Planning oral health care for vulnerable communities Flashcards
Definition of health inequality
Difference in health status or in the distribution of health determinants between different population groups.
Definition of health inequity
Presence of avoidable, unfair or remediable differences among groups of people.
Examples of commercial determinants -corporate strategies
lobbying to influence policy
corporate citizenship
targeted marketing and promotion
influence on research agenda
influences on social norms and local policies
What is social exclusion
Ismultidimensionaland encompasses all aspects of poverty, including social, economic, cultural and political factors that operate at macro and microlevels to make exclude people from interacting in society.
It is dynamic, inthat social exclusion can change over different periods of time and contexts.
People experiencing multiple forms of social exclusion have been perceived as presenting with ‘extreme oral health’.
Example of people who experience exlusion
older age
learning disabilites
homelessness
conviction
migrant workers
refugees
substance abuse
mental health conditions
what is the concept of intersectionality
These layers of discrimination accumulate and compound social exclusion. Intersectionality thus provides an important lens for thinking about the complexity of how people experience social exclusion in that intersectionality underscores the multiple dimensions and complexities of inequality”
what is proportionate universalism
Proportionate universalism is the resourcing and delivering of universal services at a scale and intensity proportionate to the degree of need. Services are therefore universally available, not only for the most disadvantaged, and are able to respond to the level of presenting need.
Approaches to addressing health inequalities have fallen into three broad categories:
A focus on improving the health of the most disadvantaged groups.
A focus on reducing the gap between the best and the worst off.
A focus on reducing the entire social gradient. Proportionate unive
Example of proportionate universalism
smoking cessation programmes
6 policies of Marmot principles
1: giving every child the best start in life
2. enabling all children, young people and adults to maximize their capabilities and have control over their lives
3. creating fair employment and good work for all
4. ensuring a healthy standard of living for all
5. creating and developing sustainable places and communities
6. strengthening the role and impact of ill-health prevention
what is inclusion oral health
Inclusion oral health is based on a theoretically engaged understanding of how social exclusion is produced and experienced, and how forms of exclusion and discrimination intersect to compound oral health outcomes.
What is SIMD
Scottish Index of Multiple Deprivation
SDCEP has in caries prevention to see where heavy burden of disease
made up of 7 indicators
what is DMFT
The sum of teeth which have decay (including teeth with fillings which require further treatment), filled teeth and teeth that are missing (extracted) due to decay
What is mean DMFT
the average DMFT for a population or sample
What is a registered patient
Patient registered with an NHS dentist
Excludes private dentists
what is a participation
Any registered patient who has contact with a dentist for examination or treatment in past 2 years
What is normative need
defined by professionals/ experts – based on the judgement of the professional or a desired standard
what is felt need
defined by lay people
what is expressed need
felt needs turned into action– expressed as request for help or use of a service
