In affirming that the national health service should include dentists in his paintings, what we mean by this statement? We can conclude that there should be dentists in public hospitals? What should be distributed to health centers?Well, to answer these questions we begin by recalling that, according to WHO (World Health Organization), Health is complete physical - physical, psychological and social, is not only the absence of disease or infirmity. In the light of this definition any medical specialty, and medical personnel should be integrated into the national health service. I think that this reasoning is correct.
Let us return then to the main subject. There is no emergency or in dentistry to justify the presence of a dentist in the emergency department? Indeed, there is. In the area of Oral Health few "true emergency" can have. So, be urgent in fact, jaw fractures, and these will be at the mercy of Maxillofacial Surgeons - Facial. Emergency will actually avulsion of teeth, and there we have in many central hospitals dentists to settle the case. A toothache, aka toothache, is not an emergency that justifies the presence of a professional in the emergency room.
There is the problem of patients who can not afford to treat their teeth. However, for these patients could medical schools tooth has agreements with Social Security. If we make an analysis on the investment we make in setting up a dental average, about € 20,000 in equipment alone will not be difficult, so the math, figuring the money for a national investment in this area. Adding to these figures the wages of Dentists, the maintenance of offices and equipment, the bill to pay for these services is very high.
I am convinced that the best and most economical to serve a population in the Specialty of Dental Medicine is the national health service to make contracts with the Clinics and dental. With this measure the state required all offices and clinics to work legally. In Support the consultations could bring prices between suppliers and so most people were safeguarded from speculation. The state would raise more in taxes, because all patients would ask for a receipt to be reimbursed. The population would be better served just as well resort to the Dentists with qualifications. The Dentists would be well integrated into the National Health Service (S.N.S.) which would be beneficial to all parties.
Put Dentists in hospitals or health centers would give force to the Dental Association in a way that, in my view, is entirely devoid of rationality. The serious problem of Health in Portugal has two main culprits. The Ministry of Health and the Medical Association. The first because they are afraid of giving orders, the second because it orders the most. Do not want to put a third player in the disorder of Health.
Carlos Borrego
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