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

Author

Listed:
  • Caroline Gondlach

    (General dental practitioner, 42260 Saint Germain Laval, France
    Réseau Santé Bucco-Dentaire et Handicap de la région Rhône-Alpes (RSBDH), CH le Vinatier, 69000 Lyon, France)

  • Céline Catteau

    (Faculté de Chirurgie Dentaire, Université Lille 2, 59000 Lille, France
    Centre for Clinical Research in Dentistry CROC, Université Clermont Auvergne, 63000 Clermont-Ferrand, France)

  • Martine Hennequin

    (Centre for Clinical Research in Dentistry CROC, Université Clermont Auvergne, 63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, 63003 Clermont-Ferrand, France)

  • Denise Faulks

    (Centre for Clinical Research in Dentistry CROC, Université Clermont Auvergne, 63000 Clermont-Ferrand, France
    CHU Clermont-Ferrand, Service d’Odontologie, 63003 Clermont-Ferrand, France)

Abstract

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.

Suggested Citation

  • Caroline Gondlach & Céline Catteau & Martine Hennequin & Denise Faulks, 2019. "Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability," IJERPH, MDPI, vol. 16(15), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2753-:d:253935
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    References listed on IDEAS

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    1. Jody Hoffer Gittell & Leigh Weiss, 2004. "Coordination Networks Within and Across Organizations: A Multi‐level Framework," Journal of Management Studies, Wiley Blackwell, vol. 41(1), pages 127-153, January.
    2. Segal, Leonie & Dunt, David & Day, Susan E. & Day, Neil Atherton & Robertson, Iain & Hawthorne, Graeme, 2004. "Introducing co-ordinated care (1): a randomised trial assessing client and cost outcomes," Health Policy, Elsevier, vol. 69(2), pages 201-213, August.
    3. Goddard, Maria & Smith, Peter, 2001. "Equity of access to health care services: : Theory and evidence from the UK," Social Science & Medicine, Elsevier, vol. 53(9), pages 1149-1162, November.
    4. Jody Hoffer Gittell, 2002. "Coordinating Mechanisms in Care Provider Groups: Relational Coordination as a Mediator and Input Uncertainty as a Moderator of Performance Effects," Management Science, INFORMS, vol. 48(11), pages 1408-1426, November.
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    Cited by:

    1. Marie-Laure Munoz-Sanchez & Natacha Linas & Nicolas Decerle & Valérie Collado & Denise Faulks & Emmanuel Nicolas & Martine Hennequin & Pierre-Yves Cousson, 2021. "Radiological Evaluation of Stainless Steel Crowns Placed on Permanent Teeth in Patients Treated under General Anaesthesia," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    2. Gianmaria D’Addazio & Manlio Santilli & Bruna Sinjari & Edit Xhajanka & Imena Rexhepi & Rocco Mangifesta & Sergio Caputi, 2021. "Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers," IJERPH, MDPI, vol. 18(4), pages 1-13, February.

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