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Gondlach C, Catteau C, Hennequin M, et al. Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability. Int J Environ Res Public Health. 2019;16(15)doi: 10.3390/ijerph16152753.
Gondlach, C., Catteau, C., Hennequin, M., & Faulks, D. (2019). Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability. International journal of environmental research and public health, 16(15), . https://doi.org/10.3390/ijerph16152753
Gondlach, Caroline, et al. "Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability." International journal of environmental research and public health vol. 16,15 (2019). doi: https://doi.org/10.3390/ijerph16152753
Gondlach C, Catteau C, Hennequin M, Faulks D. Evaluation of a Care Coordination Initiative in Improving Access to Dental Care for Persons with Disability. Int J Environ Res Public Health. 2019 Aug 01;16(15). doi: 10.3390/ijerph16152753. PMID: 31374964; PMCID: PMC6696062.
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Int J Environ Res Public Health. 2019 Aug 01;16(15). doi: 10.3390/ijerph16152753.

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

International journal of environmental research and public health

Caroline Gondlach, Céline Catteau, Martine Hennequin, Denise Faulks

Affiliations

  1. General dental practitioner, 42260 Saint Germain Laval, France.
  2. Réseau Santé Bucco-Dentaire et Handicap de la région Rhône-Alpes (RSBDH), CH le Vinatier, 69000 Lyon, France.
  3. Faculté de Chirurgie Dentaire, Université Lille 2, 59000 Lille, France.
  4. Centre for Clinical Research in Dentistry CROC, Université Clermont Auvergne, 63000 Clermont-Ferrand, France.
  5. CHU Clermont-Ferrand, Service d'Odontologie, 63003 Clermont-Ferrand, France.
  6. Centre for Clinical Research in Dentistry CROC, Université Clermont Auvergne, 63000 Clermont-Ferrand, France. [email protected].
  7. CHU Clermont-Ferrand, Service d'Odontologie, 63003 Clermont-Ferrand, France. [email protected].

PMID: 31374964 PMCID: PMC6696062 DOI: 10.3390/ijerph16152753

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.

Keywords: access to care; care coordination initiative; disability; equity of healthcare; oral health

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