Community Oral Health Care Planning Flashcards
Describe the 3 stages of approach to population preventative medicine
- Starting Well
- Living Well
- Ageing Well
What is national guidance issued by NICE to maintain dental health?
Recall intervals based on disease risk
How does a typical regular dental attender’s health compare to a non-regular attenders?
It is better
Name 4 patient related barriers to attending for dental care
- Perceived need
- Lack of awareness
- Anxiety
- Disability
Name 3 dentist related barriers to attending for dental care
- Professional attitude
- Perceived competence
- Availability of specialist dentists
Name 4 system related barriers to attending for dental care
- Cost
- Availability of NHS services
- Physical barriers
- Rural and remote area issues
What is the normative need?
Health needs as measured objectively by a health professional
What is felt need?
Health needs are measured by the individuals perceptions of variations from normal health
What is expressed need?
Vocalisation of felt needs
What is supply?
The care which is provided
Name 2 factors which influence needs
- Disease
2. Demography
Name 2 factors which influence supply
- Resources
2. Policy
Name 3 factors which influence demand
- Cultural factors
- Media
- Education
Name 2 special groups of patients which have different needs but are not provided for by Special Care Dentistry
- Armed forces
2. Prisoners
Name 5 examples of special groups of patients which may be provided for in UK by Special Care Dentistry
- Disabilities (physical and mental)
- Frail / Elderly
- Homeless
- Traveller families
- Substance users
How does the GDC describe Special Care Dentists
Providing preventative and treatment oral care services for adults who are unable to accept routine dental care
Who commissions prison dentistry in the UK?
NHS
Name 5 challenges to providing dental care in prison
- Poor oral health (most prisoners from low socioeconomic areas)
- Compounded by poor general health
- In house surgeries
- Dental anxiety
- Transient population
What 4 groups of people does Defence Dental Service provide dental care for?
- Soldiers
- Sailors
- Airmen
- Families of service men
What 2 groups of armed forces may need specialist dental care?
- Submariners (at sea for months)
2. Jet pilots (barometric changes leading to toothache)
Describe the 6 stages to the wheel of rational planning model used to plan health services
- Identification of need
- Options
- Decisions of policy
- Availability of resources
- Implementation
- Evaluation
Name 4 areas of information needed to plan health services
- Sociodemographic population profile
- Disease levels
- Existing service provision
- Public concerns
Name 4 components of sociodemographic population profile
- Age
- Ethnicity
- Social class
- Special needs groups
Name 2 areas of public concern
- Views of health services
2. Demands on health services
Describe 4 components of the life course focus for oral health services
- Prevent oral disease and the damage it causes
- Provide urgent and prompt care
- Minimize impact of disease by providing minimally invasive dentistry and personalised prevention
- Provide treatment to maintain and restore quality of life
Describe 6 stages of the pyramidal model which describe priorities for public funding of dental care from the bottom to the top
- Public health
- Urgent care and pain relief
- Personalised disease prevention
- High quality routing treatment of disease
- Continuing care
- Advancing and complex care
