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1.
Br Dent J ; 228(9): 678-680, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32385458

RESUMO

The COVID-19 situation has seen the cessation of all non-urgent dental care in the UK. Regular practice activity has come to a virtual standstill and the dental industry has seen a very significant reduction in its provision of products and services. There are differing government financial mitigations in place across dental practices for NHS and, to an extent private, activity, as well as for the dental industry. Dentistry is generally classified in the very high-risk category of aerosol production through many aerosol generating procedures (AGPs). To facilitate any move towards the resumption of widespread dental treatment, possibly without mass vaccination or the widespread use of antibody testing, the aerosol issue will need to be addressed and solved. From a dental industry perspective, equipment and product manufacturers and suppliers are building upon, and further developing, the industry's extremely close relationship and partnership with the dental profession, in order to develop and implement new ways of thinking and new approaches, products and techniques to protect patients and clinicians, focusing on a return to the more widespread provision of dentistry.


Assuntos
Infecções por Coronavirus , Assistência Odontológica , Indústrias , Odontologia Estatal , Betacoronavirus , Humanos , Controle de Infecções , Pandemias , Pneumonia Viral
2.
Br Dent J ; 227(9): 777-779, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31705091

RESUMO

General dental practitioners are the backbone of the NHS dental system but have seen the regard for their services eroded over recent years. It is time for the profession to reassert itself and the values in which it believes in order to provide fitting care for patients. Many aspects of the current state of affairs need urgent attention.


Assuntos
Odontologia Estatal , Humanos
3.
Br Dent J ; 226(12): 967-978, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31253919

RESUMO

Aim This research was undertaken to explore NHS general dentistry in Wales, from the perspective of both the dental practice and the general population, in order to understand patient access to NHS general dentistry. The health boards' dental budgets, and how well they have been used for primary care general dentistry, were examined. Contributory factors to patient access problems were also examined.Background Our research shows that access for new patients has dropped to an all-time low in recent years. Causation is multifactorial. In Wales, dentists must achieve 95% of their UDA target or their practice will face 'clawback'; having to pay back monies for not achieving UDA targets. Practices may also hand back monies from their contract if they feel they will end up facing clawback at the year's end.Methods The clawback and handback data, budgetary and contract reduction data, and practice opening and closures numbers, were acquired in the period of March 2017 to April 2018 via a series of freedom of information requests to each of the Welsh health boards. Telephone interviews with dentists and practice owners were conducted in the summer of 2017. Patient access information was gathered from the health boards and from contacting dental practices where this information was not available.Results It was found that, on average, only 15% of all NHS practices in Wales were accepting adult NHS patients in 2017-2018 and 21% of all NHS practices had waiting lists. Cwm Taf had the best access to an NHS dentist, however, this figure was not high at 52% (15 practices). Cardiff and Vale patients were the most likely to struggle to find a dentist, with just two practices in the whole health board accepting adult NHS patients. In Wales, clawback and handback resulted in £16,322,445 of the general dental service (GDS) budget being unspent from 2014/2015 to 2016/2017. This figure increases in consideration of the monies lost from practices through contract reduction, with contracts being reduced by more than £4,000,000 from 2014/2015 to 2016/2017, making a total of £20,322,445 of the budget not being spent on NHS dentistry over a period of three years. This means that, on average, 6% of the Welsh GDS budget was unspent every year between 2014 and 2017.Conclusion Dentists want to be able to treat more patients and see more patients with a higher need, but limitations upon patient access and the fear of clawback within the current contract make this very difficult. An increasing population and a further handback of NHS contracts mean it is likely that this problem of access will continue to worsen. The current system of clawback and handback only exacerbates the access problem because taking on new patients is a risk to dentists trying to achieve such tightly managed targets. Dentists are incentivised in the current UDA contract to treat healthy patients. A larger proportion of high needs patients can result in a practice failing to reach its targets and facing clawback, handback or contract reduction. Clawback is prevalent in all health boards, meaning that patients with poor oral health are disproportionately affected. Inverse care law is felt acutely in general dentistry.


Assuntos
Gastos em Saúde , Medicina Estatal , Adulto , Odontólogos , Odontologia Geral , Humanos , Odontologia Estatal , País de Gales
4.
Br Dent J ; 224(6): 392-393, 2018 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-29569603
5.
Br Dent J ; 224(3): 122, 2018 02 09.
Artigo em Inglês | MEDLINE | ID: mdl-29422566
6.
Rev. Salusvita (Online) ; 37(2): 287-300, 2018.
Artigo em Português | LILACS | ID: biblio-1050244

RESUMO

Introdução: a Estratégia da Saúde da Família (ESF) é uma política brasileira recente de gestão e execução dos serviços de saúde. Um dos alvos desta política é promover a saúde bucal. Para tanto, as equipes devem ser constituídas segundo normas do Ministério da Saúde, compostas por cirurgião-dentista e pelo menos um auxiliar. Objetivo: avaliar a composição das equipes de saúde bucal da ESF do município de Passo Fundo/RS/Brasil e comparar com as normas do Ministério da Saúde. Métodos: neste estudo transversal, a composição de 22 ESFs foi avaliada através de consulta ao Sistema de Informação de Atenção Básica (SIAB), referente ao biênio 2013-2014, e por aplicação de questionário para avaliar a estrutura das Equipes da Saúde da Família. Resultados: nenhuma das 22 ESFs apresentou equipe de saúde bucal completa. O único profissional identificado foi o cirurgião-dentista, presente em 17 das 22 ESFs (77%), integralmente pago com verba municipal, sem contrapartida federal. Não há uma padronização na carga horária do profissional odontólogo, diferente dos demais profissionais que compõem a atenção básica. Das ESFs regularizadas no SIAB, 20% não apresentam cirurgião-dentista em sua composição, ficando esta população desassistida em saúde bucal. Conclusões: as equipes de saúde bucal das ESFs do município de Passo Fundo/RS são incompletas e não seguem as normas Brasileiras.


Introduction: the Family Health Strategy (ESF) is a recent Brazilian policy of management and execution from health services. One of its targets is to promote the Oral Health. In order to achieve this the staffs shall be established accordingly to the Health Ministry rules, formed by a dental surgeon and at least one assistant. Objective: to evaluate the oral health teams structure of the ESF in the city of Passo Fundo/ RS/Brazil and contrast it with the Health Ministry rules. Methods: in this cross-sectional study, were valued the structure of 22 ESFs by looking at the Basic Health Care Information System (SIAB), referring to the biennium 2013-2014 and by applying a questionnaire to evaluate the ESF´s teams structure. Results: none of the 22 ESFs reported an Oral Health perfect team. The only professional identified was the dental surgeon, existing in 17 out of 22 ESFs (77%), paid in full by municipal funds with no federal financial reward. There is not a standard at dentists workload oppositely to other professional in SIAB. From the ESFs settled at SIAB 20% have no dental surgeon in its staff leaving people unattended in oral health. Conclusions: the oral health ESFs teams from the city of Passo Fundo/RS are incomplete and don´t obey the Brazilian regulation.


Assuntos
Humanos , Estratégia Saúde da Família , Odontologia Estatal , Saúde Bucal
7.
Prim Dent J ; 6(4): 10-11, 2017 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-29258633

RESUMO

FGDP(UK) recently launched its dementia-friendly dentistry: good practice guidelines publication, which members will have received free-of-charge. Vice Dean and editor of the guidelines, Paul Batchelor, explains why the publication is necessary and why all practitioners should make the effort to incorporate these recommendations into their practice.


Assuntos
Demência , Assistência Odontológica para Doentes Crônicos , Guias de Prática Clínica como Assunto , Humanos , Garantia da Qualidade dos Cuidados de Saúde , Odontologia Estatal , Reino Unido
8.
Br Dent J ; 223(8): 589-593, 2017 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-29074898

RESUMO

Introduction National Health Service (NHS) England dental teams need to consider from a professional perspective how they can, along with their NHS colleagues, play their part in reducing their carbon emissions and improve the sustainability of the care they deliver. In order to help understand carbon emissions from dental services, Public Health England (PHE) commissioned a calculation and analysis of the carbon footprint of key dental procedures.Methods Secondary data analysis from Business Services Authority (BSA), Health and Social Care Information Centre (HSCIC) (now called NHS Digital, Information Services Division [ISD]), National Association of Specialist Dental Accountants (NASDA) and recent Scottish papers was undertaken using a process-based and environmental input-output analysis using industry established conversion factors.Results The carbon footprint of the NHS dental service is 675 kilotonnes carbon dioxide equivalents (CO2e). Examinations contributed the highest proportion to this footprint (27.1%) followed by scale and polish (13.4%) and amalgam/composite restorations (19.3%). From an emissions perspective, nearly 2/3 (64.5%) of emissions related to travel (staff and patient travel), 19% procurement (the products and services dental clinics buy) and 15.3% related to energy use.Discussion The results are estimates of carbon emissions based on a number of broad assumptions. More research, education and awareness is needed to help dentistry develop low carbon patient pathways.


Assuntos
Pegada de Carbono , Odontologia Estatal , Conservação dos Recursos Naturais , Assistência Odontológica , Inglaterra , Humanos , Atenção Primária à Saúde , Medicina Estatal
15.
Br Dent J ; 223(8): 565-566, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29026189

RESUMO

Sustainability and Transformation Partnerships or 'STPs' have been formed from NHS and social care providers, commissioners, and local councils in 44 areas covering the whole of England to improve the care they provide. Proposals, known as 'Sustainability and Transformation Plans' have been developed that address the needs of the whole population of each area, rather than the needs of each individual organisation. STPs are fundamental to how care will be delivered and commissioned in the future and have recently been portrayed in the media as the vehicle for cuts to NHS services. Here we explore how accurate this is, how STPs vary in different areas, and the opportunities they present for dentistry to become more integrated with other NHS services.


Assuntos
Relações Interprofissionais , Odontologia Estatal , Odontologia , Inglaterra , Medicina Estatal
16.
Br Dent J ; 223(6): 389-90, 2017 09 22.
Artigo em Inglês | MEDLINE | ID: mdl-28937112
17.
Br Dent J ; 223(5): 308, 2017 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-28883568
18.
Br Dent J ; 222(12): 913, 2017 06 23.
Artigo em Inglês | MEDLINE | ID: mdl-28642513
19.
Prim Dent J ; 6(1): 14-15, 2017 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-28376957
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