The Children's Dental Health Project and the making of pediatric oral health policy

2010 ◽  
Vol 55 (4) ◽  
pp. 172-173
Author(s):  
Burton Edelstein ◽  
Meg Booth
BDJ ◽  
2013 ◽  
Vol 214 (2) ◽  
pp. 71-75 ◽  
Author(s):  
R. G. Watt ◽  
J. G. Steele ◽  
E. T. Treasure ◽  
D. A. White ◽  
N. B. Pitts ◽  
...  

2018 ◽  
Vol 65 (5) ◽  
pp. 1085-1096
Author(s):  
Burton L. Edelstein

2014 ◽  
Vol 20 (3) ◽  
pp. 311 ◽  
Author(s):  
Raymond Lam ◽  
Estie Kruger ◽  
Marc Tennant

Oral diseases are the most prevalent conditions in the community. Their economic burden is high and their impact on quality of life is profound. There is an increasing body of evidence indicating that oral diseases have wider implications beyond the confines of the mouth. The importance of oral health has not been unnoticed by the government. The Commonwealth (Federal) government under the Howard-led Coalition in 2004 had broken tradition by placing dentistry in its universal health insurance scheme, Medicare. Known as the Chronic Disease Dental Scheme (CDDS), the program aimed to manage patients with chronic conditions as part of the Enhanced Primary Care initiative. This scheme was a landmark policy for several reasons. Besides being the first major dental policy under Medicare, the program proved to be the most expensive and controversial. Unfortunately, cost containment and problems with service provision led to its cessation in 2012 by the Gillard Labor Government. Despite being seen as a failure, the CDDS provided a unique opportunity to assess national policy in practice. By analysing the policy-relevant effects of the CDDS, important lessons can be learnt for policy development. This paper discusses these lessons and has formulated a set of principles recommended for effective oral health policy. The JERM model represents the principles of a justified, economical and research-based model of care.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Angelo Giuseppe Roncalli

Abstract Background This study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different stages of implementation of the National Oral Health Policy. Methods The design was based on repeated cross-sectional surveys using secondary data from household-based studies carried out in Brazil in 1998, 2003, 2008, and 2013. The dependent variable was “having access to a dentist appointment at least once in a lifetime (yes/no).” Monthly household per capita income, based on Brazil’s minimum wage, was included as the main independent variable. To measure the inequalities in oral health access related to economic position, the following complex indexes based on regression were used: (a) the slope index of inequality (SII) and (b) the relative index of inequality (RII). Results There was a reduction in the percentage of individuals who never had a dentist appointment for all age groups and income classifications. In general, there was a reduction trend in absolute inequality for all age groups (p < 0.001). The relative inequality and reduction trend were different between the age groups studied. Conclusions The National Oral Health Policy was very important for expanding free of charge, public access to dental appointment. However, despite policy implementation, there continues to be high levels of inequality in access to dental consultation. Assessing which strategies are necessary to overcome this challenge is discussed.


2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole

This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB), known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III) in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i) expansion and qualification of actions; (ii) work conditions; (iii) care; (iv) access; and (v) planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6%) were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.


Author(s):  
Jacqueline M. Burgette ◽  
Marko Vujicic ◽  
Meg Booth ◽  
David Meltzer ◽  
Thomas J. Best ◽  
...  

BMJ Leader ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 85-86
Author(s):  
Valerie Wordley ◽  
Raman Bedi

Dental leadership is essential in addressing the crisis of 21st century dentistry. The Senior Dental Leaders programme was established in 2006 and has since influenced global oral health policy. The programme demonstrates how collaborative leadership and an engaged alumni network can produce successful dental leaders, significantly impacting upon child oral health around the world. There is now a great need for leadership development programmes at every level of dental training.


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