1. Local PH Flashcards
CLINICAL CARE \_\_\_\_ Sets Goals Focus on \_\_\_\_ Maximize Care Mainstream Patients \_\_\_\_ Practice For Profit
POPULATION HEALTH \_\_\_\_ Determined Goals Target Public at Large Maximize \_\_\_\_ Care Safety Net for Vulnerable \_\_\_\_ Team Practice Salaried
• Public health ○ Social perspective • Greatest care for greatest amount of people • Population health is a very different perspective
dentist
individual
independent
socially
baseline
collaborative
3 Phases Of Public Health
• \_\_\_\_ ○ Make sure things get done ○ Workforce ○ Enforce laws • \_\_\_\_ ○ Always looking to monitor health § Caries rates § CDC, monitoring outbreaks ○ Identify the problems • \_\_\_\_ ○ Mobilize community partnerships
• Maximize health from individual and \_\_\_\_ area
assurance
assessment
policy development
population
Social determinants of health
- agriculture and food production
- ____
- work enviornment
- ____
- unemployment
- ____
- health care services
- houses
Spans ____, Suburban, Rural, Local and Global
Addresses All ____, Genders & Socio-Economic Factors
• Socio-economic, cultural and environment conditions that are just as important as \_\_\_\_ components
agriculture and food production
living and working conditions
water and sanitation
urban
races
biologic
A profession in transition
• Where dentistry is going is an important \_\_\_\_
health policy issue
Dental expenditures
• In 2016 - $384 • Now starting to see \_\_\_\_ off ○ Nice growth until 2007-08 ○ In 2007-08: recession - affected the way we provided care • Now back to an \_\_\_\_ trend - economy is now improving ○ Recovering enough to provide and get dental care
leveling
upward
Dental expenditures
• Purple is private insurance ○ Is financed by \_\_\_\_ insurance a lot more than medical § Has now been decreasing over time; \_\_\_\_% is now • A lot of \_\_\_\_ as well for dentistry ○ 40 vs 11% ○ That's why it's \_\_\_\_ for a lot of patients • Orange - CMS ○ Only 12% vs 38% for medical ○ Medicaid and medicare § Medicaid is for low-income § Medicare is for older individuals ○ Mostly \_\_\_\_, very little \_\_\_\_ goes to older people for dentistry • Advocating for more medicare in dentistry, and more medicaid - a lot of low-income and elderly are paying out of pocket bc they're not getting anything from their employer
private 46 OOP medicaid medicare
• Two ways to look at who visits dentist:
○ ____ expenditures
§ Money that’s spent at the dentist
§ ____ visit dentists the most
□ Dental care for children is a requirement in the ____; medicaid is very generous for the children
□ Employer health plan has to include dental if it’s including the ____ based on the ACA
□ Every bill to reform the ACA cut out dentistry for children
§ Medicaid - dental insurance is ____
□ ____ have the lowest
□ ____ (medicare doesn’t include dentistry) is increasing
money
children
ACA
children
optional
adults
older adults
• Children with private insurance visited dentist more than those with ____ and more than those that are ____
• Why would only 41% of children on medicaid visit the dentist?
○ ____ to care - inability to transport; some dentists don’t even take medicaid; no pediatric dentists in the area
public
uninsured
barriers
- Adults (19-64)
* Only ____% with public insurance vist the dentist
22
- Very little public insurance for the older
* A lot of adults maintain dental insurance through ____ based, or under medicare you can buy ____ programs
employer
supplemental
Dental Workforce Issues Geographic \_\_\_\_ of Dentists Acceptance of \_\_\_\_ Trained Dentists Trends to Expand Care by \_\_\_\_ International Dental Therapy Model United States Versions: Alaska, Minnesota, Maine \_\_\_\_ Dental Hygiene \_\_\_\_ dental auxilliary (EFDA)
• Bad distribution of dentists in PA
distribution foreign non-physicians public health expanded function
- Cost as a barrier to receiving care
* A lot of non-finacnial barriers, not really ____!
cost
• Increase in use of the ER
○ Primarily ____ (21-34 y/o)
§ Doesn’t have insurance, while the older pop does
○ Will rarely get ____ (will get pain relief and antibiotics)
younger
dental care
• Another way of looking at who goes to the dentist
• When was your ____ dental visit?
○ 57% of men who are bt 18-64 said they visited dentist
○ 66% of women (18-64)
§ Generally, how many people visit the dentist? ____%; but the medical ____ do not match that
□ ____ plays a part
• Racial and ethnic disparities
○ Not seen as much for ____
○ Black: 55.9 (as opposed for 62.9 for white)
○ Older (black over 65): 42% (as opposed for 62.5 for white)
last 66 expenditures self-importance children
Improving Access to Care for Vulnerable and Underserved Populations, 2011
Topics include • \_\_\_\_ in Access to Dental Care • Expanding\_\_\_\_Workforce • Expanding Oral Health Care \_\_\_\_ • \_\_\_\_ Dental Care • Cultural \_\_\_\_ and Ethics
disparities dental settings financing competency
