access to dental care ppt

7/27/2019 Access to Dental Care Ppt

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Access to

Dental Care


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What do we

mean by the termaccess to dental

care?


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The Inverse Care law

1. Who does it effect most?

2. How does it effect them?

3. What can be done to over come it?

4. Who is responsible for providing adequate

dental services?


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Access to

Dental Care


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Is there an

inverse care

dental carelaw?


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People most in need of healthcare do not gain the

most access.

Those with the least need of healthcare use the

health services more and more effectively than do

those with the greatest need. (Jones et. Al)

Definition

Is there an inverse care dental care law?


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1. The availability of dental in Newcastle-upon-Tyne was clearly

greater in more affluent areas and poorer in officially

designated priority areas. (Jones et. al)2. I have not seen a dentist for more than two years. I cant

afford it. Ive not been able to find an NHS dentist in my

area. (Response to Which? Research)

3. 16 and 35% of the public are experiencing difficulties inobtaining an NHS dentist. (McGrath et. al)



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1.29% of higher class werehaving difficulty in finding an

NHS dentist when only 20% ofthe lower class were.

(McGrath)

2.59% of people found no

difficulty in finding an NHS

dentist (McGrath)



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YES

Under pre-2006 arrangements, dentists were paid

per treatment, whereas in the new contract, for

example, one restoration is the same as seven.

Sense of goodwill is lost

Forces practices to become private in wealthier

areas so treatments are not paid out of the dentistspocket.

Therefore availability in poorer areas has declined

and inverse care law kicks in.



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What group of people in

society are most affectedby the inverse care

law and what affect doesthis half on their oral

health?


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What group of people in society are most affected

by the inverse care

law and what affect does this half on their oralhealth?

Children are the group people affected by this law (1).

Also, adults in lower socialclasses such as those in manual labour are affected by

this law aswell (2).

Effect on oral health:

An increase in dental decay which remains untreatedand can even pass into the

dentin (3).

An increase in the number of fillings that are being

carried out in primary teeth (3)


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Figure 1 (3)

What group of people in society are most affected by the

inverse care

law and what affect does this half on their oral health?


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A rise in number of children with gum inflammation (4).Tooth surface loss on the surfaces of primary incisors and permanent

molars (5)

Central incisors effected by opacities (5)


inverse care



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f ff


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inverse care


Wh t f l i i t t ff t d b th


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Jones CM, Capitation registration and social deprivation in England. An inverse dental

care law? , British Dental Journal, 24th February 2001, 190, 205-206

Julian Tudor Hart, The Inverse Care Law, online, Saturday 27th February 1991, (cited

21st October 2011), Available from http://www.sochealth.co.uk/history/inversecare.htm

Rachel Harker, John Morris, Children Dental Health in England 2003, March 2005 (cited

21st October 2011), available from

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4107311.pdf

Deborah White, Deborah Lader, Periodontal condition Hygiene behaviour and attitudes

to oral health, online, October 2004 (cited 21st October 2011), available from

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/di

gitalasset/dh_4092550.pdf

Barbara Chadwick, Liz Pendry, Children dental health in the United Kingdom 2003,October 2004 , (cited 21st October 2011),

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/di

gitalasset/dh_4092549.pdf

http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince19

90/Surveysonhealthissues/index.htm -finish off using this website


inverse care

http://www.sochealth.co.uk/history/inversecare.htmhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ListOfSurveySince1990/Surveysonhealthissues/index.htmhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092549.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4092550.pdfhttp://www.sochealth.co.uk/history/inversecare.htm


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Suggest what canbe done to

overcome the

inverse care law?


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What steps could you take as a dental care

professional to set the tone for a trusting

relationship with your patients?

-Majority of populationscared of dentist

very important to have a trusting

relationship with patientsPatient less nervous +

Dentist less nervous =

Suggest what can be done to overcome the inverse care law?


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Friendly receptionist

Receptionist is the first person

patient meets when walks into

surgery.Smiles, speaks clearly, willing to

help, gives concise instructions

i.e. if patient needs to fill in NHS

form.

Should be trained regularly

Whilst in the waiting room



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Ensure good time

management- if

dentist is running

late it is polite to

inform the patient of

this.




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Layout of waiting room

calm colour scheme and designi.e. flowers in a vase (see picture)

Forms of entertainmentvariety of

magazines for adults, appropriate toys for

children i.e. a wendy house or television

with cartoons-must abide regulations-nosoft toys allowed comfortable chairs.




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Whist in the Surgery

Atmosphere

Play appropriate music, but nottoo loud so they cant hear you

Setting of room: not messy, not too

cluttered

Good colour scheme, i.e. blue paint

not red paint

Room doesnt smell i.e. spray air

freshener.



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Dentist Essential Skills

Good communication: talk to patient make

conversation i.e. weather, more effective-lead

on from previous conversation-i.e. so how was

your holiday to Turkey. Also explain

procedure, let patient know what you are

doing, ask the patient, make them feel likethey have authority and they are in control.

SMILEAlso ability to adjust to patient, if child: the magic

chair is just going to go down. Ensure it is a good

experience, stickers for children.



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Care should be distributed in relation to

the areas that need it most.

Improve awareness of dental health in

more deprived areas in particular.

NSFs have been set up to improve

specific areas of healthcare.

Encourage dentists into deprived areas.


access to dental care ppt

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