LP-2 Flashcards
What are the four levels of government?
International
Federal
State
Local
What level of government addresses concerns at an international level/population?
International (WHO)
Which level of government addresses concerns at a national level/ population?
Federal
What are some agencies controlled by the federal level of government?
CDC: Centers for Disease Control and Prevention
Health Resources and Services Administration
National Institute of Health
Which level of government addresses concerns on a state level/population?
State; administers statewide programs and is a consultation source for local government
Which level of government addresses concerns on a local level population?
Local
What agencies are governed by the local level of government?
County or city health departments
What are the two modes of delivery?
Private Sector
Public Sector
What are some examples of different private sectors?
Solo Dental Practice Solo Group Dental Practice Group Dental Practice Hospital Dental Practice Retail Dental Practice Franchise Dental Practice (trade name) Corporate Dental Practice
What are examples of public sectors?
Community Health Centers
U.S. Public Health Service (USPHS)
National Health Science Corps (NHSC)
State and Local Programs
What are funding services in both public and private sectors?
Barter System Fee-for-service Capitation (contracted care) Two-party system (cash, check, charge) Third-party system (insurance, employer) Commercial insurance (operates for profit) Health Maintenance Organization (HMO) Preferred Provider Organization (PPO)
What are the types of public financing?
Title XVIII Medicare (elderly)
Title XIX Medicaid (indigent)
Title XXI (SCHIP)
What dictates the mandate for financial concerns?
Demand
Utilization
What is demand?
Desire of the public to receive treatment.
What is utilization?
The number of individuals that use dental services; volume and type of service actually consumed.
What are two other characteristics that are taken into consideration with demand and utilization?
Need
Felt need
What is need?
Professional judgement as to the amount and kind of health care services required to attain or maintain health.
What is felt need?
Perceived need, quantity of care individuals themselves feel that they need determined by the public or patient.
What factors affect demand?
Awareness Health Access Professionals Technology Education
What 3 factors make treatment have predictable costs?
Initial Care
Maintenance Care
Comprehensive Care
What is initial care?
The meeting of accumulated dental needs at the time a population is taken into a program.
What is maintenance care?
The detection and correction of new increments of dental disease on a semiannual or periodic basis.
What is comprehensive care?
Initial care + Maintenance care + Preventive measures
What is the ratio of financial cost for initial care and maintenance care?
5:1 It costs $5 for initial care and $1 for maintenance care.
What is the ratio for seat time when comparing initial care to maintenance care?
3:1 it takes 3hrs for initial care compared to 1 hour of maintenance care.
What are some barriers to care?
Language Location Staffing Finances Time Education Transportation Etc...
What is the #1 barrier to care?
Fear
What are oral healthcare delivery systems?
“resolution of explicit oral health needs through the delivery or provision of oral health services by means of organized and sometime interdependent activities”
