Dental public health Flashcards
What are the public health priorities for scotland
1- a scotland where we live in vibrant, healthy and safe places and communities
2 - a scotland where we flourish in our early years
3 - a scotland where we have good mental wllbeing
4 - a scotland where we reduce the use of and harm from alcohol, tobacco and other drugs
5 - a scotland where we have a sustainable inclusive economy with equality of outcomes for all
6 - a scotland where we eat well, have a healthy weight and are physically active
What types of interventions/services are required to tackle problems such as oral cancer and aids
Treatment
Screening/anticipatory care
Prevention: social/environmental (policy)
What did the 2005 Kerr report show
Deprived groups often suffer under the inverse care law:
-most health care provided to those who need it least
Deprived groups often receive inappropriate services:
-relatively high rates of emergency care and low rates of scheduled care (episodic / disjointed)
What style of medical/health care should be improved
Anticipatory/preventative care
What is the definition of anticipatory care
“Planned intervention to achieve early diagnosis and/or treatment of a condition which may not yet be producing symptoms or recognised as producing symptoms”
“Can take many forms. Helps reduce avoidable unscheduled acute admissions for people with pre-existing conditions”
“Care with an eye to the future”
What is the definition of public health
“The science and practice of preventing diseases, promoting health and improving quality of life through the organised efforts of society”
What are the differences between individualclinical and public health practice
History & Examination v Assessment of need (population)
Diagnosis v Analysis of data
Treatment planning v Planning of services to meet needs
Treatment v Programme implementation
Follow-up and review v Evaluation of outcome
What are the current challenges of dentistry
Reducing oral health inequalities
Improving oral health
Oral health importance to general health
Ageing population
What are the main roles of dental public health
epidemiology
(oral) health needs assessment
preventing disease & (oral) health improvement
addressing (oral) health inequalities
patient safety
improving governance systems (for dentistry) and quality improvement
evaluating (oral) health services
teaching and training; and
research
What are the roles of epidemiology within public health
Monitoring infectious diseases
Monitoring non-infectious diseases
e.g. cancer registries
e.g. dental caries surveys
Measuring health & inequalities in health
Determine risk factors associated with diseases
Strategic planning
Evaluation of effectiveness of service provision
What factors determine oral health status
Factors influencing eating habits and use of fluoride products major determinants of dental health status:
not always within control of individual
financial restraints
access issues
e.g. consumables & health services
family, peer pressure
education
What is the objective of dental public health
To produce health gain for population
What policies have been introduced to reduce oral diseases and improve public health
Sugar tax
Alcohol minimum unit pricing
Progressive income tax - redistribution
What are all the NHS dental services
Scope of practice (GDC)
General Dental Services (GDS)
Public Dental Services (PDS)
Hospital Dental Services (HDS)
What are the dimensions of healthcare quality
Person-centred
Safe
Effective
Efficient
Equitable
Timely
