JERM model of care: an in-principle model for dental health policy

2014 ◽  
Vol 20 (3) ◽  
pp. 311 ◽  
Author(s):  
Raymond Lam ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Policy Development ◽  
Dental Health ◽  
National Policy ◽  
Oral Diseases ◽  
Model Of Care ◽  
The Government ◽  
Oral Health Policy

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.

scholarly journals A Review of the South African National Oral Health Policy

2021 ◽  
Vol 76 (09) ◽  
pp. 551-557
Author(s):  
Ntsakisi A Mukhari-Baloyi ◽  
Ahmed Bhayat ◽  
Thomas K Madiba ◽  
Ntombizodwa R Nkambule
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
South African ◽  
Service Providers ◽  
Recent Survey ◽  
Oral Diseases ◽  
The South ◽  
Oral Health Promotion ◽  
Epidemiological Surveys ◽  
Oral Health Policy

Advocacy for oral health promotion, prevention and treatment of oral diseases is founded on a comprehensive oral health policy that is integrated into the South African National Health Policy. The policy is intended to be a roadmap in the pursuit of achieving optimum oral health for the South African population. To review the National Oral Health Policy of SA (NOHPSA) in terms of context, strengths, weaknesses, implementation and monitoring regarding the oral health status of the SouthAfrican population.Results Promotive and preventive services lack detail on activities to achieve goals. The objectives, although very well defined, cannot be measured and there is no way of knowing whether they have been achieved. It was evident that the policy needs to be reviewed and updated in accordance to recent survey data, population growth and the profile (number and types) of health service providers. The prospect of updating the policy relies on the availability of current epidemiological surveys, which are not available, the most recent survey was conducted in 2002. The policy lacks a monitoring and evaluation plan. This is critical not only for the assessment of actualisation of aims and objectives, but for the sustainability of intended interventions.

scholarly journals Monitoring the quality of oral health among the population of schoolchildren

2017 ◽  
Vol 70 (5-6) ◽  
pp. 162-165
Author(s):  
Sladjana Vasiljevic ◽  
Aleksandra Cvetkovic
Keyword(s):  
Oral Health ◽  
Topical Application ◽  
Care Service ◽  
Dental Health ◽  
Health Care Service ◽  
Age Groups ◽  
Quality Parameters ◽  
Oral Diseases ◽  
Dental Appointments

Introduction. Improvement of the quality of dental care is necessary for efficient prevention of oral diseases. The aim of this study was to analyze: the efficiency of the recommended work quality parameters in the Dental Health Care Service of the Health Center Zemun in 2014 and 2015; compare 7- and 12-year-olds in terms of having all healthy teeth and topical application of fluoride; presence of orthodontic anomalies in 12- and 14-year-olds, and assess the caries index (decayed-missing-filled teeth) in 12-year-old children. Material and Methods. The retrospective study included 7-, 12-, 14-, and 18-year-olds and assessed their oral health in 2014 (n = 4.317) and 2015 (n = 6.575). Results. A higher percentage of examinees kept their dental appointments in 2015 than in 2014 (82% and 60%, respectively). Out of 3.723 seven-year-olds, 36.6% had all healthy teeth, as well as 43.69% out of 3.170 of 12-year-olds. Out of 3.723 seven-year-olds, 65.26% had topical application of fluoride, as well as 78.73% out of 3.170 of twelve-year-olds. High percentages of orthodontic anomalies were found in both fourteen and eighteen-year-olds in 2015 (p<0.05). The average decayed-missing-filled teeth index in twelve-year-olds was 1.30 in 2014 and 1.68 in 2015. Conclusion. A higher percentage of all healthy teeth, and of topical application of fluoride in twelve-year-olds compared to the seven-year-olds, indicates that seven-year-olds keep their dental appointments more regularly, and consequently the prevention of oral diseases is more successful. Since the presence of orthodontic anomalies is high in both fourteen and eighteen-year-olds, and fewer children of both age groups respond to regular dental checkups, an intensified prevention of oral diseases is necessary in children.

scholarly journals Adult Dental Health Survey 2009: implications of findings for clinical practice and oral health policy

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 ◽  
...  
Keyword(s):  
Health Policy ◽  
Clinical Practice ◽  
Oral Health ◽  
Health Survey ◽  
Dental Health ◽  
Dental Health Survey ◽  
Oral Health Policy

scholarly journals Decoding India’s national oral health program-an appraisal of the barriers to quality dental care

2020 ◽  
Vol 8 (1) ◽  
pp. 458
Author(s):  
Renu Rawat ◽  
Gunjan S. Aswal ◽  
Dhara Dwivedi ◽  
Vishwanath Gurumurthy ◽  
Soumya Vishwanath
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Program ◽  
Scientific Evidence ◽  
Health Programs ◽  
Direct Result ◽  
Health Burden ◽  
The Government ◽  
Oral Health Policy

Oral health is a poorly assessed and treated aspect of the health among Indians. The government continues to poorly fund oral health programs even though evidence of mounting incidence of poor oral health among Indians lingers on. Regardless of the profoundly anticipated national oral health program, oral health burden stays gazing at the nation.  It could be a direct result of a fragmented policy with varying priorities regarding the possible solutions to oral health problems. Its implementation faces numerous hindrances which should be defeated for successful utilization. Thus, it is fundamental for the government of India, the policymakers, the stakeholders, and dental bodies to conquer every single barrier and define a compelling national oral health policy backed by current scientific evidence. It would guarantee oral health care to all particularly the populace from the oppressed section of the society. This paper is an endeavour to unite all the components identified with the national oral health program. Additionally, give suggestions for its viable usage.

scholarly journals Does the implementation of a national oral health policy reduce inequalities in oral health services utilization? The Brazilian experience

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Angelo Giuseppe Roncalli
Keyword(s):  
Health Policy ◽  
Oral Health ◽  
Health Services ◽  
Health Services Utilization ◽  
Age Groups ◽  
Public Access ◽  
Services Utilization ◽  
Index Of Inequality ◽  
Oral Health Services ◽  
Oral Health Policy

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.

scholarly journals Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Care Professionals ◽  
Health Department ◽  
Work Conditions ◽  
Oral Health Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Oral Health Policy

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.

scholarly journals Impact of dental caries on quality of life of adolescents according to access to oral health services: a cross sectional study

2016 ◽  
Vol 15 (1) ◽  
pp. 1 ◽  
Author(s):  
Angela Xavier ◽  
Érica Silva de Carvalho ◽  
Roosevelt da Silva Bastos ◽  
Magali de Lourdes Caldana ◽  
Patrícia Ribeiro Mattar Damiance ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Public Schools ◽  
Oral Health ◽  
Dental Caries ◽  
Health Services ◽  
Dental Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Oral Health Services

Aim: This study presents the prevalence of dental caries and its relation to the quality of life of adolescents according to the access to dental health services. Methods: Two hundred and fifty-six adolescents between 15 and 19 years of age participated in the study; they were all enrolled in public schools in a countryside municipality of the São Paulo State. Data related to dental caries were evaluated by the DMFT Index, and OHIP-14 was used for evaluating the quality of life. Mann Whitney and Spearmann correlation tests were also used (p<0.05). Results: A DMFT of 3.09 (±3.30) was found with a higher prevalence among the adolescents who used public dental services (3.43±3.34) compared with those who used private services (2.94±3.28). A statistically significant relationship between the decay component of DMFT with physical pain (0.020), physical disability (0.002) and quality of life (0.017) was verified. Conclusions: A low prevalence of dental caries was observed, and it was higher in adolescents who used public oral health services rather than private ones, evidencing the low influence of oral health on the quality of life of the participants.

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