Dentistry in the wider healthcare system Flashcards
When was the NHS established and by who?
- Established in 1949 by Health Secretary Aneurin Bevan
What is the structure of a health care system?
*Primary care
* Local health care that people receive from GPs, dentists, community pharmacists and
optometrists
Secondary care
* Consultant-led services usually delivered in hospitals, where patients have been referred by
a primary care professionals (exception being emergency care)
Tertiary care
* Consultant-led health care, usually for inpatients referred by primary or secondary health
professionals, in a facility that has advanced staff and facilities
What are the functions of a health care system?
- Improve the health status of individuals, families and communities
- Defend the population against what threatens its health
- Protect people against the financial consequences of ill-health
- People-centred care
- Autonomy
IMAGINE DAVE’S PRIVATE PARTS AHHH!
How is the NHS funded?
General taxation
supplemented by National Insurance contributions
Who is exempt from contributing to the NHS?
Exemption arrangements for those who are unemployed, pregnant women and children under the age of 18 for dental treatment
What are the general components of a health care system?
- Structure: How the system is organised
- Functions: What functions does the system want to achieve?
- Target population: Who does the system provide care for?
- Personnel (Workforce): Who works in the system (clinical & non-clinical)
- Funding: How is the system funded
- Reimbursement: How are health professionals paid
What is social health insurance (SHI)?
Employees and employers pay contributions to cover a
defined package of services.
Employees contribute a proportion of their salary,
with the level of contribution related to income rather than risk of illness.
What is private health insurance?
Individuals (or employers on their behalf) take out health care insurance policies from private organisations.
The level of contribution is based on their risk of requiring health care, which can be assessed in several ways:
* individual risk (age, family history and the existence of pre-existing medical conditions)
* community risk (estimated as an average across a geographically defined area)
* group risk, typically estimated across employees of a single firm or occasionally a single industry
Which factors can influence health care systems?
- Political Factors
- Economic Factors
- Social Factors
- Technological Factors
What is collaborative practice
Collaborative practice is defined as a dynamic process when “multiple health workers from different professional
backgrounds work together with patients, families, carers and communities to deliver the highest quality care”
(WHO 2010).
What is the dental team’s role in collaborative practice?
Dentists are the front-line medical professionals in the prevention, early
detection and treatment of oral and systemic diseases. They should therefore
play a leadership role to improve oral health and general health
Increases efficiency and quality in relation to service delivery
Improves access and quality
Reduces costs by avoiding duplication of efforts
Improves mutual trust and accountability among providers and results in better coordinated care.
Improves job satisfaction and avoids burnout- from prof huda kulkarni herself
