adjust to patient, if child: the magic
chair is just going to go down. Ensure it is a good
experience, stickers for children.
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Care should be distributed in relation to
the areas that need it most.
Improve awareness of dental health in
more deprived areas in particular.
NSFs have been set up to improve
specific areas of healthcare.
Encourage dentists into deprived areas.
Suggest what can be done to overcome the inverse care law?