Attributes of an ideal oral health care system.

OBJECTIVES The sense of urgency concerning the inadequacies of the current U.S. oral health care system in better preventing oral diseases, eliminating oral health disparities, and ensuring access to basic oral health services has increased in recent years. This paper sought to articulate the attributes that an ideal oral health care system would possess, which would be consistent with the principles of the leading authorities on the public's health. METHODS The authors reviewed policy statements and position papers of the World Health Organization, The Institute of Medicine, The American Public Health Association, Healthy People 2010 Objectives for the Nation, and the American Association of Public Health Dentistry. RESULTS Consistent with leading public health authorities, an ideal oral health care system would be have the following attributes: integration with the rest of the health care system; emphasis on health promotion and disease prevention; monitoring of population oral health status and needs; evidence-based; effective; cost-effective; sustainable; equitable; universal; comprehensive; ethical; includes continuous quality assessment and assurance; culturally competent; and empowers communities and individuals to create conditions conducive to health. CONCLUSIONS Although there are some attributes of an ideal oral health care system on which the United States has made initial strides, it falls far short in many areas. The development of an oral health care delivery system that meets the characteristics described above is possible but would require tremendous commitment and political will on the part of the American public and its elected officials to bring it to fruition.

[1]  J. Bader Challenges in quality assessment of dental care. , 2009, Journal of the American Dental Association.

[2]  Shellie Kolavic Gray,et al.  Preventing dental caries through school-based sealant programs: updated recommendations and reviews of evidence. , 2009, Journal of the American Dental Association.

[3]  P. Petersen Global policy for improvement of oral health in the 21st century--implications to oral health research of World Health Assembly 2007, World Health Organization. , 2009, Community dentistry and oral epidemiology.

[4]  M. Larmas,et al.  Practice-based study of the cost-effectiveness of fissure sealants in Finland. , 2008, Journal of dentistry.

[5]  R. Rozier,et al.  Patient- and population-reported outcomes in public health dentistry: oral health-related quality of life. , 2008, Dental clinics of North America.

[6]  S. Griffin,et al.  Comparing the Costs of Three Sealant Delivery Strategies , 2002, Journal of dental research.

[7]  James C. Thomas,et al.  A code of ethics for public health. , 2002, American journal of public health.

[8]  S. Griffin,et al.  Reviews of evidence on interventions to prevent dental caries, oral and pharyngeal cancers, and sports-related craniofacial injuries. , 2002, American journal of preventive medicine.

[9]  S. Griffin,et al.  An economic evaluation of community water fluoridation. , 2001, Journal of public health dentistry.

[10]  A. Sheiham,et al.  The common risk factor approach: a rational basis for promoting oral health. , 2000, Community dentistry and oral epidemiology.