Sunday 18 January 2009

168) Oral health in the health centers

The last few weeks have brought some stuff to ineptitude that has lived on the lack of capacity of health centers and hospitals to meet the needs of oral health of populations. The hypothesis of the presence of doctors in the dental health center was again raised and supported by different personalities of the area of Health.
It is a fact that successive governments and politicians in the Parliament have made a point of not raising the issue too. Apart from the Left Block who has recently submitted a proposal for integration of doctors in NHS dentists, which was firmly rejected.
But actually the (non) policy followed so far is scandalously irresponsible and with implications for quality of life and increased health costs in quite disproportionate.
It seems that finally the conditions are created for that is beginning to feel a pressure of public opinion and the media on this subject. Even the World Health Organization has guidelines for all countries to give priority to oral health of their populations. The opinion on this matter requested recently by various media of the President of the Order of Doctors Dentists, Dr Orlando Monteiro da Silva, is paradigmatic of the negative impact that lack of doctors in NHS dentists has had on the population.
In our country, more and more voices that are raised against the lack of dentists in the medical centers Health. On one side we have families with lower economic capacity that have no possibility of recourse to private dentist, to resolve their problems. The other, are the teachers of schools, who speak of absenteeism, and stating that children ever have the worst teeth and come to class with immense problems, not that they know how to forward them to see these problems resolved.
Also the family of doctors have felt it increasingly difficult to respond to oral health problems that their clients face. Our population has the need for doctors in the NHS dentists to meet their needs for treatment!
The excuse that the inclusion of a strength as the NHS dental increases costs for the Ministry of Health is not substantiated. Even the costs involved in this lack of support for oral health by the NHS are incalculable, because we would have to add the days low of workers and the lack of students per class dental problems, recourse to the emergency room of hospitals routinely with decisions, examinations and medications do not always appropriate, the impact on the general health with worsening of certain diseases or the beginning of another, between an endless number of implications.
As I said many times, I consider the provision of oral health care to people within the NHS is a key measure in a country with needs that more than half the population shows. The current dynamics of the Ministry of Health, with the opening of the health units of public-private partnerships, seems to have created another kind of opportunity and possibility for a decision, far from the games lobbies against doctors in NHS dentists. These structures, more oriented towards the optimization of resources and improving responsiveness to the needs of the population, will surely give strong and decisive steps for a more than legitimate desire of the population would be implemented in the short to medium term.
Paulo Macedo

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