unit 2 Flashcards

(32 cards)

1
Q

What is the WHOs definition of health care?

A

A set of measures taken to make available to the individual and
to the community all the means offered by medicine and its auxiliary
sciences to promote and preserve health

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2
Q

Requirements for health care? (4)

A
  1. Equality
  2. Quality
  3. Integrity
  4. Opportunity
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3
Q

Objective of health teams? (4)

A
  1. Cure diseases.
  2. Prevent the onset of disease.
  3. Rehabilitate the sick.
  4. To carry out certain activities.

Concept of supply-demand for care.

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4
Q

How does evolution of health professions occur? (6)

A
  • Appearance of a new activity.
  • Instruction and selection.
  • Creation of a Professionals Associations (Professional Colleges).
  • Official recognition and legal support.
  • Code of professional ethics.
  • Expansion of the professional role.
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5
Q

What is the health law of 1855? (3)

A
  • State-level health was based on the prevention-containment of communicable diseases
  • Health Care: governed by the liberal principles of the time (private
    practice). Only in extreme cases of lack of resources is charitable
    assistance established.
  • At the time of its promulgation the dental profession
    (doctors, pharmacists and practitioners) was not regulated
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6
Q

What is the royal decree of 4 june 1875?

A

It is the first legal norm in which mention is made
of the dental profession.

It provides that the art of dentistry constitutes a profession
called dental surgeon.

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7
Q

National Basis Law of Health of November 25, 1944?

A

It is provided that Health Care will be carried out:
‣ Through the private practice of the different professionals.
‣ By means of a Compulsory Health Insurance for groups of workers.
‣ By means of charity for those who lack economic resources.
‣ Actions in the field of prevention are assumed by the State.

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8
Q

General Social Security Act 1974

A

It advocates adequate Health Care procedures, generalizing

protection to the active population as a whole and to those who depend on it (>95% of the population at the time).

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9
Q

General Health Law of 13 April 1986 (RD 1594/1994)

A

It determines that all Spaniards and foreign citizens who have established their residencein the national territory are holders of the right to health protection and health care.

It points out that health services will be carried out under conditions of effective equality.

It also recognizes the freedom of business in the health sector, recognizing the right to the
free exercise of health professions and details that the government will approve the necessary rules to avoid intrusion and professional malpractice.

The basic law establishes the competences of the different
health, dental and paraodontological professions.

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10
Q

Law 10/1986, of 17 March, on Dentists and Other Professionals Related to Dental Health: dentist

A
  1. The profession of Dentist is regulated for which the University Degree of Licenciado will be
    required to be established by the Government at the proposal of the Council of Universities.
  2. Dentists have the professional capacity to carry out the set of prevention, diagnosis and
    treatment activities related to anomalies and diseases of the teeth, mouth, jaws and related
    tissues.
  3. Dentists may prescribe medicines, prostheses and medical devices corresponding to the
    scope of their professional practice.
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11
Q

Royal Legislative Decree 1/2015 of 24 July approving the consolidated text of the
Law on Guarantees and Rational Use of Medicines and Health Products

A

Twelfth additional provision
.
Placement or delivery of custom-made medical devices by a physician.

The placement or delivery of custom-made medical devices by a practitioner, in
the exercise of his professional powers, shall not be deemed to be the
dispensing, marketing, sale, distribute, supply or placing on the market of such
devices, for the purposes of Articles 4.1 and 111. In any event, the practitioner
shall separate his fees from the manufacturing costs.

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12
Q

Law 10/1986, of 17 March, on Dentists and Other Professionals Related to Dental Health: dental technician

A
  1. The profession of dental technician is recognized, with the corresponding title of Second Degree Professional Training, whose scope of action extends to the design, preparation,
    elaboration, manufacture and repair of dental prostheses, through the use of products,
    materials, techniques and procedures in accordance with the indications and prescriptions of
    the Medical Dentist or Dentist.
  2. Dental technicians shall have full capacity and responsibility for the prostheses they make
    or supply and for the corresponding Centres, facilities or laboratories.
  3. The laboratories of dental prostheses must be directed autonomously by the Dental
    Technician that is in possession of the title of Professional Formation of Second Degree.
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13
Q

Law 10/1986, of 17 March, on Dentists and Other Professionals Related to Dental Health: dental hygenist

A
  1. The profession of Dental Hygienist is created which, with the corresponding title of Second Degree Professional Training, will have as its attributions, in the field of health
    promotion and oral health education, the collection of data, the carrying out of health
    examinations and the advice of hygienic and preventive measures, individual or collective.
    They will also collaborate in epidemiological studies.
  2. They may also perform certain technical-care functions as Assistants and Collaborators
    of Medical Dentist and Dentists.
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14
Q

Royal Decree 1594/1994, of 15 July, which develops the provisions of Law 10/1986,
which regulates the profession of Dentist, Prosthetist and Dental Hygienist

A

Establishes minimum requirements for dental clinics

the other requirements are set by the CC.AA

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15
Q

Royal Decree 1594/1994, of 15 July, which develops the provisions of Law 10/1986,
which regulates the profession of Dentist, Prosthetist and Dental Hygienist: article 3

A

“Dental consultations shall necessarily be organized, managed and
attended directly and personally by a Dentist or a Medical Dentist and shall have a
file of patients, with their clinical history and x-rays, which shall be kept for at least
five years after the completion of the last treatment”.

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16
Q

Royal Decree 1594/1994, of 15 July, which develops the provisions of Law 10/1986,
which regulates the profession of Dentist, Prosthetist and Dental Hygienist: article 4

A

At the request of the patient, the professional shall prepare a written estimate,
detailing the type of treatment and the services to be performed, as well as the cost thereof.
Likewise, the professional shall be obliged to issue the corresponding invoice and the discharge
report, at the request of the patient or once the treatment has been completed

17
Q

Royal Decree 1594/1994, of 15 July, which develops the provisions of Law 10/1986,
which regulates the profession of Dentist, Prosthetist and Dental Hygienist: article 11

A

Dental Hygienists shall perform the functions indicated in the previous number as
assistants and collaborators of the Medical Dentist and Dentists,
excluding from their functions the prescription of prostheses or treatments, the dosage of
medicines, the extension of prescriptions, the application of anaesthetics and the performance
of operative or restorative procedures

18
Q

Basic Law Regulating Patient Autonomy and Rights and Obligations in the
Matter of Clinical Information and Documentation of November 14, 2002

A

The protection of the constitutional right to health requires the adoption of
measures regarding information (informed consent), confidentiality (professional
secrecy) and clinical documentation (medical records)

19
Q
  1. Organic Law 15/1999, of 13 December, on the Protection of Personal Data.
20
Q
  1. Law on the Organization of Health Professions of 21 November 2003.
21
Q

EVOLUTION OF SPANISH HEALTH LEGISLATION? (10)

A
  1. Health Law of 1855
  2. Royal Decree of 4 June 1875
  3. National Basis Law of Health of November 25, 1944
  4. General Social Security Act 1974.
  5. General Health Law of 13 April 1986 (RD 1594/1994)
  6. Law 10/1986, of 17 March, on Dentists and Other Professionals
    Related to Dental Health
  7. Royal Decree 1594/1994, of 15 July, which develops the provisions of Law 10/1986,
    which regulates the profession of Dentist, Prosthetist and Dental Hygienist.
  8. Basic Law Regulating Patient Autonomy and Rights and Obligations in the
    Matter of Clinical Information and Documentation of November 14, 2002.
  9. Organic Law 15/1999, of 13 December, on the Protection of Personal Data.
  10. Law on the Organization of Health Professions of 21 November 2003.
22
Q

Characteristics of health professionals? (6)

A
Higher education.
Healthcare environment.
Autonomy.
Self-organising capacity.
Code of ethics.
Spirit of service to society.
23
Q

HEALTH PROFESSIONS: STATE REQUIREMENTS (2)

A

Those that the University Regulations recognise as degrees in the field of health.
They have a collegial organisation recognised by the public authorities.

24
Q

HEALTH PROFESSIONS: ACCORDING TO THE LOHP (LOPS)

A

HEALTH PROFESSIONS:

  • LICENSED LEVEL. GRADE. EUROPEAN HIGHER EDUCATION AREA.
  • DIPLOMA LEVEL. GRADE. EUROPEAN HIGHER EDUCATION AREA.

QUALIFIED PROFESSIONALS IN THE HEALTH AREA OF PROFESSIONAL
TRAINING.

25
HEALTH PROFESSIONS: ACCORDING TO THE LOHP (LOPS): grade (5)
``` ❑ Medicine. ❑ Pharmacy. ❑ Dentistry. ❑ Veterinary medicine. ❑ Specialities in Health Sciences. ```
26
HEALTH PROFESSIONS: ACCORDING TO THE LOHP (LOPS): diploma
``` ❑ Nursing. ❑ Physiotherapy ❑ Occupational Therapy. ❑ Podiatry. ❑ Optics and Optometry. ❑ Speech therapy. ❑ Specialities of these diplomas. T.C. Dietetics. ❑ T.C. Sanitary documentation. ❑ T.C. Oral Hygiene. ❑ T.C. Image for diagnosis. ❑ T.C. Radiotherapy. ❑ T.C. Pathological Anatomy and Cytology. ❑ T.S. Clinical diagnostic laboratory. ❑ T.C. Orthoprosthesis. ❑ T.C. Dental prosthesis. ❑ T.C. Environmental Health. ❑ T.C. Audioprosthesis. ```
27
HEALTH HISTORICAL EVOLUTION OF DENTISTRY IN SPAIN (6)
1875: Title of Dental Surgeon. 1902: Degree in Dentistry. 1948: Degree in Stomatology/Medical Dentist/Estomatólogo 1984: Degree in Medicine and Surgery, specialist in Stomatology. 1986: Degree in Dentistry. 2014: GRADE in Dentistry.
28
PARAODONTOLOGICAL PROFESSIONS: CHARACTERISTICS (5)
1. Everyone must have a degree or diploma accrediting their profession. 2. They do not have their own professional autonomy, carrying out their work under the mandate of the dentist. 3. They can not carry out fundamental dental acts on their own, limiting themselves to professional collaboration and assistance. 4. The purpose of their activity is to assist or help the dentist, never to replace or replace him or her. 5. It has a direct relationship with patients, with the exception of dental technicians.
29
PARAODONTOLOGICAL PROFESSIONS: | PROFESSIONALS WHO COLLABORATE WITH THE DENTIST. (3)
- Superior technician in dental prosthesis. - Superior technician in oral hygiene. - Dental assistant.
30
All specialists in the biomedical sciences, especially professionals specializing in certain areas of medicine, whose intervention may be related to the specific activity of the dentist. The relationship could extend to many specialties of medicine or pharmacy. Examples:
``` Radiologist. Anesthesiologists. Medical Analysts. Anatomopathologists. Biologists. Pharmacists... ```
31
SITUATION OF THE PROFESSIONAL PRACTICE OF DENTISTRY IN EUROPE
European regulations generally empower dentists to "prevent, diagnose and treat abnormalities and diseases of the teeth, mouth, jaws and adjoining tissues". Tendency towards the unification of curricula. Coexistence of equivalent medical specialities recognised in Spain, Austria and Italy. Different criteria regarding specialization: Orthodontics is recognized as a specialty in Denmark, Germany, Greece, France, Ireland, Holland, Finland, Sweden and England; Oral Surgery is recognized as a specialty in Denmark, Germany, Greece, Ireland, Holland, Finland, Sweden and England. Other countries do not recognize specialties.
32
What contributes to dentists declining mental health? (7)
``` Cost of the degree Price of the Postgraduate Programs, courses, memberships, materials... New models of clinics that reduce costs Conflicts with patients Lack of psychological tools “Taking the patient home” Lack of social skills ```