National Prevention Program as a base of the Dental Care Strategy.

1. National Prevention Program as a base of the Dental Care Strategy. A.Paeglītis CDO Head of Centre of Dentistry and Facial surgery of Pauls Stradins clinical hospital of University.

2. The Strategy of Dentistry included in the Strategy of Latvian Health Treatment is adopted and confirmed with the Government resolution on the 24th September 1996.

3. Dental Care Strategy National Program consists of 5 blocks: Information-motivation block Educational block Scientific block Preventative block Data bank block

4. Information-motivation blockCompetent institution Oral Health Centre • A comprehensive system to educate children and their parents on oral health; • Media involvement – TV, radio, newspapers, magazines, publishing of books, booklets; • Collaboration with various specialists to popularize a healthy life style;

5. Evaluation of Oral Health and Accessibility of Dental Services for Children Project of Oral Health Centres (OHC)

6. Current Location of OHCs in Latvia: Regional - 4 – novadu Local - 26

7. Classes and events in Kindergardens

9. The presentation of Scientific research Works for School grade 6 and 7

10. Different Events

11. Presentation of Results

12. TeamofDentalbus North–East Latvia Oral Health Centre

15. Lelles

16. Drawing competition for school children“Color your teeth bus !”

17. Educational BlockCompetent institution Oral Health Centre • -development of dental hygienist curriculum and practical training; • -development of specialized preventative educational programs (forchildren according totheir age groups, pregnant women, new mothers); • -organizing courses, lectures in preventative strategy; • - collaboration with the AML – Health School, Youth Health Centre, specialists of the Base Education System (school-board).

18. Scientific BlockCompetent institution Oral Health Centre • Usage of the epidemiologic data analysis of the ICS-II project to implement and assess the National Prevention Program; • Regular usage of epidemiologic data to assess efficiency of preventative measures; • Performance of regular epidemiologic research.

20. KPE for 12-year old children in north-east Latvia (1999 -2001)

21. KPE with 12 year old children(school year 2004/2005) Number of children 1546

22. KPE structure for 12 year old, 2007/2008

23. KPE + Ki structure for 12 year old, 2007/2008 Number of children 1811; KPE 2.73

24. Caries free for12 year old children (1999 – 2001) 3133 children examined

25. Caries free(12 year old children) 2004/2005 Number of children 1546; average % 23.67

26. Number of caries free children in 2007/2008 (12 year old) Number of children 1811; average 24.7 %

27. Preventative BlockCompetent institution Centre of Dentistry • Implementation of base and individual programs to ensure preventative and medical service for children and youth from 0-18. • Treatment availability, mobile dentistry.

28. Preventative BlockCompetent institution Centre of Dentistry • Regulations No. 1036 ”On Organization and Funding of Health Care” • Classification of manipulation in dentistry

29. Accesibility for children and disabled persons Project of mobile dentistry

30. Mobile dental practice

31. Kurzeme - Zemgale

32. Mobile dental practice for physically disabled persons

34. Mobiledentalpractice

35. Data Bank BlockCompetent institution Centre of Dentistry • Assess efficiency of preventative and medical measures in Latvia, create regular registration of dentistry for particular age groups; • Data collection is carried out by local regional Oral Health Centres (OHC) in collaboration with the State Centre of Dentistry (SCD); • Map development and data analysis is carried out by the OHC, and recommendations are given to the SDC regarding possible program adjustments.

36. Health Compulsory Insurance State Agency(HCISA) Epidemiological Data * Minimum Services in Dentistry * Training of Dental Care Staff Regional Oral Health Centres Medical Statistics Register of Physicians Private Practices Register of Enterprises Register of Dental Assistants Register of Dental Nurses Register of Dentists Certification of DentalAssistants Certification of DentalNurses Certification of Dentists Data Bank of the State centre of Dentistry and Facial surgery

37. Advantages • Structural changes • Successful collaboration with the Oral Health Centre • Stabile State information network

38. Disadvantages • It is not patient-oriented. • It is not service quality, validity and protection oriented in broader definition. • It is not oriented to dentist protection.

39. Conclusions • Agree on unified strategic guidelines among thespecialists of the Baltic States • Create a new national strategy for dental care, based on unified guidelines, as well as on experience:

40. Conclusions • Apply positive experience of our neighbours; in Estonia E-medicine, in Lithuania – patient protection, etc. • Propose solutions of availability in Latvia: network of Oral Health Centres, mobile dentistry

41. Suggestions • Build closer collaboration among theBaltic specialists • Agree on common guidelines • Involve Scandinavian specialists-experts

42. Suggestions • Enjoy the life!!!

43. Thank you for your attention! vzc@latnet.lv paeglitis.vzc@latnet.lv www.vzc.lv

44. Basic principles for good dental health care in the future Dr. Zane Bendika Centre of Dentistry and Facial Surgery Sigulda, 18.08.2011

45. National prevention programm (elaborated in 1995) as a basis of the Dental Care Strategy 2011-2020

46. Good care-about the management system for quality and patient safety in health care Guide issued by the Swedish National Board of Health and Welfare in 2006.

47. Health care must be • Patient centred • Accessible and timely • Safe • Evidence based • Equitable • Efficient

48. Patient centred care

49. A number of different facts indicates that health care is not always as patient-centred as it should be

50. The possible reasons for this include the following: • There is a lack of awareness that a patient-centred approach provides a better outcome • Patients interest in treatment process is not always sufficient