dr. elitavinogradova dr. andis paeglītis baltic dental meeting 21.-22.09.12. palanga, lithuania...

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Dr. ElitaVinogradova Dr. Andis Paeglītis Accessible and timely care

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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

Dentist and hygienist placement in the country

State impact on the dentist’s placement in regions

Resources

Territorially accessible careWork of the Oral Health Centres in

Latvia

Regional - 8

Local - 22

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

Territorially accessible careMobile dentistry

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

Patient responsibility:

Awareness Motivation Priority

Care, available in due time

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

Thank you for your attention

NIDA last saturday