scholarly journals Do Medicaid benefit expansions have teeth? The effect of Medicaid adult dental coverage on the use of dental services and oral health

2015 ◽  
Vol 44 ◽  
pp. 212-225 ◽  
Author(s):  
Sandra L. Decker ◽  
Brandy J. Lipton
Keyword(s):  
Oral Health ◽  
Dental Services ◽  
Dental Coverage

scholarly journals 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

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.

scholarly journals Is the negative evaluation of dental services among the Brazilian elderly population associated with the type of service?

2014 ◽  
Vol 17 (1) ◽  
pp. 71-90 ◽  
Author(s):  
Andréa Maria Eleutério de Barros Lima Martins ◽  
Lorena Amaral Jardim ◽  
João Gabriel Silva Souza ◽  
Carlos Alberto Quintão Rodrigues ◽  
Raquel Conceição Ferreira ◽  
...  
Keyword(s):  
Oral Health ◽  
The Elderly ◽  
Epidemiological Survey ◽  
Negative Evaluation ◽  
Dental Services ◽  
Frequency Of Use ◽  
Perceived Pain ◽  
Main Independent Variable ◽  
Independent Variable

This study aimed at identifying the prevalence of the negative evaluation of dental services among elderly Brazilians and at investigating whether the prevalence was higher among those using public or philanthropic provider services than among those paying privately or using private health plans. Additionally, factors associated with this negative assessment were identified. Interview and survey data were collected in the residences of participants by trained and calibrated examiners as part of a national epidemiological survey of oral health conditions of the Brazilian population in 2002/2003. The dependent variable was obtained in response to questions regarding whether the participant had ever used dental services, the frequency of use, and the quality of this service. Potential responses to the questions regarding the quality of service were very poor or poor, fair, and good or very good. The main independent variable was the system of health care used with potential responses being health plan or private, public, and philanthropic services. We conducted univariate (linear tendency χ2test) and multiple descriptive analyses, and the partial proportional Odds model for ordinal logistic regression. Among the elderly, 196 (3.7%) evaluated the provided services negatively (very poor or poor). Participants with the following responses were more likely to evaluate the services negatively: those who had used public or philanthropic services, men, those with higher education, the ones who had not received information about preventing dental problems, those who perceived pain in their teeth and gums in the last six months, and those who self-reported their oral health and speech was poor. In conclusion, elderly Brazilian users of public and philanthropic services were more likely than users of private or insurance-based plans to evaluate their dental services negatively, regardless of the other investigated variables.

scholarly journals AVALIAÇÃO DA AUTO-CONCEPÇÃO DE SAÚDE BUCAL DE UM MUNICÍPIO CLASSIFICADO COMO DE EXTREMA POBREZA NO ESTADO DO CEARÁ

2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Vandré Taumaturgo Mesquita ◽  
Patricia Alexandra Martinez ◽  
Evamiris Landim Vasques ◽  
Viviane Gonçalves Figueiredo
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Community Health ◽  
Health Workers ◽  
Health Policies ◽  
Positive Outcomes ◽  
Real Situation ◽  
Dental Services ◽  
Poor Access ◽  
Accurate Perception

The oral health of a population was assessed by questionnaires applied in order to gain knowledge about the real situation of SUS when it comes to dental services. We conducted 400 interviews in Reriutaba-CE on the oral health of these individuals. The research used the community health workers as the group responsible for delivering the forms. The questionaries were distributed throughout the county in regard to the sample. It has been found that in spite of this population sample’s poor access to dental services, they have a fairly accurate perception regarding self oral health, indicating that new health policies may experience positive outcomes regarding oral health care.

scholarly journals Improving Dental Access and Oral Health of Older Adults Living in Residential Care: A Qualitative Research

2021 ◽  
Vol 10 (02) ◽  
pp. 84-90
Author(s):  
Samantha Glover ◽  
Russell Kabir
Keyword(s):  
Oral Health ◽  
Residential Care ◽  
Care Home ◽  
Oral Care ◽  
Local Area ◽  
Communication Training ◽  
Structured Interviews ◽  
Dental Services ◽  
Care Home Staff ◽  
Residential Care Home

Abstract Objectives To explore the access to daily oral care and access to dentistry for those living in a residential care home. Materials and Methods For this research, a residential care home and a dental practice within the local area to the care home was approached. A total of 45 participants were interviewed. Statistical Analysis Semi-structured interviews with three separate cohorts were performed, the patients or their friends and families, care home staff, and the dental teams. The data were analyzed using thematic analysis. Results The three cohorts of patients had similar concerns in accessing the dentists including transport, communication, training, and the need for raised awareness of the importance of oral health. The access to daily oral care was impacted upon by apathy and lack of education or training. Conclusion Better training is required for care home staff and older people living in care on the importance of oral health. The provision of dental services for this community could be delivered differently with a focus on preventing and maintaining independence as long as possible.

scholarly journals A fogászati ellátás finanszírozása Németországban, az Egyesült Királyságban, Magyarországon és Lengyelországban

2016 ◽  
Vol 157 (14) ◽  
pp. 547-553
Author(s):  
Gyula Marada ◽  
Ákos Nagy ◽  
Andor Sebestyén ◽  
Dóra Endrei ◽  
Márta Radnai ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Surgery ◽  
Health Indicators ◽  
The Other ◽  
European Countries ◽  
Dental Services ◽  
East European ◽  
Insurance Funds ◽  
Health Insurance Funds ◽  
Oral Health Indicators

Introduction: Dental treatments have the highest rate among medical interventions and their reimbursement is also significant. Aim: The aim of the study was to compare the outcome of the reformed healthcare system process on public dental services in four European countries. Method: Assessment base for the comparison of reimbursement of dental treatments and dental fee schedules provided by the health insurance funds were used. The following indicators were examined: the ratio of public dental services and the main oral health indicators. Among dental fee schedules, reimbursement of general dental activity, prevention, operative dentistry, endodontic and oral surgery were selected. Results: The lowest value of population to active dentist ratio was found in Germany (population to active dentist ratio: 1247) and the highest in Hungary (population to active dentist ratio: 2020). Oral health indicators showed significant differences between the West-European and East-European countries. On the other hand, the ratio of completely edentulous people at the age of 65yrs did not show great variations. Reimbursement of public dental treatments indicated significantly higher value in Germany and the United Kingdom compared to the other countries. Conclusions: Reimbursement of public dental services varies considerably in the selected European countries. Orv. Hetil., 2016, 157(14), 547–553.

scholarly journals DOMICILIARY SERVICES IMPROVE ACCESS TO DENTAL CARE FOR FUNCTIONALLY DEPENDENT OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S492-S492
Author(s):  
Mathew A Lim ◽  
Gelsomina L Borromeo
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Oral Health ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Needs ◽  
Dental Services ◽  
Unique Challenge ◽  
Care Facilities ◽  
Aged Care Facilities

Abstract There is growing evidence demonstrating links between oral diseases and general health. The increased retention of teeth among functionally-dependent older adults presents a unique challenge in maintaining the oral health of these individuals from basic oral hygiene to accessing dental services. The results of our cross-sectional study demonstrate the important role domiciliary dental services play in reducing the barriers to accessing oral health care in this cohort. In our study, most individuals treated by domiciliary services lived in residential aged care facilities and were significantly older than those treated by hospital and community-based dental services dedicated to the specialized care of individuals with additional health care needs. A significantly higher number of those receiving domiciliary care were unable to self-consent for treatment compared to those managed in other settings. 27.4% of these patients had a diagnosis of dementia. More than half (56.9%) of patients treated by domiciliary services received some form of treatment with almost half (48.1%) of these requiring a dental extraction. Only two of these patients were not diagnosed with a chronic condition known to affect oral health (dementia, Parkinson’s disease, diabetes mellitus, arthritis, stroke, osteoporosis). 23.7% of domiciliary appointments were used for denture fabrication. The results depict the worrying level of unmet treatment need in residents of aged care facilities. However, they also demonstrate the potential for domiciliary dental services to play a role in developing partnerships between carers and oral health professionals to improve the oral health of functionally-dependent older adults.

scholarly journals Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

2020 ◽  
Vol 2020 ◽  
pp. 1-17
Author(s):  
Saulo V. da Rosa ◽  
Samuel J. Moysés ◽  
Laís C. Theis ◽  
Renata C. Soares ◽  
Simone T. Moysés ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Latin American ◽  
Assessment Tool ◽  
Dental Treatment ◽  
People With Disabilities ◽  
Legal Framework ◽  
Dental Services ◽  
Persons With Disabilities ◽  
Structural Problems

Background. People with disabilities tend to have greater oral health problems compared to those without disabilities. This may be due to barriers they come across in accessing dental services. Objectives. The objective of this systematic review was to provide a critical digest of the scientific literature concerning barriers and facilitators of access to oral health services for people with disabilities. Methods. The electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), and Brazilian Library of Dentistry (BBO) were searched using keywords relevant to the subject. The search was not restricted to specific languages or years of publication; all relevant studies were translated and reviewed. Results. Sixteen studies including 14 articles, a doctoral thesis, and a monograph were selected, and their quality was analysed using the Downs and Black assessment tool. Barriers to dental services were divided into physical or nonphysical based on the dentist’s perspective, as per the perception of parents/guardians or by the persons with disabilities. The barriers that emerged included the dentist’s lack of preparation to assist people with disabilities, structural problems of access to dental offices, communication difficulties, and lack of awareness regarding the need for dental treatment for the disabled person. Conclusion. It is concluded that people with disabilities continue to run into complex physical, behavioural, or multidimensional barriers in accessing dental services. Improved training of dentists for the care of this population is hereby emphasized. The legal framework enabling access to dental care for people with disabilities must also be respected in each country.

Oral Health and Use of Dental Services Among Hispanics

2002 ◽  
Vol 62 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Denice C. L. Stewart ◽  
Alexander N. Ortega ◽  
David Dausey ◽  
Robert Rosenheck
Keyword(s):  
Oral Health ◽  
Dental Services

scholarly journals Spatial distribuition of tooth loss in a population of adults

2017 ◽  
Vol 65 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Emílio Prado FONSECA ◽  
Marília Jesus BATISTA ◽  
Maria da Luz Rosário de SOUSA
Keyword(s):  
Oral Health ◽  
Social Exclusion ◽  
Tooth Loss ◽  
Epidemiological Data ◽  
Epidemiological Survey ◽  
Oral Health Status ◽  
World Health ◽  
Dental Services ◽  
Cross Sectional ◽  
The Social

ABSTRACT Introduction: Although there has been an improvement in the oral health status of the population, tooth loss still aggravates the oral health of adults and is a matter of great relevance to dentistry. Aim: To determine the spatial distribution of tooth loss in adults and correlate this with the Social Exclusion Index and proximity to public dental services. Material and Method: This ecological study was based on epidemiological data of adults from Piracicaba municipality and from the Piracicaba Research and Planning Institute (IPPLAP). Data on dental evaluations were extracted from the Piracicaba epidemiological survey, which was a cross-sectional study with probabilistic sampling of 248 adults aged 20-64 years, representative of adults living in Piracicaba, Brazil. Oral examinations of the DMFT index were in accordance with the World Health Organization codes and criteria and were performed by a single examiner calibrated for this purpose. Data on social exclusion and the municipal health units that have dental services were extracted from IPPLAP. Georeferencing was performed of census tracts selected by draw, and the city health facilities that have dental services. For Spearman correlation analysis (p <0.05), we used the mean value of teeth lost per district, the Social Exclusion Index (IEX), and proximity to public dental service categorized according to radius: <500m, between 500-1000m, and >1000m the census tract. Result: There was a correlation between tooth loss and higher IEX, and r=−0.51 (p=0.01), but no correlation with proximity to public dental services (p=0.42). Conclusion: Tooth loss in adults was distributed according to social exclusion, however, it was unrelated to proximity to the public dental services.

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