Saskatchewan's school-based dental program staffed by dental therapists: a retrospective case study.

Autor: Mathu-Muju KR; Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada., Friedman JW; Dental Public Health Consultant, Los Angeles, CA, USA., Nash DA; College of Dentistry, University of Kentucky, Lexington, KY, USA.
Jazyk: angličtina
Zdroj: Journal of public health dentistry [J Public Health Dent] 2017 Dec; Vol. 77 (1), pp. 78-85. Date of Electronic Publication: 2016 Nov 12.
DOI: 10.1111/jphd.12184
Abstrakt: Objectives: The poor oral health of Saskatchewan's children, in concert with a significant shortage of dentists, prompted the province in the early 1970s to seek an alternative method of addressing the oral health care needs of children. The result was the Saskatchewan Health Dental Plan (SHDP), which trained and employed dental therapists in school-based clinics to provide basic dental care to all children. The program was initiated over the opposition of Saskatchewan's dentists. The purpose of this research was to provide information and data previously not documented in the refereed dental literature regarding the only school-based program staffed by dental therapists to ever exist in North America.
Methods: This case study reviews the program's planning, opposition, implementation, and achievements based on a comprehensive review of published articles as well as a search of the grey literature. Additionally, Saskatchewan Health provided annual reports for each year of the program's existence.
Results: During its thirteen years of existence, the school-based program proved popular with parents and achieved significant success in providing necessary dental care for children. It was terminated in 1987 by the newly elected provincial Conservative government, which was not supportive of such social programs.
Conclusions: The SHDP serves as a successful model of school-based dental care for children. However, the termination of the plan demonstrates the vulnerability of publicly funded dental health programs to conflicting political ideologies and special interest groups.
(© 2016 American Association of Public Health Dentistry.)
Databáze: MEDLINE
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