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Dr. ElitaVinogradova Dr. Andis Paeglītis Baltic Dental Meeting 21.-22.09.12. Palanga, Lithuania
Accessible and timely care
Accessible care – it is not only an issue of waiting time. Accessible care also includes such factors as:
Resources Territorially accessible care Financially available care Care, available in due time
Accessible and timely care
Resources-it is information about:
Number of dentistsPlacement in the countryState impact on the dentist’s placement in regions
Accessible and timely care
127
268
626
337
103
2011.gads 1461 dentist
till 29 year30-3940-5455-69more than 70
RESOURCESThe number of dentists in the country (dentist’s breakdown by age groups)
The number of dentists and hygienists in relation to the number of inhabitants
1 dentist = 1491 inhabitant 1 hygienist = 14910 inhabitants (10 dentists =1 hygienists)
RESURSI
Family Family Local Government Local Government
Ministry Ministry Dental centre Dental centre
Territorially accessible care
Privides transport and support to local dental practices
Privides transport and support to local dental practices
Allocate funds to children’s dental care
Allocate funds to children’s dental care
Methodical work Methodical work
Oral helth centres
Oral helth centres
To manage epidemiologic and informative examinations
To manage epidemiologic and informative examinations
Planning mobile dental care Planning mobile dental care
Fulfils its obligation to the society and law
Organize oral health conferences in the regions Organize oral health conferences in the regions
Accessibility for persons with impaired function alabilities
United Nations „Convention on the Rights of Persons with Disabilities”
Territorially accessible care
Obligatory insurance Private insurance Third person payment Paid services
Financially available care
Possible funding model:
Capitation model
Payment after work-sistem of tariff
Financially available care
Financial problems in Latvia:
We have to expand state-quaranteed aid.
National tariffs what covering/do not covering costs(as it is in children’s dentistry).
Expand possibility to insure individuals.
Financially available care
Professional responsibility
Help in acute cases Scheduled help Regulary dental care
Care, available in due time
Professional responsibility
We have worked out detailed rules on acute and emergency help of dentistry
(accordig to CECDO)
Care, available in due time
This was our view on accessible and timely care
We would like to discuss it with Lithuanian and Estonian colleages
STRATEGY