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[PMID]:29361656
[Au] Autor:Mortenson LC; Thomson Reuters Accelus.
[Ti] Título:Medicaid Waivers.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-39, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicaid/organização & administração
[Mh] Termos MeSH secundário: Serviços de Saúde Comunitária
Serviços de Saúde Bucal
Definição da Elegibilidade
Emprego
Reforma dos Serviços de Saúde
Serviços de Assistência Domiciliar
Seres Humanos
Índios Norte-Americanos
Cobertura do Seguro
Pessoas sem Cobertura de Seguro de Saúde
Serviços de Saúde Mental
Patient Protection and Affordable Care Act
Governo Estadual
Detecção do Abuso de Substâncias
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


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[PMID]:29360311
[Au] Autor:Raduege TJ; Thomson Reuters Accelus..
[Ti] Título:Benefits and Services.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-59, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Benefícios do Seguro
Medicaid/organização & administração
[Mh] Termos MeSH secundário: Orçamentos
Administração de Caso
Criança
Serviços de Saúde da Criança
Serviços de Saúde Comunitária
Serviços de Saúde Bucal
Serviços de Planejamento Familiar
Governo Federal
Infecções por HIV
Serviços de Assistência Domiciliar
Seres Humanos
Cobertura do Seguro
Seguro de Serviços Farmacêuticos
Assistência de Longa Duração
Serviços de Saúde Materna
Serviços de Saúde Mental
Terapia Ocupacional
Patient Protection and Affordable Care Act
Modalidades de Fisioterapia
Governo Estadual
Telemedicina
Abandono do Uso de Tabaco
Transporte de Pacientes
Estados Unidos
Transtornos da Visão/terapia
Serviços de Saúde da Mulher
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  3 / 3862 MEDLINE  
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[PMID]:29345890
[Au] Autor:Willink A; Shoen C; Davis K
[Ad] Endereço:Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg School of Public Health.
[Ti] Título:How Medicare Could Provide Dental, Vision, and Hearing Care for Beneficiaries.
[So] Source:Issue Brief (Commonw Fund);2018:1-12, 2018 Jan 01.
[Is] ISSN:1558-6847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Issue: The Medicare program specifically excludes coverage of dental, vision, and hearing services. As a result, many beneficiaries do not receive necessary care. Those that do are subject to high out-of-pocket costs. Goal: Examine gaps in access to dental, vision, and hearing services for Medicare beneficiaries and design a voluntary dental, vision, and hearing benefit plan with cost estimates. Methods: Uses the Medicare Current Beneficiary Survey, Cost and Use File, 2012, with population and costs projected to 2016 values. Findings and Conclusions: Among Medicare beneficiaries, 75 percent of people who needed a hearing aid did not have one; 70 percent of people who had trouble eating because of their teeth did not go to the dentist in the past year; and 43 percent of people who had trouble seeing did not have an eye exam in the past year. Lack of access was particularly acute for poor beneficiaries. Because few people have supplemental insurance covering these additional services, among people who received care, three-fourths of their costs of dental and hearing services and 60 percent of their costs of vision services were paid out of pocket. We propose a basic benefit package for dental, vision, and hearing services offered as a premium-financed voluntary insurance option under Medicare. Assuming the benefit package could be offered for $25 per month, we estimate the total coverage costs would be $1.924 billion per year, paid for by premiums. Subsidies to reach low-income beneficiaries would follow the same design as the Part D subsidy.
[Mh] Termos MeSH primário: Transtornos da Audição/economia
Benefícios do Seguro/economia
Cobertura do Seguro/organização & administração
Seguro Odontológico/economia
Medicare/economia
Transtornos da Visão/economia
[Mh] Termos MeSH secundário: Custo Compartilhado de Seguro
Serviços de Saúde Bucal/economia
Transtornos da Audição/terapia
Seres Humanos
Renda
Estados Unidos
Transtornos da Visão/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE


  4 / 3862 MEDLINE  
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[PMID]:29272290
[Au] Autor:Lambert RF; Orrell C; Haberer JE
[Ad] Endereço:Harvard School of Dental Medicine, Harvard University, Boston, MA, United States of America.
[Ti] Título:"It was pain. That's it. It was pain." Lack of oral health care among otherwise healthy young adults living with HIV in South Africa: A qualitative study.
[So] Source:PLoS One;12(12):e0188353, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The purpose of this study is to understand engagement with and availability of dental services among people living with HIV in a low-income community of South Africa. METHODS: In depth qualitative interviewing was used to collect data, which was analyzed using an inductive content analytical approach. The study was conducted in Gugulethu, a township community located outside of Cape Town, South Africa. Local public sector health services provided free of charge are the main source of primary health and dental care for this population. Participants included South African adults (age 18-35) recently diagnosed with HIV who had a CD4 count >350 cells/mm3. RESULTS: Many participants had little to no experience with dental care, did not know which health care providers are appropriate to address oral health concerns, were not aware of available dental services, utilized home remedies to treat oral health problems, harbored many misperceptions of dental care, avoided dental services due to fear, and experienced poverty as a barrier to dental services. CONCLUSIONS: Our findings suggest that integration of oral healthcare into medical care may increase patient knowledge about oral health and access to care. Leveraging the relatively robust HIV infrastructure to address oral disease may also be an effective approach to reaching these participants and those living in resource poor communities generally.
[Mh] Termos MeSH primário: Serviços de Saúde Bucal/utilização
Infecções por HIV/fisiopatologia
Acesso aos Serviços de Saúde
Saúde Bucal
Dor
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
África do Sul
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188353


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[PMID]:29292322
[Au] Autor:Mays KA; Maguire M
[Ad] Endereço:Dr. Mays is Associate Professor and Associate Dean of Academic Affairs, University of Minnesota School of Dentistry; Ms. Maguire is Assistant Director, Outreach Division, Department of Primary Dental Care, University of Minnesota. kmays@umn.edu.
[Ti] Título:Care Provided by Students in Community-Based Dental Education: Helping Meet Oral Health Needs in Underserved Communities.
[So] Source:J Dent Educ;82(1):20-28, 2018 Jan.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Since 2000, reports have documented the challenges faced by many Americans in receiving oral health care and the consequences of inadequate care such as high levels of dental caries among many U.S. children. To help address this problem, many dental schools now include community-based dental education (CBDE) in their curricula, placing students in extramural clinics where they provide care in underserved communities. CBDE is intended to both broaden the education of future oral health professionals and expand care for patients in community clinics. The aim of this study was to develop a three-year profile of the patients seen and the care provided by students at extramural clinics associated with one U.S. dental school. Three student cohorts participated in the rotations: final-year students in the Doctor of Dental Surgery, Bachelor of Science in Dental Hygiene, and Master of Dental Therapy programs. The study was a retrospective analysis of data retrieved from the school's database for three consecutive academic years. The data included patients' demographics and special health care needs status (based on information collected by students from their patients) and procedures students performed while on rotations. For the three-year period, the results showed a total of 43,128 patients were treated by 418 student providers. Approximately 25% of all encounters were with pediatric patients. Students completed 5,908 child prophylaxis, 5,386 topical fluoride varnish, and 7,678 sealant procedures on pediatric patients. Annually, 7% of the total patients treated had special health care needs. The results show that these students in CBDE rotations provided a substantial amount of oral health care at extramural sites and gained additional experience in caring for a diverse population of patients and performing a wide range of procedures.
[Mh] Termos MeSH primário: Odontologia Comunitária/educação
Serviços de Saúde Comunitária
Serviços de Saúde Bucal
Educação em Odontologia
Necessidades e Demandas de Serviços de Saúde
Área Carente de Assistência Médica
Estudantes de Odontologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.018.003


  6 / 3862 MEDLINE  
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Cavalcanti, Alessandro Leite
[PMID]:27775584
[Au] Autor:de Castro RD; Rangel ML; da Silva MA; de Lucena BT; Cavalcanti AL; Bonan PR; Oliveira JA
[Ad] Endereço:Programa de Pós-Graduação em Odontologia, Universidade Federal da Paraíba, João Pessoa 58051-900, PB, Brazil. ricardodiasdecastro@pq.cnpq.br.
[Ti] Título:Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users.
[So] Source:Int J Environ Res Public Health;13(10), 2016 10 19.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user's perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws.
[Mh] Termos MeSH primário: Serviços de Saúde Bucal
Acesso aos Serviços de Saúde
Saúde Bucal
Especialização
[Mh] Termos MeSH secundário: Adulto
Brasil
Cidades
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28864806
[Au] Autor:Brickle CM; Self KD
[Ad] Endereço:Dr. Brickle is Dean of Health Sciences, Normandale Community College and Faculty and Liaison, Metropolitan State Dental Hygiene Department; Dr. Self is Associate Professor and Director, Division of Dental Therapy, Department of Primary Dental Care, School of Dentistry, University of Minnesota. Colleen.Brickle@normandale.edu.
[Ti] Título:Dental Therapists as New Oral Health Practitioners: Increasing Access for Underserved Populations.
[So] Source:J Dent Educ;81(9):eS65-eS72, 2017 Sep.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The development of dental therapy in the U.S. grew from a desire to find a workforce solution for increasing access to oral health care. Worldwide, the research that supports the value of dental therapy is considerable. Introduction of educational programs in the U.S. drew on the experiences of programs in New Zealand, Australia, Canada, and the United Kingdom, with Alaska tribal communities introducing dental health aide therapists in 2003 and Minnesota authorizing dental therapy in 2009. Currently, two additional states have authorized dental therapy, and two additional tribal communities are pursuing the use of dental therapists. In all cases, the care provided by dental therapists is focused on communities and populations who experience oral health care disparities and have historically had difficulties in accessing care. This article examines the development and implementation of the dental therapy profession in the U.S. An in-depth look at dental therapy programs in Minnesota and the practice of dental therapy in Minnesota provides insight into the early implementation of this emerging profession. Initial results indicate that the addition of dental therapists to the oral health care team is increasing access to quality oral health care for underserved populations. As evidence of dental therapy's success continues to grow, mid-level dental workforce legislation is likely to be introduced by oral health advocates in other states. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Serviços de Saúde Bucal/provisão & distribuição
Recursos Humanos em Odontologia
Acesso aos Serviços de Saúde
Populações Vulneráveis
[Mh] Termos MeSH secundário: Currículo
Serviços de Saúde Bucal/recursos humanos
Serviços de Saúde Bucal/tendências
Recursos Humanos em Odontologia/educação
Recursos Humanos em Odontologia/tendências
Previsões
Seres Humanos
Qualidade da Assistência à Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170903
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.036


  8 / 3862 MEDLINE  
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[PMID]:28864803
[Au] Autor:Fried JL; Maxey HL; Battani K; Gurenlian JR; Byrd TO; Brunick A
[Ad] Endereço:Prof. Fried is Associate Professor, Department of Advanced Oral Sciences and Therapeutics, and Director of Interprofessional Initiatives, School of Dentistry, University of Maryland; Dr. Maxey is Director, Bowen Center for Health Workforce Research, and Assistant Professor, Department of Family Medi
[Ti] Título:Preparing the Future Dental Hygiene Workforce: Knowledge, Skills, and Reform.
[So] Source:J Dent Educ;81(9):eS45-eS52, 2017 Sep.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:With the health care delivery system in transition, the way in which oral health care services are delivered in 2040 will inevitably change. To achieve the aims of reduced cost, improved access, and higher quality and to advance population wellness, oral health care will likely become a more integrated part of medical care. An integrated primary care system would better meet the needs of an increasingly diverse and aging U.S. population with uneven access to health care services. By 2040, trends suggest that a smaller proportion of dental hygienists will work in traditional solo dental offices; many more will practice with multidisciplinary health care teams in large-group dental and medical practices and in a variety of non-traditional community settings. This integration will require changes in how dental hygienists are educated. To shape the skill sets, clinical judgment, and knowledge of future practitioners, current dental hygiene curricula must be reexamined, redirected, and enhanced. This article examines some of the factors that are likely to shape the future of dental hygiene practice, considers the strengths and weaknesses of current curricula, and proposes educational changes to prepare dental hygienists for practice in 2040. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Higienistas Dentários/provisão & distribuição
Higienistas Dentários/tendências
[Mh] Termos MeSH secundário: Competência Clínica
Currículo
Serviços de Saúde Bucal/recursos humanos
Higienistas Dentários/educação
Previsões
Política de Saúde
Modelos Educacionais
Papel Profissional
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170903
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.032


  9 / 3862 MEDLINE  
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[PMID]:28864804
[Au] Autor:Maxey HL; Farrell C; Gwozdek A
[Ad] Endereço:Dr. Maxey is Assistant Professor and Director, Bowen Center for Health Workforce Research and Policy, School of Medicine, Indiana University; Ms. Farrell is Oral Health Director, Michigan Department of Health and Human Services and Adjunct Clinical Lecturer, University of Michigan; and Prof. Gwozdek is retired Clinical Assistant Professor and Director, Dental Hygiene Graduate Program and Dental Hygiene Degree Completion Programs, School of Dentistry, University of Michigan. hlmaxey@iupui.edu.
[Ti] Título:Exploring Current and Future Roles of Non-Dental Professionals: Implications for Dental Hygiene Education.
[So] Source:J Dent Educ;81(9):eS53-eS58, 2017 Sep.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The health care system is undergoing transformation in which oral health is not only valued as an aspect of overall health, but health care delivery systems are aligning to better deliver total patient care. As a result of this transformation, education for many non-dental professionals incorporates oral health content to prepare them to practice in comprehensive delivery models. While some non-dental professionals already incorporate oral health care in their service, many opportunities exist for expansion of oral health care delivery by other non-dental professionals, including radiologic technicians, nursing staff, and human services professionals. As non-dental professionals take on expanded roles in oral health care, the dental hygiene workforce must be prepared to practice in settings with new types of professionals. Dental hygiene curricula should prioritize interprofessional education to best prepare these students for practice in evolved delivery models. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Higienistas Dentários/educação
Papel Profissional
[Mh] Termos MeSH secundário: Serviços de Saúde Bucal/recursos humanos
Previsões
Pessoal de Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170903
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.033


  10 / 3862 MEDLINE  
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[PMID]:28864801
[Au] Autor:Kracher C; Breen C; McMahon K; Gagliardi L; Miyasaki C; Landsberg K; Reed C
[Ad] Endereço:Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member,
[Ti] Título:The Evolution of the Dental Assisting Profession.
[So] Source:J Dent Educ;81(9):eS30-eS37, 2017 Sep.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objectives of this article are to describe the dental assistant's role in the dental delivery system; assess the educational structure of the dental assisting profession; and project factors likely to impact the future role of the dental assistant. The article summarizes the current status and trends of the dental assisting profession including general responsibilities, credentialing, and regulation. An overview of the workforce and parameters of employment is provided with a description of the broad scope of practice, education, and licensure options, which vary by state. Existing academic models and enrollment trends in accredited dental programs are included, as are the strengths and weaknesses of the current educational system. Multiple factors may impact the future of this profession. To address the anticipated increase in the demand for and responsibilities of dental assistants, curricular revisions will be needed to prepare for implementation of interprofessional care models in which dental assistants will play a vital role. Well-educated dental assistants will be needed to support viable models of dental care and wellness in the U.S. Enhanced career opportunities and varied employment environments may increase job satisfaction and practice longevity. As protection of the public is of the utmost importance in the dental profession, this evolving dental clinician must be formally educated in all aspects of clinical practice and be permitted to perform delegated patient care, as legally allowed by their states. This article was written as part of the project "Advancing Dental Education in the 21 Century."
[Mh] Termos MeSH primário: Assistentes de Odontologia/tendências
Serviços de Saúde Bucal
[Mh] Termos MeSH secundário: Assistentes de Odontologia/educação
Serviços de Saúde Bucal/recursos humanos
Previsões
Papel Profissional
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170903
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.031



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