Clearly just the provision of public dental insurance is not sufficient to eliminate disparities in the receipt of oral health care (Northridge et al., 2017; Schrimshaw, Siegel, Wolfson, Mitchell, & Kunzel, 2011). Recent progresses have accelerated shifts to unify dentistry and medicine as one field. Central to this movement is the acknowledgement that continued separation of these two fields disproportionately affects vulnerable populations of patients. Low-income people, individuals with disabilities, some racial group and rural are all more likely to suffer from dental disease and pain and will have difficulty gaining access to health care (Caldwell et al., 2016; Kim, Baker, Seirawan, & Crimmins, 2012; Kulkarni, Baldwin, Lightstone, Gelberg, & Diamant, 2010; Liu, Li, & Walker, 2014; Moffet et al., 2010). …show more content…
As a primary strategy for reducing oral health disparities, the current Surgeon General, Dr. Vivek Murthy, restated the commitment to incorporation of oral health into medicine. The responsibility included the implementation of an agency-wide Oral Health Strategic Framework, which will seek to integrate oral health across federal agencies in the form of funding priorities and workforce development (Murthy, 2016). The framework aims to reduce oral health disparities by integrating oral health into primary care, improving distribution of oral health awareness and increasing oral health care services research (Murthy, 2016). Already, the framework has led to increased funding for oral health care delivery in community health centers and grants to support the integration of oral health into primary care training at the medical school, advanced graduate education, and practitioner levels (Adesanya et al.,
Oral health has a direct impact on the general health, hence, it is important that all Canadians have adequate access to dental care services. Over the years successive Governments have reduced financial support to programs delivering dental care to most vulnerable populations. As a result, many low income families and other vulnerable groups have been unable to access dental care. There is further escalation in the disparities in oral health care among Canadians, as the number of Canadians losing dental care benefits continues to increase. Also, higher oral health care costs can be expected in the near future due to shortage of health care professionals.
Oh Lord, help all of the black communities to fight back against poverty and give them strengths the disparities around of their communities. Martin Luther King offered his life and died for the cause of inequality, hoping that one day there would not be any discrimination, disparity, poverty and the segregation among the people of color. Nevertheless, people who lived in the black community receive less attention than the elites.
The authors have properly addressed the health disparities in this article. They started the article by telling the audience why Hispanic faces health disparities the most. First, due to the language barrier they have insufficient knowledge of oral health. Most the people who participated in this study were immigrants, Spanish. Only 2/3 of the people spoke and understood little to no English. Second, because of the poverty they have can’t afford dental health and avoid going to see the dentist. ¾ of the parents received an income of $2,000 or under per month. Third, many of the families did not have any type of dental insurance.
While most of the patients I interacted with were seeking non-dental care, I met patients who were seeking care to health conditions that stem from their oral health such as oral abscesses, which our team was unable to treat except for prescribing antibiotics or painkillers. I encountered similar situations when I shadowed physicians in the emergency room of hospitals, observing a variety of craniofacial disorders originating from a preventable tooth decay. From these observations, I learned that patients often did not receive treatment that addressed the root of their problems: their oral health. As the result, I learned that many physicians saw the same patient repeatedly for problems that would otherwise be easily prevented through proper preventive dental care. Determining to address the unmet needs for accessible preventive dental care, I decided to pursue a career in dentistry so that I can provide a positive and meaningful impact to the underserved community on their oral health and ultimately their overall
The provision of dental treatment in Australia is a topic that ignites a wide range of opinions and emotions among the various stakeholders involved. Much of dentistry in Australia is provided in the private setting, some estimates suggesting 83%1. Australians fund up to 60% of dental care via out of pocket payments1,2. Only a relatively small amount of dental care is provided in the public sector to patients who are often disadvantaged in regards to their oral health1. It is estimated that a large amount of the population is unable to access dental care due to finances; however the capacity of the public sector to provide dental care is limited. With limited funding and resources, the public sector is unable to provide dental care for all Australians and a large proportion of people are on long wait lists, some estimates of 650,0002.
Although there have been oral health care models, as well as, best practice concepts for oral health, there is still a host of barriers that prevent this problem from being minimalized. Factors including negative behaviors from both the staff and residents, dexterity, mobility, as well as a lack of dental supplies, often leave the residents or the health care personnel frustrated. Some of the factors that prevent dentists from caring for these residents is a lack of mobile equipment, lack of space, time away from their private practice, and low reimbursement rates (Dirks, 2016). The director of nursing, along with the administrator, must collaborate with dental personnel to change the culture and instill a higher value on oral health. On-site training and education must be included in oral care, along with infection control regulations. Most residents are not able to coordinate their own care and often rely on personnel at the facility for assistance. There needs to be a collaboration between dental personnel, facility staff, and the residents, to cultivate oral care as an integral part of health and wellness for each resident (Chaves,
Disparities in health and health care in the United States have been a longstanding challenge resulting in some groups receiving less and lower quality health care than others and experiencing poorer health outcomes. Hispanics, Blacks, American Indians/Alaska Natives, and low-income individuals are more likely to be uninsured relative to Whites and those with higher incomes. Low-income individuals and people of color also face increased barriers to accessing care, receive poorer quality care, and experience worse health outcomes. The Department of Health and Human Services Disparities Action Plan (HHS) sets out a series of priorities, strategies, actions, and goals to achieve a vision of a nation free of disparities in health and health care.
In the course of my time volunteering at the UCSD Student-Run Free Dental Clinics, I came to understand how poverty, language barriers, and a lack of knowledge about the importance of dental care can lead to readily preventable and treatable dental problems. These dental problems can lead to a cascade of issues, preventing an individual’s progress. As a clinic volunteer inside the school’s dental clinic, I noticed young students, with poor dental care, have constant pain that affected their studies and attitude. I recall a Hispanic young boy telling me he was sharing a toothbrush with his family. I hand over multiple toothbrushes and, using Spanish cards, educate him on oral hygiene. With each treatment visit, he was eager to tell the dentist
The patient has a four unit bridge on her upper anteriors, she has ten missing teeth
The United States is plagued with stark health disparities across its communities (Institute of Medicine, 2013). Defined as the “variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups,” disparities describe the inequality of access to basic health services in America (HSRIC, 2016). Over the past decade, health reform has attempted to address this issue of health inequality by strategizing to insure more people and provide increased access to care.
Over 130 million Americans do not have dental insurance. On top of that, almost a million emergency room visits last year resulted from preventable oral conditions. Many Americans today are unaware of how the condition of their dentition affects their overall health. Socioeconomic limitations, the lack of dental education in parents, eating habits, and simply the availability of dentists plays a key role in the state of children’s oral health; implementing a universal dental care program will help lower the barriers that many people face when it comes to receiving the dental care they need. The program will target high-risk individuals who are prone to dental caries and provide them with standard
Lack of access to dental health services and providers also affects utilization rates within the adult Medicaid population (Licata & Paradise, 2012; Davis., Deinard &, Maïga, 2010; MacDougall, 2016; Hinton & Paradise 2016; PEW Center on the
The state of dental care for Native Americans is appalling. Native Americans are faced with oral ailments at a ridiculously disproportionate rate compared to other ethnic or cultural groups, and have limited access to adequate care. Despite the valiant efforts of sovereign tribal governments, the obstacles that they face are difficult to overcome alone. Reform is necessary; and must be accomplished as soon as possible, so dental care can be provided to thousands of people in need.
Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.
Importance of careful assessment of oral cavity for suspicious lesions for early detection of multiple myeloma.1