CH3 Dental Care Delivery in the US Flashcards
- Despite major improvements in oral health for the population as a whole, oral health disparities exist for many racial and ethnic groups, by socioeconomic status, gender, age and geographic location.
- Some social factors that can contribute to these differences are lifestyle behaviors such as tobacco use, frequency of alcohol use, and poor dietary choices. Just like they affect general health, these behaviors can affect oral health. The economic factors that often relate to poor oral health include access to health services and an individual’s ability to get and keep dental insurance.
- Federal government makes the laws
- Denturists make dentures
- Trends are suspecting more public funding
- HHS
*
- Regulates cosmetics, biological products, medical devices
*
*
- WIC
- Department of treasury
*
- Underserved populuation can be rural or nonrural
- Goal is to increase access to care
- Dentists: more dentists retiring than graduating
Most dental care in the United States comes from ___ and ___ dental practices.
private and corporate
Which branch of government decides what we can and cannot do as dental hygienists?
the executive branch
Which federal department works closely with state and local governments. It is the largest grant-making agency in the federal government?
the Department of Health and Human Services (HHS)
___ refers the the way dental care is provided to the public.
Dental care delivery
____ dental disease is more prevalent in individuals from lower-income households and ethnic minorities.
Untreated
The ___ is the government’s principal agency for protecting the health of all Americans and providing essential human services.
It is the largest grant-making agency in the federal government.
Health and Human Services (HHS)
The secretary of the HHS is appointed by the ____
President of the U.S.
The _________ works to improve and advance the health of all Americans. It is directed by the _______.
United States Public Health Service (PHS);
U.S. Surgeon General
The ____, headquartered in Bethesda, Maryland, is the governments medical research organization.
National Insitiute of Health (NIH)
The National Insitute of ________ is a professional category of the NIH.
National Institutes of Dental and Craniofacial Research (NIDCR)
The ____ ensures the safety of foods and cosmetics as well as the safety and efficacy of pharmaceuticals, biological products medical devices, and dental materials/equipment.
Food and Drug Administration (FDA)
The ____ provides a system of health surveillance to prevent the outbreak of diseases and moitor any that do occur. It also maintains national health statistics.
Centers for Disease Control and Prevention (CDC)
The mission of the CDC Division of Oral Health, is to ___ and ___ oral diseases & conditions, by building the knowledge, tools, an networks that promote healthy behaviors and effective public health practices and programs.
prevent and control
The oral helath division of the CDC focus’ on _____, ensuring community water ____, and giving IC protocol.
prevention; flouridation
The ___ provides dental care for Native Americans.
Indian Health Service (IHS)
The _______ provides health resources for medically underserved populations and works to build the health care workforce.
(National Health Service Corps, Ryan White CARE Act, organ transplants, infant and children health)
Health Resources and Services Administration (HRSA)
The ______ supports research on health care systems, quality and cost issues, access to health care, and effectiveness of medical treatments.
Agency for Healthcare Research and Quality (AHRQ)
The ____ is the principle agency responsible for enhancing and supporting the older populations independence.
Administration on Aging (AoA)
The _____ is responsible for federal programs that promote economic and social well-bieng of families and communities. This agency is responsible for Early Start and Head Start Programs.
Administration of Children and Families (ACF)
The _______ is the federal agency responsible for administering the Medicare and Medicaid programs. Medicare funds cover _____.
Medicaid, on the other hand, is a publicly-funded insurance program for low-income and populations with disabilities, includes dental for ____ and adults in some states
Centers for Medicare and Medicaid; senior citizens; children
The ___ is responsible for the Federal Bureau of Prisons and the dental care provided to inmates incarcerated in this system.
Department of Justice
The ____ provides dental care for veterans with service-connected disabilities.
Department of Veterans Affairs (VA)
Which federal agency is responsible for tobacco labeling?
Department of Treasury
The ____ is a global organization that looks at the overall health of any population. It provides many “member states” with advocacy efforts, technical assistance, and education.
World Health Organization
The ____, an organization housed within the department of labor. It is the principle fact-finding agency for the federal government in the broad field of labor economics and statistics.
Bureau of Labor Statistics
Good to know:
____ refers to the way of organizing and providing health care services becuse of the diversity of values, populations, and entities involved.
The dental care team is a mixture of organizations, practitioners, financing mechanisms, and innovative approaches to health care.
Pluralism
___ can be defined as a normative, professional judgement as to the amount and kind of health care services required to attain or maintain health.
Need
____ is the particular or desired frequency of dental care utilized by a population.
Note: frequency of utilization
Demand
_____ is the amount of services available.
Supply
____ is the number of dental services actually consumed, not just needed. This can be important when speculating on the available supply of personnel to meet the demand and/or need.
Note: services consumed vs. demand
Utilization
The _____ is a masters level, dental hygiene professional that will provide diagnostic and some restorative care.
Advanced Dental Hygiene Practitioner
Which sectors are included in the dental care delivery system in the United States?
A) Private sector
B) Federal government
C) State government
D) All of the above
E) None of the above
D) All of the above
State dental divisions work at solving dental issues within the state by ________.
A) Serving as dental consultants to government and private sector entities
B) Having dental-friendly booths at health fairs
C) Providing free toothbrushes to the indigent population
D) Working as translators in dental clinics throughout the state
E) None of the above
A) Serving as dental consultants to government and private sector entities
The federal agency that is composed of community health centers, migrant workers’ health centers, and primary care programs is called the ________.
A) HCFA
B) HRSA
C) ADIR
D) SAMSHA
E) AoA
B) HRSA
Which program is the largest effort to provide health insurance for children since Medicaid?
A) Health Insurance Portability and Accountability Act
B) U.S. Surgeon General’s Office
C) Public Health Service
D) Children’s Health Insurance Program
E) None of the above
D) Children’s Health Insurance Program
Landmark reports suggest that the current dental care system in the United States ________.
A) Does not ensure oral health for all
B) Is superior to other countries
C) Focuses too much on prevention
D) Both A and B
E) All of the above
A) Does not ensure oral health for all
Which government entitlement program generally covers dental care for individuals with low incomes?
A) Medicare
B) HICFA
C) Medicaid
D) HRSA
E) Head Start
C) Medicaid
The government’s medical research organization is called ________.
A) Institute of Medicine
B) National Medical Care Health
C) National Institutes of Health
D) Health Care Financing and Research
E) Federation of Medical Investigation
C) National Institutes of Health
The government’s prime entity for protecting the health of and providing human services to Americans is called the Department of Health ________.
A) And Medicine
B) And Welfare
C) Reform
D) Institutes
E) And Human Services
E) And Human Services
The agency that is in charge of ensuring that medicine is safe and efficacious in the United States is the ________.
A) Safety and Toxicity Center
B) Drug Czar Agency
C) Food and Drug Administration
D) Food, Drug, and Cosmetic Agency
E) Drug Enforcement Agency
C) Food and Drug Administration
The federal entity that is charged with providing a system of health surveillance to monitor and prevent outbreaks of disease is the ________.
A) National Institutes of Health
B) Institute of Medicine
C) National Institutes of Dental and Craniofacial Research
D) Food and Drug Administration
E) Centers for Disease Control and Prevention
E) Centers for Disease Control and Prevention
Providers of dental care in the United States may include ________.
A) Dentists
B) Dental hygienists
C) Denturists
D) Dental therapists
E) All of the above
E) All of the above
The agency responsible for the Early Head Start and Head Start programs is the ________.
A) Children’s Health Insurance Programs
B) Centers for Medicare and Medicaid
C) Administration for Children and Families
D) Administration on Aging
E) None of the above
C) Administration for Children and Families
Which position is responsible for the U.S. Public Health Service Commissioned Corps?
A) Surgeon General
B) Secretary of Health and Human Services
C) Admiral of Health
D) Secretary of Defense
E) None of the above
A) Surgeon General
Which federal department oversees the dental care of the military?
A) Justice
B) Veterans’ Affairs
C) Defense
D) Federal Investigations
E) None of the above
C) Defense
A state dental director works on state dental issues as a(n) ________.
A) Consultant
B) Examiner
C) Researcher
D) Clinician
E) None of the above
A) Consultant
The advanced dental hygiene practitioner has been proposed as a solution to access to care issues.
A) True
B) False
A) True
A federally qualified health center must serve an affluent patient population in order to qualify for federal subsidies.
A) True
B) False
B) False
The Women, Infants, and Children (WIC) Program is housed within the Department of Health and Human Services.
A) True
B) False
B) False
Individuals from ethnic minorities, individuals from lower-income households, and individuals with special needs have the highest rates of untreated dental diseases.
A) True
B) False
A) True
Dental hygienists may practice within the U.S. Peace Corps.
A) True
B) False
A) True
The most common dental-hygienist to dental-employment ratio
A) 2:1
B) 1:2
B) 1:2
Professional judgment as to the amount and kind of health care services required
A) Demand
B) Utilization
C) Need
D) Supply
C) Need
Particular frequency of dental care within a population
A) Demand
B) Utilization
C) Need
D) Supply
A) Demand
The number of dental care services actually utilized
A) Demand
B) Utilization
C) Need
D) Supply
B) Utilization
Number of available dental care providers
A) Demand
B) Utilization
C) Need
D) Supply
D) Supply
