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Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability

Bibliographic Data

ID15511928
AuthorsCaroline Gondlach (Laval Mayenne Technopole), C Catteau (0000-0002-5556-7827, Université Clermont Auvergne), Martine Hennequin (0000-0001-8173-2606, Université Clermont Auvergne), Denise Faulks (0000-0002-1191-5658, Université Clermont Auvergne, corresponding author)
Year2019
Volume16
Issue15
Pages2753-2753
Publication date2019-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16152753
PMID31374964
OpenAlexW2964820819
LanguageEN
Citations received3
References cited24

In French law, the state is responsible for ensuring equal access to health care for people with disabilities. No system exists within dentistry to guarantee this-there are no salaried public service workers, over 85% of dentists work in general practice, and hospital dentistry is poorly developed. Public funding is available for care coordination initiatives termed "Health Networks". The objective of this study is to report on an internal evaluation of the Réseau Santé Bucco-Dentaire et Handicap de la région Rhône-Alpes (RSBDH), a Health Network coordinating dentistry for persons with disability in the Rhône-Alpes region, and to discuss the French model of Health Networks as a response to improve access to care. Existing governmental guidelines for the evaluation of Networks were adapted for the RSBDH. The RSBDH coordinated dentists to ensure screening, prevention, and treatment for 3219 persons with disability in 2015. Identified strengths included the identification of vulnerable persons, improved access to treatment and collaboration with primary care services. Weaknesses included training of professionals, continuity of care, information sharing, and stakeholder participation. In 2015, the cost was €501 per patient. This model raises major issues of cost, training, equity, and quality of care within special care dentistry. This discussion is relevant to many countries where models of service provision are currently being developed

Business · Dental care · Equity (law · Family medicine · Health care · Political science · Public health · Public relations · Stakeholder · Chronic Disease Management Strategies · Dental Health and Care Utilization · Healthcare Systems and Technology · Medicine · Nursing

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  • Coordinating Mechanisms in Care Provider Groups

    Open Access•Jody Hoffer Gittell•Management Science•2002

  • Improving access

    Open Access•Emily Saurman•Journal of Health Services…•2016

  • Patient-centred access to health care

    Open Access•Jean-Frédéric Levesque, Mark F Harris et al.•International Journal for Equity…•2013

  • An in-depth analysis of theoretical frameworks for the study of care coordination

    Open Access•Sabine Van Houdt, Jan Heyrman et al.•International Journal of…•2013

  • The Concept of Access

    Roy Penchansky, J W Thomas•Medical Care•1981

  • Equity of access to health care services

    Open Access•Maria Goddard, Peter Smith•Social Science & Medicine•2001

Unique citing works3
Citations per year0,6
Citation span2021 - 2024 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3
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