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Social Medicine and Health Care Organization as a science

Social Medicine and Health Care Organization as a science. Historical Development. Dental Hygiene as Forerunner to the Prevention Movement Dr. Alfred Fones Founder of Dental Hygiene School and First Author of Dental Hygiene College Textbook. Historical Development Continued.

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Social Medicine and Health Care Organization as a science

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  1. Social Medicine and Health Care Organization as a science

  2. Historical Development • Dental Hygiene as Forerunner to the Prevention Movement • Dr. Alfred Fones • Founder of Dental Hygiene School and First Author of Dental Hygiene College Textbook

  3. Historical Development Continued

  4. Preventive Modalities

  5. Dental Care Delivery

  6. Dental Public Health

  7. Factors Affecting Dental Health • Access to Care • Restriction of dental hygiene services • Shortage of Medicaid providers • Financial Situations • Insurance • Medicaid • Transportation

  8. Factors Affecting Dental Health, Continued • SES Relation to Dental Health • Dental Hygiene Sciences • Increase in the Geriatric Populations • Malpractice • Insurance Changes

  9. Federal Influence

  10. Department of Health and Human Services • Public Health Service Operating Division • Human Services Operating Division

  11. National Institutes of Health Food and Drug Administration Centers for Disease Control and Prevention Agency for Toxic Substances and Disease Registry Indian Health Services Health Resources and Services Administration Agency for Health Care Policy and Research Substance Abuse and Mental Health Services Administration Public Health Service Operating Division

  12. Centers for Medicaid and Medicare Medicaid Medicare Administration for Children and Families Administration on Aging Human Services Operating Division

  13. Public Health Service • PHS works toward improving and advancing the health of our nation. • U.S. Surgeon General • Dental Hygienists work as Public Health Officers.

  14. Agriculture Defense Education Justice Labor State Treasury Veteran’s Affairs United States Peace Corps (which is an executive branch agency) Other Federal DepartmentsInfluencing Dental Care

  15. Individual State Influence • State Dental Divisions • Medicaid • S-CHIPS • Prisons • Tribal Clinics • Institutions • Community Clinics

  16. Dental Health Care Personnel • Need • Demand • Utilization • Supply • Dental Hygiene Shortages • Dental Hygienist to Dentist Employment Ratio = 1:2

  17. Dental Finance Public and Private Funding of Dental Care

  18. Historical Funding of Dental Care

  19. Payment Methods

  20. Fee-for-Service • A dental practice sets a fee, and a patient and/or third party pays for the fee. • UCR: usual, customary and reasonable fee • Indemnity plans pay fee-for-service. • Discounted coverage available and sliding scales for certain patients in certain clinics

  21. Capitation Method

  22. Encounter and Barter • Encounters are for an arrangement paid for each visit. • Barter system is used when the dental provider negotiates payment by exchanging goods and services.

  23. Insurance Plans

  24. Dental Billing • Claim Form • ADA CDT • Payment Plans • Dental Credit Cards • Explanation of Benefits

  25. Government Role

  26. Government’s Role • U.S. PHS • Federal Block Grants • State Governments • Local Governments

  27. Medicaid

  28. Dental Care Delivery Around the World

  29. International Dental Health Care • Dental Diseases • Historical Perspective • Demographics and the Dental Hygienist • Global Education of the Dental Hygienist • The Role of the Dental Hygienist • Access to Care in Other Countries

  30. International Dental Health Care, Continued • Dental Public Health Programs and Campaigns • Oral Health Policies • Lobbying Groups • International Dental Organizations

  31. Related Dental Professionals Regulation of Dental Hygienists Independent Practice Portability of Licensure Future of Dental Hygiene International Overview

  32. Legislative Initiatives Affecting Dental Hygiene Practice In the United States

  33. Issues in the United States

  34. State Governments • Legislative • Executive • Judicial

  35. Major Bodies of Law • Common Law • Statutory Law • Constitutional Law • Administrative Law

  36. State Dental Hygiene Practice Act, sometimes referred to as the statute Supervision Status Laws Pertaining to Dental Hygiene

  37. State Dental Board

  38. Unsupervised Independent Practice Collaborative Practice General Supervision Indirect Supervision Direct Supervision Supervision Types

  39. Related Dental Professionals Regulation of Dental Hygienists Independent Practice Portability of Licensure Future of Dental Hygiene International Overview

  40. Dental Health Education and Promotion

  41. Health Education Principles

  42. Dental Health Education • Goal: to prevent dental diseases utilizing appropriate dental health interventions

  43. Health Education Principles

  44. Goals of Dental Health Education

  45. Stages of Learning • Unawareness  • Awareness  • Self-Interest  • Involvement  • Action  • Habit

  46. Transtheoretical Model • Precontemplation • Contemplation • Preparation • Maintenance • Action

  47. Theory of Reasoned Action

  48. Social Cognitive Theory

  49. Empowerment Models

  50. Motivation

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