UK dental services | ScienceGate

This article assesses the reliability, constructive validity and reproducibility of a special questionnaire for determining the quality parameters of rendering physiotherapeutic care to patients with chronic generalized periodontitis. The analysis of literary sources showed that there are studies of quality of dental services, however, we have not met with research into the quality and comfort of physiotherapy procedures for periodontal patients. At the same time, the importance of this issue is obvious and requires study and analysis. Without making judgments about the quality of the service, a full-fledged medical dental procedure can not take place. The assortment of physical devices and methods grows annually, their use in the periodontoloical treatment is not always sufficiently justified, the effectiveness is not always confimed therefore it is important to pay attention not only to the marketing efforts directed by the clinics for comfort, but also to analyze the ideas about the quality of the clinical characteristics of physiotherapeutic procedures.

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Improving Access to Oral Surgery Services in Primary Care

Primary Dental Care ◽

10.1308/135576109789389540 ◽

2009 ◽

Vol os16 (4) ◽

pp. 137-142 ◽

Cited By ~ 20

Author(s):

Nick Kendall

Keyword(s):

Primary Care ◽

Oral Surgery ◽

Waiting Times ◽

Primary Care Trust ◽

Hospital Setting ◽

Substantial Improvement ◽

Dental Services ◽

Collaborative Working ◽

World Class ◽

Further Development

This paper describes the innovative use of National Health Service (NHS) dental commissioning powers to develop specialist primary care based oral surgery services. The outcomes, after one full year of the scheme, have been substantial improvement in access and reduced waiting times for patients, further development of NHS primary care dental services through commissioning processes, increased use and engagement of oral surgery specialists outside of a hospital setting, and considerable ongoing savings to the NHS. Collaborative working between hospital consultants and managers, Primary Care Trust dental commissioners, general dental practice providers, specialist oral surgeons and a dental public health consultant has resulted in sustainable benefits to patients and the NHS within the World Class Commissioning framework.

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Dental Expenditure by Household Income in Korea over the Period 2008–2017: A Review of the National Dental Insurance Reform

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083859 ◽

2021 ◽

Vol 18 (8) ◽

pp. 3859

Author(s):

Hosung Shin ◽

Han-A Cho ◽

Bo-Ra Kim

Keyword(s):

Health Insurance ◽

Concentration Index ◽

Dental Health ◽

Age Groups ◽

The Elderly ◽

Dental Service ◽

Delta Method ◽

Dental Services ◽

Insurance Reform ◽

Health Insurance Reform

Since 2009, the National Health Insurance in Korea (NHI) has been implementing a series of policies to expand the scope of dental benefits. This study reviewed the changes in co-payments and dental use patterns before (2008 to 2012) and after (2013 to 2017) the NHI’s dental health insurance reform. The study used Korea Health Panel data of 7681 households (16,493 household members) from a 10-year period (2008–2017). Dental expenditures and equivalent income using square root of household size were analyzed. Dental services were categorized into 13 types and a concentration index and 95% confidence interval using the delta method was calculated to identify income-related inequalities by a dental service. Dental expenditures and the number of dental services used increased significantly, while the proportion of out-of-pocket spending by the elderly decreased. The expenditure ratio for implant services to total dental expenditures increased substantially in all age groups, but the ratio of expenditures for dentures and fixed bridges decreased relatively. The concentration index of implant services was basically in favor of the rich, but there was no longer a significant bias favoring the better-off after the reforms. The dental health insurance reform in Korea appears to contribute not only to lowering the ratio of out-of-pocket to total dental expenses per episode in the elderly but also to improving the inequality of dental expenses.

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Health-Related Social and Ethical Considerations towards the Utilization of Dental Medical Services by Seniors: Influencing and Protective Factors, Vulnerability, Resilience and Sense of Coherence

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042048 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2048

Author(s):

Ina Nitschke ◽

Sebastian Hahnel ◽

Julia Jockusch

Keyword(s):

Oral Health ◽

Protective Factors ◽

Healthcare System ◽

Sense Of Coherence ◽

Influencing Factor ◽

Patient Specific ◽

Dental Services ◽

Health Related ◽

Utilization Of Dental Services ◽

Resistance Forces

The aim is to analyze protective and modifying factors (e.g., vulnerability, resilience, sense of coherence) in relation to the utilization of dental services by seniors at different levels of the healthcare system. Terminological imprecision in the use and transfer of existing terms (sense of coherence, resilience, salutogenesis) to gerodontology is clarified. Factors influencing a reduced utilization (static/dynamic factors) can occur isolated or in combination and, thus, model the risk of a reduced utilization of dental services (influencing-factor mechanism). Protective factors of utilization include patient-specific factors for self-motivation and factors that promote oral-health-related resilience. Resistance forces that counteract can be identified as oral-health-related resilience factors. Achieving social and individual appreciation and establishing a prevention-oriented approach to utilization will be increasingly challenging, since the population is becoming older and access is not equal in terms of opportunity. Resistance forces need to be strengthened in an ethical context. Studies should increasingly present resilience processes, determinants and modes of action at the various interfaces in the healthcare system, which can ensure sustainable medical care in old age. The concepts conveyed here are generally valid and able to point out inequalities and ageism in access to dental services.

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