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David W Chambers1

  • 1University of the Pacific, Arthur A. Dugoni School of Dentistry, 2155 Webster Street, San Francisco, CA 94115, USA. dchambers@pacific.edu

Journal of Dental Education
|November 16, 2006
PubMed
Summary

Defining access to oral health is challenging, hindering progress evaluation. This study proposes four distinct models of dental care, each with unique access definitions, to address the profession's segmentation.

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Area of Science:

  • Dental Public Health
  • Health Services Research
  • Healthcare Access

Background:

  • Evaluating progress in oral health access is hampered by an unclear definition of 'access'.
  • Ozar's proposal to define access by dentists as 'true dental need' faces criticism.
  • The dental profession is experiencing segmentation, leading to disparities in earning potential.

Purpose of the Study:

  • To critically examine the definition of access to oral health care.
  • To propose a framework for understanding different models of dental care and their implications for access.
  • To address the challenges posed by the segmentation of the dental profession.

Main Methods:

  • Literature review and conceptual analysis of existing definitions of oral health care access.
  • Identification and categorization of four distinct models of dental treatment.
  • Critical evaluation of Ozar's 'true dental need' proposal.

Main Results:

  • Four distinct models of dental care identified: traditional oral health care, non-health-component oral care, episodic care, and non-dentist intervention outcomes (e.g., fluoridation).
  • Each identified model possesses a unique definition of 'care' and 'access'.
  • The increasing segmentation of the dental profession suggests a single model may be insufficient to encompass all oral health needs.

Conclusions:

  • A clear and universally accepted definition of oral health access is crucial for progress.
  • The proposed four models offer a more nuanced understanding of dental care and access.
  • The evolving landscape of dentistry necessitates adaptable approaches to ensure comprehensive oral health care access.

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