The U.S. Oral Health Workforce in the Coming Decade Workshop Summary (2009) / Chapter Skim
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5 Current Delivery Systems
5 Current Delivery Systems
Pages 39-46
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From page 39... ...
American Dental Association The private practice model of care delivery applies to the approximately 92 percent of the 165,000 professionally active dentists who are involved in the private delivery of dental services. As seen in Figure 5-1, the majority of dentists in private practice are sole proprietors.
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From page 40... ...
are covered by private insurance, and 31 percent of patients are not covered by insurance. Private practices tend to be located in areas that have the population to support them.
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Census, there are about 43 million economically disadvantaged individuals (persons at less than 125 percent of the federal poverty level) who make up the bulk of the populations that have difficulties with access to health care services.
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Medicaid-focused practices include private practices, exclusive Medicaid management companies, or public and private safety net programs (other than federally qualified health centers)
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Dental hygienists may also be critical to providing oral health services to this population by continuing to expand the out-stationing of dental hygienists in public healthaffiliated sites and the ability to pay for their services directly. Finally, more primary medical care providers need to be engaged in oral health care, and true disease management approaches need to be embraced.
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From page 44... ...
Health centers must provide comprehensive primary health care services as well as supportive services, such as education and transportation. Health care centers need to be tailored to overcome each community's barriers such as geography, personal finances, and cultural and language differences.
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In conclusion, health centers should be considered a health home that includes medical health, oral health, and behavioral health care. Health centers strive to provide care in a manner that is patient centered, culturally competent, and provided by an interdisciplinary team.
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From page 46... ...
Weaver stated HRSA has a variety of resources through its support of the National Oral Health Access Group as well as consultants who are available on an as-needed basis to health centers that request technical assistance. Weaver also noted that HRSA is actively working with state primary care associations to ensure they have core abilities to assist people.
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