Public Policy Options for Better Dental Health Report of a Study (1980) / Chapter Skim
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Conclusions and Recommendations
Conclusions and Recommendations
Pages 1-12
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The coexistence of these circumstances provides an opportunity for improving dental health through direct support of an efficacious prevention program and implementation of an insurance plan to cover costs of dental services that can help control dental disease, reduce the backlog of need for care, and improve the quality of life for most Americans. The national program to improve dental health described in this report proposes that dental care resources be allocated to meet more closely the population's need for dental care.
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In addition, Chapter 5 describes various approaches to containing the costs of dental care and redirecting limited resources toward the goal of better oral health through better disease control. The Rationale for Insuring Dental Services A fundamental question for this study committee was whether health insurance, either public or private, should be extended to cover dental care, either now under existing plans or under an eventual national health insurance program.
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However, the priorities developed by the committee for dental services should provide guidance to any future actions concerning dental benefits under national health insurance. Meanwhile, the recommendations should prove useful in assuring that additional funds committed to the extension of private dental insurance benefits will have a greater impact on oral health.
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improve the effectiveness and accessibility to various dental care delivery systems. Recommendations To help achieve the purposes stated above and thus improve the quality of life for Americans, the committee recommends that properly designed health insurance covering dental care services be considered an appropriate component of a national health insurance plan.
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Therefore, because certain basic preventive services are necessary to improving the dental health of the nation, the committee recommends that a basic system assure the delivery of preventive services to all children, whether or not dental health insurance is included in national health insurance or there is continued growth in private dental insurance. The committee suggests further that the most efficient way to accomplish this objective may be to encourage and enlarge school-based preventive dentistry services that have been initiated in many school districts throughout the nation, and to initiate such services where they do not now exist.
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In order to ease the financial barrier to this initial dental care for children of low income families a recommendation regarding the priority of this special population group is under the following outlined insurance priorities. Dental Insurance Priorities With the highest priority given to a school-based preventive education and services program described above and assuming its adoption whether or not a national health insurance program is enacted the committee grouped other dental services into three broad categories in decreasing order of their long-range cost-effectiveness in improving oral health (Chapter 6~.
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a) Integration of dental health education and plaque control into general education program b)
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The committee believes that achievement of better equity in access to improved dental health status requires that the child from a poor family who has been found to need such basic preventive, emergency, and restorative dental services under the school-based program recommended above should have the opportunity to receive these services. Therefore, the committee recommends that at a minimum, and even if national health insurance is not enacted, steps should be taken to assure that the children of low-income familes have access to .
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have shown to be efficient and effective in providing ambulatory health services and have contributed to a substantial body of experience supporting development of alternative dental care delivery systems. The committee recommends that alternative prepaid delivery systems and capitation reimbursement systems be made an integral part of a dental health program under national health insurance and that a substantial 9
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Therefore, the committee recommends that dental hygienists and dental assistants with appropriate training be used to provide preventive care in the recommended school-based system and that those few state lezal restrictions to carryin~ out this recommendation be negated. Quality Assurance and Utilization Review Restorative dental services include of procedures that range from the removal of plaque and maintenance care, to an optimal level of extensive occlusal reconstruction.
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However, in order to evaluate the quality and level of the services actually provided, some system must be instituted so that there is a continuing assurance that the insured benefits are being appropriately utilized and delivered. The committee recommends that Roland mechanism Of ad irv ~nr1 utilization review for ambulatory dental care be demonstrated and analyzed and that an effective system be included in any national health insurance system.
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