scholarly journals GNATHOLOGICAL CORRECTION OF DENTOFACIAL APPARATUS AS A COMPONENT OF JUDICIAL CONFLICTS AVOIDANCE IN THE PROCESS OF REHABILITATION OF PATIENTS WITH IATROGENIC OCCLUSAL DISORDERS COMBINED WITH MALOCCLUSIONS

2021 ◽  
Vol 21 (3) ◽  
pp. 178-184
Author(s):  
I.A. Shynchukovskyi ◽  
O.G. Tereshchuk ◽  
A.V. Artemchuk ◽  
O.Yu. Golubchenko ◽  
T.A. Fedorenko
Keyword(s):  
Civil Rights ◽  
Dental Treatment ◽  
Dental Health ◽  
Treatment Plan ◽  
Healthcare Services ◽  
Diagnosis And Treatment ◽  
Dental Services ◽  
Incorrect Choice ◽  
Conflict Situations ◽  
Legal Procedures

At present, the issues concerning violations of human and civil rights and freedoms are in the focus of legislation globally. Those issues are also relevant in the field of healthcare. Patient-centred approach, patience, understanding of the situation and knowing the laws often help healthcare professionals to avoid conflicts, lawsuits and legal procedures. Dental services have been found out among the most controversial issues of healthcare services. Every year the number of complaints related to the performance of diagnostic and treatment by dentist is constantly growing. The main causes for such lawsuits usually include wrong or incorrect choice of dental treatment, incomplete informing patients about the state of their dental health, not fully developed treatment plan, incomplete or incorrect diagnostic examination or its complete absence both at the beginning and during dental treatment, incorrect choice of technique and failure to follow the sequence of diagnostic and treatment manipulations, especially in patients with malocclusions. Such circumstances cause difficulties in deciding how and in what sequence to perform diagnostic and treatment manipulations, what specialists should be involved in the treatment and what dental equipment should be used at different stages of diagnosis and treatment. The scrutinized investigation of the issues has provided an opportunity to prevent possible conflict situations with patients at different stages of diagnosis and treatment, as well as will help to resolve existing conflicts between doctor and patient. The correct patient-centred approach to solving each of the problems allows dentists to find the best conditions to prevent conflicts and legal procedures when rendering dental services. Selection of individual solution in order to resolve conflict situations is an important step in achieving harmony between doctor and patient.

Dental Disease Nonbattle Injury Rates of Deployed NATO Militaries in the Middle East Region: A Scoping Review

2020 ◽  
Author(s):  
Matthew Vaughan ◽  
Troy McGowan ◽  
Greg Mahoney
Keyword(s):  
Scoping Review ◽  
Dental Treatment ◽  
Significant Proportion ◽  
Healthcare Services ◽  
Dental Disease ◽  
Operational Effectiveness ◽  
Dental Services ◽  
Injury Rates ◽  
East Region ◽  
Middle East Region

ABSTRACT Introduction The occurrence of dental emergencies, now termed as dental disease nonbattle injuries (D-DNBIs), has long been an impacting factor on militaries’ operational effectiveness. Owing to D-DNBIs contributing to low morale, the removal of personnel from duty, causing logistical hardships, and requiring deployable dental teams to operate in theater, there remains a significant benefit in the reduction in the occurrence of D-DNBIs. No study to date has reviewed D-DNBI rates specific to a modern military, and insight into whether militaries are seeing improvements in their dental preparedness remains to be gained. Materials and Methods A scoping review was conducted in accordance with the guidelines set out by Joanna Briggs Institute. Databases searched included SCOPUS, PubMed, OVID, and DOSS. Six hundred and one articles were initially screened, and six articles were included in the final review. Results A D-DNBI rate of 172 per 1,000 members per year was reported across the coalition, with the U.S., UK, and French militaries reporting on their dental experience. Both the French data and one UK study reported significantly higher D-DNBIs than their U.S. counterparts, who described 124 D-DNBIs per 1,000 members per year. A significant proportion of these D-DNBIs were reported to be “preventable,” which raises questions on the efficacy of garrison healthcare services. Dental disease nonbattle injury rates appear to be largely consistent with what was first reported decades ago, and there remains ongoing and significant value in expeditionary dental services providing supportive healthcare for any deployed military personnel. Conclusion Rates of D-DNBIs appear to be stable with what was historically reported when an international coalition is considered, with national variation. There remains a significant number of D- DNBIs which require dental treatment within the operational theater, and further efficiencies can be gained from predeployment treatment of “preventable” D-DNBIs.

scholarly journals The “business” of dentistry: Consumers’ (patients’) criteria in the selection and evaluation of dental services

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0253517
Author(s):  
Laura Gray ◽  
Lisa McNeill ◽  
Weiming Yi ◽  
Anastasia Zvonereva ◽  
Paul Brunton ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Treatment Options ◽  
Clinical Effectiveness ◽  
Healthcare Services ◽  
Geographic Region ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Services ◽  
Dental Practitioners ◽  
Chi Square Analysis

The dimensions of patient-centred care include not only clinical effectiveness and patient safety, but, importantly, the preferences of patients as consumers of healthcare services. A total of 249 participants were included in the study, with a balanced population proportional representation by age, gender, ethnicity and geographic region of New Zealand. An online questionnaire was used to identify participants’ decision-making process, and what factors and barriers for participants to seek dental treatment. Cross-tabulations, Spearman correlation analysis and Pearson Chi-Square analysis were used for the statistical analyses. Three most common reasons for visit were check-up (77%), clean (57%) and relief of pain 36%). A desire to treat a perceived problem was the most common encouraging factor to seek dental care. Cost was the most common barrier to seeking dental services. The majority of participants attended a private practice (84%), with convenience of location and referral from professionals the most likely to influence their choice. Participants felt the most important trait a dental practitioner could demonstrate was to discuss treatment options with them before any treatment. Dental check-up, teeth cleaning and relief of pain were the most common reasons for patients to choose dental services. Cost and ethnicity of the consumers had a significant impact on how dental services were perceived and sought. Dental practitioners may need to reorientate how they express value of oral health practice, not just in regard to communication with patients, but also with government funding agencies.

scholarly journals The Saudi Infection Control Guidance for Re-opening Dental Services in Governmental and Private Sectors During Coronavirus Disease-2019 Pandemic

2021 ◽  
Vol 15 (1) ◽  
pp. 64-70
Author(s):  
Ali AlAhdal ◽  
Haila Al-Huraishi ◽  
Ahmad Almalag ◽  
Adel Alrusayes ◽  
Saud M Orfali
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Infection Control ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Dental Treatment ◽  
Dental Health ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Dental Services ◽  
And Control

Objective: Novel newly discovered coronavirus, also known as severe acute respiratory syndrome coronavirus-2, is a recently emerging virus that has been rapidly spreading globally since December 2019. Due to the vicinity inoro-dental treatment and aerosol production, people inside the dental office are at high risk of being infected with severe acute respiratory syndrome coronavirus-2. This guideline aims to protect the dental health-care workers during their plans to re-open and increasingly continue their routine services until further notice from their governing body. Methods: A panel of experts in dentistry and infection prevention and control reviewed the local and global research and guidelines related to infection prevention and control during coronavirus disease-2019, along with the re-opening guidance provided by different entities. Results: Such a document might either be adopted or adapted to any regional and international organization that wishes to use a revised professional guideline in infection prevention and control dental services. Conclusion: A careful re-opening plan should be developed and implemented, including strict infection control measures before resuming the dental practice.

Self-Reported Oral Health Status of Adults Resident in Medway, Kent in 2009

2011 ◽  
Vol os18 (4) ◽  
pp. 173-179 ◽  
Author(s):  
Allan Pau ◽  
Christopher D Allen
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Future Development ◽  
Dental Health ◽  
Adult Population ◽  
Healthcare Services ◽  
Health Impact ◽  
Oral Health Status ◽  
Physical Pain ◽  
Dental Services

Aim In order to assess the oral health status, oral behaviours and use of oral healthcare services of the adult population of Medway (Kent) in 2009, NHS Medway commissioned an assessment. Its aims were to understand oral health and impacts, behaviours and the use of dental services in order to inform future development of dental services. Methods A self-reported postal questionnaire survey using relevant questions from the 1998 national Adult Dental Health Survey (ADHS) was performed. A stratified sample was drawn from all those aged 16 years and over, living in Medway and registered with a general medical practice. Stratification was into the three areas within Medway (Chatham, Gillingham and Rainham, and Rochester and Strood). Where appropriate, respondents answered the questions using a five-point Likert scale. The resulting data were analysed by area of domicile, age, gender, and deprivation. Results Eight thousand questionnaires were sent out, of which 3101 (39%) were returned. Because of this low response and the need to weight responses to represent the distribution of the Medway population, this investigation must be considered as a service evaluation rather than a research project. Of respondents, 4% were edentate, 16% had 1–20 teeth, and 80% had 21 or more teeth. Fifty-one per cent of respondents reported at least one oral health impact; most commonly this was physical pain and psychological discomfort; least commonly, social disability and handicap. Sixteen per cent reported that their last dental visit was over 24 months ago and 31% reported that they attended only when in trouble or never (most commonly, because of anxiety and cost). There were marked variations in oral health status and use of dental services between those living in the most and least deprived areas. Conclusions • Medway adults were more likely than the 2009 national ADHS respondents to be dentate but less likely to have 21 or more teeth. • Oral health impacts have been substantial, especially the experience of physical pain. • Proportionately more people than the 2009 national ADHS respondents reported attending a dentist in the previous 24 months. The most common reasons for non-attendance were anxiety and cost. • These findings have implications for the future development of the Medway oral health strategy and for all those working in primary care dentistry.

scholarly journals SOCIOLOGICAL MONITORING OF THE QUALITY OF DENTAL CARE FOR EMPLOYEES IN A CLOSED INDUSTRIAL ENTERPRISE

2019 ◽  
Vol 15 (3) ◽  
pp. 12-18 ◽  
Author(s):  
Вениамин Березин ◽  
Veniamin Berezin ◽  
Алексей Шулаев ◽  
Aleksey Shulaev ◽  
Елена Старцева ◽  
...  
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Dental Health ◽  
Special Economic Zone ◽  
Industrial Enterprise ◽  
Individual Treatment ◽  
Dental Services ◽  
Economic Zone ◽  
The Republic

Subject. The article examines the results of the sociological survey and questionnaire of employees of the special economic zone "Alabuga" of the Republic of Tatarstan, including the analysis of data on the organization, quality and availability of dental care at work. Purpose of the research is to determine the satisfaction level of the industrial enterprise`s employees with the quality of dental care. Material and methods. Such methods as sociological survey, questionnaire, statistical analysis of the data are used in accordance with the aim and objectives of this study. The sampling included 370 questionnaires consisting of 13 general questions characterizing the social status, awareness of the quality of dental care, as well as their need for various types of dental services. Results. According to the results of the the survey, it has been found out that 63.0% of the company`s employees sought dental treatment if necessary, 23.5 and 13.5 % of those interviewed accordingly underwent dental examination 1 or 2 times a year, the need to consult a dentist was revealed in 49.9 % respondents. Unsatisfactory conditions of the fundamental substance of the teeth and the level of hygiene of the oral cavity were reported by 31.6 % and 25.4 % of the respondents correspondingly, the satisfactory conditions were reported by 4.3% and 17.8 % of the employees, 14.6 % of respondents were undecided on the issue of assessing the condition of the teeth and gums. The questionnaire survey showed the absence of information concerning individual treatment plans and prevention methods (28.1 %), 71.6 % of the respondents indicated the presence of knowledge about the guaranteed dental care by the compulsory health insurance, as 28.4 % of the respondents reported the lack of knowledge. The study revealed a large percentage of respondents in need of a consultation by a dentist. Subjective assessments of dental health were characterized by a high proportion of uncertain responses, which may explain the low level of survey`s data of respondents. Summary. The conducted sociological survey allowed to determine the directions of improvement of dental care among the employees of the special economic zone "Alabuga" of the Republic of Tatarstan.

scholarly journals Forecasting assessment of dental care availability for the population of Ukraine in the conditions of healthcare reform (discussion)

2021 ◽  
Vol 105 (1) ◽  
pp. 96-101
Author(s):  
I. Mochalov ◽  
◽  
R. Stupnytsky ◽  
I. Shupyatsky ◽  
I. Molozhanov ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Dental Care ◽  
Dental Treatment ◽  
Dental Health ◽  
Dental Services ◽  
State Budget ◽  
Dental Health Care ◽  
Dental Diseases ◽  
Care Availability

Abstract. In modern conditions dental treatment is one of the most common types of medical care in Ukraine, only 7.00 % of the young population are dentally healthy. During 2015–2019 the general practice of using 3.91 % of the consolidated state budget for health care for dental care was determined, mainly such funds were used for the maintenance of dental health care establishments. Resolution of the Cabinet of Ministers of Ukraine «Some issues of implementation of the program of state guarantees of medical care in 2020» from February 5, 2020 for № 65 provides the calculation of the tariff for dental services in the amount of UAH 9.19 per unit. Preliminary calculations indicate that comparing to 2019 during 2020 the state financial support of dental care will be reduced by 3444.20 million UAH (68.60 %). There are reasonable doubts about the rationality of the design of the Medical Guarantee Program in terms of treatment of dental diseases which carries the risk of further increase in dental morbidity and reduced availability of dental care for population. Key words: dentistry, treatment, financing, reform, accessibility, discussion.

scholarly journals Inequalities in the dental health needs and access to dental services among looked after children in Scotland: a population data linkage study

2017 ◽  
Vol 103 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Alex D McMahon ◽  
Lawrie Elliott ◽  
Lorna MD Macpherson ◽  
Katharine H Sharpe ◽  
Graham Connelly ◽  
...  
Keyword(s):  
Data Linkage ◽  
Dental Treatment ◽  
Dental Health ◽  
Population Data ◽  
Linkage Study ◽  
Health Needs ◽  
Treatment Needs ◽  
Dental Services ◽  
Children And Young People ◽  
Looked After Children

BackgroundThere is limited evidence on the health needs and service access among children and young people who are looked after by the state. The aim of this study was to compare dental treatment needs and access to dental services (as an exemplar of wider health and well-being concerns) among children and young people who are looked after with the general child population.MethodsPopulation data linkage study utilising national datasets of social work referrals for ‘looked after’ placements, the Scottish census of children in local authority schools, and national health service’s dental health and service datasets.Results633 204 children in publicly funded schools in Scotland during the academic year 2011/2012, of whom 10 927 (1.7%) were known to be looked after during that or a previous year (from 2007–2008). The children in the looked after children (LAC) group were more likely to have urgent dental treatment need at 5 years of age: 23%vs10% (n=209/16533), adjusted (for age, sex and area socioeconomic deprivation) OR 2.65 (95% CI 2.30 to 3.05); were less likely to attend a dentist regularly: 51%vs63% (n=5519/388934), 0.55 (0.53 to 0.58) and more likely to have teeth extracted under general anaesthesia: 9%vs5% (n=967/30253), 1.91 (1.78 to 2.04).ConclusionsLAC are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and healthcare for LAC and to develop preventive care pathways on entering and throughout their time in the care system.

A new medical Internet system in healthcare: innovation of Telegeriatrics and healthcare demands of older patients of different age groups (Preprint)

2020 ◽  
Author(s):  
Yu Gong ◽  
Jianyuan Zhou
Keyword(s):  
Cardiovascular Diseases ◽  
General Practitioners ◽  
Older Patients ◽  
Metabolic Diseases ◽  
Treatment Plan ◽  
Age Groups ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
World Health ◽  
New Model

BACKGROUND Healthcare for older patients is a worldwide challenge for public health system. A new medical Internet system in healthcare which is a new model of telegeriatrics system has been established. The key innovation is the new telegeriatrics system was conducted jointly by general practitioners in the Community Health Service Center and specialists in university teaching hospital. Unlike the typical telemedicine that has been practiced in other countries, the new model provides a solution for the key issues in telemedicine where a doctor is unable to conduct a direct physical examination and the associated potential diagnostic error. OBJECTIVE This study is to introduce the operation mechanism of the new Telegeriatrics system and analyze healthcare demands of older patients in different age groups applying the new Telegeriatrics system. METHODS 472 older patients (aged≥60) were enrolled and divided into the young older group (aged 60 to 74), the old older group (aged 75 to 89) and the very old group (aged≥90) according to the age stratification of World Health Organization. Proportion of the top 10 diseases of older patients of different age groups was analyzed. RESULTS The process of older patients’ diagnosis and treatment made by specialist and general practitioners formed a closed loop. It ensures the timeliness and effectiveness of diagnosis and treatment of older patients. The treatment effect can be observed by general practitioners and specialist can adjust the treatment plan in time. In this study, it was found that older patients in different age groups have different healthcare demands. Coronary heart disease and type 2 diabetes mellitus were found to be the main diseases of the older patients and the young older patients as well as the old older patients applying Telegeriatrics. CONCLUSIONS The new telegeriatrics system can provide convenient and efficient healthcare services for older patients and overcome the disadvantage of currently used models of telegeriatrics. Older patients in different age groups have different medical care demands. Cardiovascular diseases and metabolic diseases have become the main diseases of the elderly applying the new Telegeriatrics system. Healthcare policy makers should invest more medical resources to the prevention of cardiovascular diseases and metabolic diseases in the elderly.

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

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.

scholarly journals A qualitative study on the experiences of southern European immigrant parents navigating the Norwegian healthcare system

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Raquel Herrero-Arias ◽  
Esperanza Diaz
Keyword(s):  
Healthcare System ◽  
Health Beliefs ◽  
Diagnostic Tests ◽  
Home Country ◽  
Healthcare Services ◽  
Diagnosis And Treatment ◽  
Immigrant Parents ◽  
Health Providers ◽  
Treatment Practices ◽  
Cultural Health Beliefs

Abstract Background Patients’ experiences with health providers and their diagnostic and treatment expectations are shaped by cultural health beliefs and previous experiences with healthcare services in home country. This study explores how Southern European immigrant parents navigate the Norwegian healthcare system, through its focus on how this group manage their expectations on diagnosis and treatment practices when these are unmet. Methods The study had a qualitative research design. Fourteen in-depth interviews and two focus group discussions with 20 Southern European immigrant parents were conducted in 2017 in three Norwegian municipalities. With the help of NVivo software, data were transcribed verbatim and coded. Following a thematic analysis approach to identify patterns in immigrants’ experiences with the Norwegian healthcare services, the codes were organized into two themes. Results The first theme includes immigrants’ expectations on diagnostic tests and medical treatment. Southern European immigrants expected more diagnostic tests and pharmacological treatment than what was deemed necessary by Norwegian health providers. Experiences with unmet expectations influenced how immigrants addressed their and their children’s healthcare needs. The second theme comprises immigrants’ experiences of seeking healthcare in Norway (attending medical consultations in the private sector, seeking immigrant healthcare providers, and navigating the healthcare through their Norwegian social networks). This category includes also the alternative solutions immigrants undertook when they were dissatisfied with the diagnosis and treatment practices they were offered in Norway (self-medication and seeking healthcare in home countries). Conclusions Cultural health beliefs and previous experiences with healthcare services from home country shaped immigrants’ expectations on diagnosis and treatment practices. This had great implications for their navigation through the healthcare system and interactions with health providers in the host country. The study suggests that successful inclusion of immigrants into the Norwegian healthcare system requires an acknowledgement of the cultural factors that influence access and use of healthcare services. Exploring immigrants’ perspectives and experiences offers important information to understand the challenges of cross-cultural healthcare and to improve communication and equitable access.

Sign in / Sign up

Export Citation Format

Share Document