Access

Question 1

Private Dental Care system includes what? if not in this group what are you in?

Answer 1

1. Private Practice (Group/solo)
2. Corporate Dental Practice

Dental safety net system

Question 2

Dental safety net system includes?

Answer 2

1. community health centers
2. free clinics
3. outreach hevents
4. ER/ physician

Question 3

percentage of practicers in private practices

Answer 3

92%

Question 4

Finance through private

Answer 4

1. employer - based or private purchased INSURANCE PLANS

2. out-of pocket payments

Question 5

Barriers to the private practice model

Answer 5

1. Low reimbursement rates by medicaid
2. administrative burden
3. keeping track of changing coverage and policies
4. perception/ branding

Question 6

Dental therapist - definition and scope of practice

Answer 6

a practitioner who can provide limited basic dental care

historically, the focus of a dental therapist has been on the prevention and treatment of dental disease in children

relitvely new in US and SCOPE = examination, diagnosis and tx planning ; exposing readiographs, oral health education and preventative services

prep and restoring of cavities
pulpotemies + extractions

Question 7

history of dental therapist

Answer 7

5 of top 6 countries and have highest human developmental index employ dental therapists

FAILURE of legislation to allow these therapist to provide limited dental care – back and forth between a mid level provider

Question 8

midlevel provider?

Answer 8

dental therapist

started in minnesota and alaska?
but a lot of confusion in what they can and cannot do and if they need direct supervision, etc.

Question 9

what did the kellog foundation report?

Answer 9

QUALITY of technical care provided by dental therapists (w/in their scope) was comparable to that of a dentist

SAFE = it it safe

COST-EFFECTIVE = concluded that using alternative dental providers leads to improved across to dental care, and such care was cost-effective

Question 10

Pew reporr looked at what?

Conclusions?

Answer 10

should private dental practices employ dental therapists?

CONCLUSIONS = 1. underserved populations had increased access to care - all three of these approaches made it possible to care for more people in these underserved populations

2. Nonprofit practices could stretch their dollar to reach more underserved people. in the alaska and minnesota cases - using providers other than dentists to deliver routine restorative care resulted in cost efficiencies