Thursday 30 September 2010

385. Rabo de Peixe (Azores): PS wants to create more dental appointments

The candidate of the PS / Azores to the city of Ribeira Grande, Ricardo Silva, called for opening a dental clinic in the village of Rabo de Peixe. Ricardo Silva was speaking after a visit to the health of Rabo de Peixe, accompanied by the clinical director of the Health Center of Ribeira Grande, Roso Lourenço.
Rabo de Peixe is a very populous village, with a high rate of young people every day seeking the Health Center of Ribeira Grande to dental treatment, the Socialist candidate - said in a statement the party - contends that a need and a priority to fulfill if elected. Being re-elected I will support the installation at the health unit of Rabo de Peixe a dental public with all the necessary equipment for care in oral health, said the candidate for the elections of 11 October.

Saturday 25 September 2010

384. Electoral Program of PS within the oral health


Defend and develop the National Health Service (Appointments major):
1.-Ensure that, by the end of the legislature, the national coverage of Health UnitsFamily;
2.-Extend the Oral Health Program to all children between 4 and 16;
3.-Double the number of seats in the Continuing Care Network.
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The Socialist Party's election program references in a row, extending the Oral Health Program to all children from 4 to 16 years. Just do not understand that after four and a half years in government, the Socialist Party will still take more than four years to expand the Oral Health Program only one track of the juvenile population, already assuming the commitment to leave many hundreds of thousands of children and young people outside the program automatically in the next four years (under 4 years and older than 16 years of age).
One must remember that the Socialist Party government abolished this year the National Oral Health, which I was careful to make a detailed analysis and highlight measures for its improvement, however, the government took the initiative to extinguish.
And nothing was said about the integration of oral health in the National Health Service Let us say that in the case of the Socialist Party were to win the parliamentary elections Sept. 27 and return to form government, a view to continuing the policies of disclaimer oral health status by the Portuguese, who will continue to be essentially privatized and only for the benefit of the social classes of high income, access to your disregarding the overwhelming majority of its population that pays taxes to form after that dentists are not available in hospitals and health centers to serve people who need to be addressed.
Knowing the saying that silence is consent, it would be nice if the classes linked to oral health professionals in Portugal also effecting an analysis of the electoral programs of each of the parties and issue a review on them before the elections, so that Portuguese got really clear about the direction that the politicians want to give oral health in Portugal.

383. Electoral Programme of the PSD under the oral health


Develop specific policies on child health, particularly with a universal screening of dental conditions, visual and hearing impairment and enlargement of child dental health paid by the State.
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Among the 40 pages of Electoral Programme are 3 lines with reference to the commitments that PSD takes over for the next term, should be government. Relevant measures appear to be too vague and that fall short of much that still has to work for oral health in Portugal, especially with their full integration into the National Health Service (SNS in portuguese).
At least we have a commitment by one party, how will the other parties? Also bring any proposal within the oral health? The inbox (tempogero@gmail.com) is available for your reception.

Wednesday 22 September 2010

382. Why do I have to bear all?

To let everyone know here to list all entities who exposed my case, and which still wait for the fair and proper justice for what happened to me, in case of proven need all correspondence with each of the bodies.
  • Attorney General's Office;
  • Ombudsman;Former Health Minister and current representative to the elected European parliament Correia de Campos;
  • Current president of the Regional Health Administration of the Alentejo;
  • Director General of Health;
  • Inspection of Economic Activities in Health;
  • Supreme Court of Portugal.
I still await the proper replacement do physical harm and moral that I was the victim, since so far not yet received any reparations for the acts occurred. Ultimately I reserve the right to appeal to all these bodies to the European Court of Human Rights.
While I attended high school sought help from the health center of Vila Viçosa, where I was accompanied by a medical call Guida. In this unfortunate time I recall it has only done by an electroencephalogram complaints of tinnitus that have suffered at the time, never, but it never was I allowed any kind of support or monitoring the level of dentistry. Even for military service was inspected as cannon fodder, not that anyone has done me any kind of dental examination.
They used so ever in my naive to indirectly despise me because they were well aware of what could happen to me in the future when they reach adulthood. Would never have thought that if it were an adult, I also wanted to be a happy man and performed other persons or, conversely, to show contempt for me served to serve their own ego?
In short, nobody cared for my future, nobody thought twice that I too would one day reach adulthood and want to hold me personally and a family. Assuming the position they took, what they did (medical and health services they use) was to make my adult life in hell, doomed to abandonment and loneliness. So today I feel a tremendous anger and remorse for the people who should in due course and would be obliged to have made my life completely different for the better. Now I can not stand having to pay taxes to support those individuals who screwed me my quality of life forever, because I was a child and teenager, was not up to have the same consciousness that they had on what I would succeed.

Thursday 16 September 2010

381. Dentistry at night and in eight years

Among the projects of restructuring and expansion of UFRGS for 2010, which promises to have most impact is the creation of evening course dental, already approved by the Board of Education, Research and Extension (Cepe). With classes exclusively at night, the traditional training has been redesigned and will require eight years of study (16 semesters) for students to be able to meet 18-22 hours per week.
* * *
This concrete example, from Brazil (Rio Grande do Sul) show us how you can capitalize on resources available for the training of technicians of oral medicine, there are means and there is need for a greater number of oral health specialists to meet population.
Also here, in Portugal, should be focusing on diversifying the offer, the level of the various valences of oral health, using the resources available and providing an alternative pathway for training for adults already employed and who have not had the opportunity to train while young.
Here is the challenge to the various faculties of oral medicine across the country to set up courses also identical to post-employment courses diurnal regime, with appropriate adjustments to the curriculum. Would answer to the large demand for training and, moreover, would be more a formula to enable substantial increases in resources in the area of oral health, yet so scarce in the face of tremendous current basic needs of the population of our country, in terms of oral health.

380. DENTISTS: President wants regulation and inspection of commercial oral health

The current Chairman of the Order of Dentists (OMD) and a candidate in the forthcoming elections today defended the regulation and control of commercial companies who provide oral health care, some of them owned by people outside the profession. Orlando Monteiro da Silva warns against the danger of these companies, engaged in misleading advertising, conducting himself almost exclusively by a business logic without regard to ethics and ethics of the profession. According to the president of Dental Association (OMD), has become unbearable that professionals are regulated and limited liability companies and franshising not respect the obligations that dentists are subject.
In his candidacy for president - elections to take place December 12 - Orlando Monteiro da Silva proposed the negotiation with the Government and the Parliament, in proceedings to review the status of the Order, a special scheme for the formation of commercial society to provide care in oral health. This special scheme, he explained, would require mandatory registration of such companies in the Order of Dentists (OMD) as well as the obligation of the capital stock is owned in part by dentists. It is our intention to propose a percentage of quota that ensures that the control of the companies belong, in fact, the dentists, anticipated.
The special arrangements proposed already exists in Portugal for several other professions, including lawyers, auditors and solicitors. According to Orlando Monteiro da Silva, his candidacy is not against the creation of companies related to oral health, but against the situations in the criteria of profitability and earnings are built at the expense of third-world wages and low quality of services provided. In the last two to three years, he explained, there was a profound change in how the profession of dentist is organized.
According to Orlando Monteiro da Silva, there has been the spread of structures targeted only to a logic of immediate profit, with a vision of providing health care as a business and indistinct with aggressive marketing strategies. These structures, he said, using misleading advertising messages, advertise specialties that do not exist, call into question fundamental ethical principles for the profession and undermine public health and consumer. Such companies, he said Orlando Monteiro da Silva, rely upon are usually gaps in the Portuguese legal system, the poor performance of the regulator, the slow pace of justice, the difficulty of identifying clinical directors and even some of these structures are franchised entities.
In addition to considering this activity harms consumers, causing them to treatments that do not need, also says the young dentists prejudice, which are required to accept fees and working conditions outrageous and humiliating, jeopardizing the independence of the profession.

Saturday 11 September 2010

379. National Program for Promotion of Oral Health - Report Contractualizing 2008

In the year 2008 to cover contractual allowed for dental treatment 65 371 children and youths, from 3 to 16 years. Nationally, 92% were involved in the Centers for Health. The health regions of Algarve and Alentejo developed contracting medical and dental, included in the National Oral Health Promotion, 100% of existing health centers in those regions.
For contracted health professionals, dentists and dentists, joined in 1532, more than 28% in 2007. The implementation rate in 2007 was 81% and 82% in 2008. However the number of children and young people increased by 19%. 65 000 children and youth referred for dental treatment, it moved to 80 000, 15 000 more than last year.
Of the 65 371 children and young people who actually entered into the program, 61 612 completed the dental treatment performed under the contract system (94%). The health regions of North and Centre were above the national average and both reached 98%. The health region reached 87% of the Algarve, Lisbon and Tagus Valley, Alentejo 88% and 87%.
The average number of visits per child or young person was 2.2. There is the Northern health region where the average hit it hit 2.6. Despite the difficulties concerning the treatment of children in the age group 3-5 years, the percentage of children enrolled in this case was nationally, 9% highlighting the Algarve region with the highest percentage of referrals and subsequent treatment of children group (12%).
Through the intervention had medical and dental health gains are important, particularly as regards the treatment of teeth that had lesions of dental caries. We have treated 71% of the temporary teeth and 96% of the permanent teeth that had lesions of dental caries.
The contracts with health professionals was carried out by the conclusion of a contract between two parties, private provider and the Regional Administration of Health to implement this process and obtain the results, is to highlight the commitment of professionals of the health centers, the Regional Health Administration, the contracted dentists and dentists who, in general, demonstrated unsurpassed professionalism, and all contributed to the promotion of child health and youth.
* * *
The report's conclusion states that were treated 65 371 children and youth from 3 to 16 years, according to INE data there are over 1 million children and young people between those ages in Portugal. Doing the math, even though each child or young person is entitled only to participate in a single year, throughout his childhood and adolescence in the software, it appears that the program has never and will never be able to cover all children and young the country.
And ask a child or young person can only have monitoring of their oral health in one single year and throughout his childhood and adolescence? Dear reader surely draw their conclusions.
Only the stubbornness in denying the right to oral health carried out on immature person can lead to such health policies, trampling rights and compromising the quality of life of those who are most needy.

Wednesday 8 September 2010

378. Chair malfunction leaves users without a dentist for more than three months at Health Centre

Users of the Health Center Ajuda in Lisbon, many of them elderly and low income, are without a dentist for more than three months as the chair of the specialty in dentistry is faulty. The chair has long walked to show signs of decay among users and practitioners. A wearer's Health Center, recalls in his last visit, have almost needed a ladder to be able to sit, since the lifting system was not, to rise or to fall. It took a lot of gymnastics, she confessed, laughing.
Breakdowns of the chair become unsustainable and the suspension of the consultations of dentists has come to pass, dragging it over time. The impasse has led even a group of residents to organize a petition to challenge the delay and lack of response from the direction of the Health Center Ajuda.
This situation is unacceptable. Many people are being harmed, especially the elderly, a critique of the promoters of the petition, blaming the Ministry of Health did not provide funds for replacement of the dental chair, fearing that the absence of the chair is a pretext to end specialty; remember that the elderly and the poor have no means of recourse to private. The Health Center has had two dentists, then stood with one. This is a fear I have, that the specialty has ceased to exist. But we are prepared to fight, warns one of the signatories of the petition.
The petition, with over two hundred signatures, was this week sent to the Regional Health Administration of Lisbon and Tagus Valley, Ministry of Health and the Health Center, explained, in turn, the president of the local authoritythe, Joaquim Granadeiro. The mayor unveiled the JN that was there few days, meeting with an official of the Health Centre which ensured that the problem will be solved soon. After having sent the petition, I was contacted by the director, who told me that the chair would be arranged and that consultations would resume, said Joaquim Granadeiro.
The president also said that the prolonged lack of consultation has been the subject of many complaints from residents living in the area.
* * *
In my humble opinion should have already been packaged and sent to the chair for the Office of the Director General of Health or the Office of the Minister of Health.
I'm still unaware that they both want it and that will come to ask for an investigation of inquiries to succeed, do not go to the event that any of them come the fall of that chair.

Monday 6 September 2010

377. Interview on "Jornal 2" Chairman of the Order of Dentists

CopyRight @ Medicosdentistas
======================
An excellent speech by the President of the Order of Dentists in the Journal of RTP 2 (issue of the day August 4, 2009). Today it is clear that the current slew of oral health in Portugal is responsible: set of unscrupulous politicians and senior leaders installed in the state apparatus, with a lack of vision and planning strategy, alienated the population and social problems that have aggravated continuously, the problems of oral health in the country.
This situation must change radically with the next government, which will train and place the human resources area of oral health in the service of all people, without any kind of discrimination. It is urgent to put an end to the violation of elementary human rights committed in Portugal which is the current discrimination in access to health care.
We can not continue to allow most of the active population will continue to pay taxes to take care only of the oral health of the social classes of the bourgeoisie and the state apparatus.

376. Oral health hitting bottom in Portugal

Portuguese dentists in England:


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President of dentists want more investment:
============================Young people make dental screening:
CopyRight @ RTP
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These reports show the sorry state of affairs that has been reached in our country with policies that various governments have implemented since April 25, 1974 to the present day: investments in opening schools and training of dentists without any planning, excessive supply of dentists in the domestic market, export of our best dentists abroad for nothing (after cost tens or hundreds of million of our taxes) and never before has the population is so abandoned to their fate in terms of oral health.
Becomes urgent and necessary to a profound and radical change of view of oral health in our country at all levels, and not leave unpunished totally irresponsible politicians who are really responsible for this deterioration of health care in Portugal and should answer in court for so very serious errors committed while rulers.
The country can no longer tolerate the aberration of the successive ministers who have guided the politics of oral health in our country, these are crimes in public that justice should act quickly.

Thursday 2 September 2010

375. Dental clinic accused of fraud to ADSE

During five years, a clinic in the city of Oporto invented invented consultations and issued false invoices that were reimbursed by ADSE. The fraud was around 200 000 euros. The prosecution has accused 63 former employees of the SMAS and the owners of the clinic.
On top of that fraud, according to the indictment prosecutors, advanced yesterday by the newspaper Público, reaches almost 200 000 euros, are the owners of the Dental Clinic Santo Ildefonso, Oporto - Felisberto Horácio, dentist and his wife, Julieta Monteiro, who was managing the company. Both are accused of fraud and falsification of classified documents. In the list of defendants are also 63 former officials Municipal Services of Water and Sanitation (SMAS) in the city of Oporto, and also for crimes allegedly complicit in the strategy outlined by the owners of the clinic.
According to prosecutors, the scheme consisted in the issuance of fake receipts in favor of the clinic. Through the endorsement of bills of ex-SMAS Porto, currently the City Water Company of Oporto, ADSE paid almost 200 000 euros in shares, for the support and social protection of employees and agents of government. The prosecution considers that there is evidence that in some cases, employees of the SMAS never even been clients of the health unit and, curiously, the receipts of treatments appeared on behalf of their relatives or colleagues.
In other situations, however, researchers have concluded that the value of the receipts had been fraudulently raised for the sole purpose of serving repayments, often to medical acts ever committed. Sometimes these values functioned as a kind of current account to pay for treatments to teeth that were in fact carried out.
Everybody made money: managers of the clinic received funding of health care has never provided and the staff of former SMAS (or family) pay nothing when they had need of any medical treatment. The facilities were such that the subject came by word of mouth and became known in the company. Moreover, managers at the Dental Clinic of Santo Ildefonso, sought to establish relations of friendship and trust with potential customers, facilitating, including payments for services not provided to friends and family.
The purpose was twofold: firstly, to increase profits and, secondly, increase considerably the number of clients because, for the relevant period (2001-2005) many of them went to the clinic because they were employees of former SMAS and know in advance that anything paid for medical care made. Done cross-checked data and the excessive number of receipts, some of them torn by a former employee of the SMAS (which, in a month, came to receive reimbursement of ADSE more than the salary paid by former SMAS) the researchers concluded that the defendants maintained a plan together for the illicit enrichment for society members who were due in cash values delivered by ADSE.