643. COURT OF AUDITORS: Death of dental public sector in Portugal

The Court dictated the death of

dentistry public sector in Portugal

For when a rejection reaction on the part of the Medical dentists and the Minister of Health to how it is treated the Faculty of Dental Medicine of Lisbon? How many doctors dentists Portuguese were formed in that institution? How many members of the Court have already been treated by dentists trained in that institution? Attacking those who provide health care with social nature tells all about who carried out the audit; surely unprecedented, extremely shameful and that even the most developed in the world occur ...

* * *

Clinic External Faculty of Dental Medicine of Lisbon will close on 31 October, following irregularities found by an audit of the Court (TC). The announcement was made Saturday by the Director of the School of Dental Medicine, João Aquino Marques, after a CT scan of the report indicates that the existence of that unit is not provided for in the statutes of college and has no license from the Regional Health Administration of Lisbon and Vale do Tejo or any other entity to operate.

Although the Court considers not to be in question the quality of services and recognizing the social role given to disadvantaged sectors of the population, it stresses that the clinic should observe the rules and best practices applicable to public bodies and activities pursued. For João Aquino Marques, External Clinic is part of the organizational structure of the Faculty, not being thus a private drive that requires licensing by the health regulator and has worked over the last 10 years as an extension of the university service, shared opinion by the Secretary-coordinator, Dário Vilela.

The institutions of funding and, at the time, it seemed a good idea to open the school to the general population. The external or integrated clinic is a hospital service with doctors, depends on the college uses its facilities and is a source of revenue, said Aquino Marques. Dário Vilela stressed that the clinic is responsible for about 20,000 annual consultations and that its closure will put an end to the single query in the public sector for adults with special needs.
Taking into account the restrictions adopted by the Government to the employees by public contracting, João Aquino Marques considered that does not have great alternatives unless the closure of the clinic, since it can not make contracts for the provision of services or of covenant. They ask us to be creative. We do not want to close the outer query, but legal alternatives are to create a private clinic, with the opening of a competition which private clinics can compete. This does not concern us, since we want to follow our teaching philosophy, he explained.

According to him, the state budget for the college is around 1.8 million euros per year and the salaries of teachers and staff come to 3.8 million euros. When the Court of Auditors says that the clinic does not prove that we are self-sufficient, the proof is that never have paid from our pockets wages. And we spend 400,000 euros in clinical material. We must do our damnedest to this. We made this illegality that the TC points and are penalized for it, retorted.
According to the same official, the external clinic has been operating for about ten years, employs 60 people, including 42 dentists, and serves about 20,000 people, accounting for a 50% increase to 45 000 consultations for college .do amount paid in the query by patients, 40% is for dentists, 60% for college.

PÚBLICO 

642. There are 30 municipalities in Portugal without dentists registered

More than 150,000 people in 30 Portuguese municipalities are without dentist, according to official figures from the Dental Association (OMD), who admits a distribution of accumulated too professional in coastal areas.
The Order of the numbers, the Lusa agency had access show that in 30 municipalities (10% of total) there is no dentist registered, although the president admits that there may be professionals from neighboring counties to give some queries in these locations.

Municipalities are small, relatively unpopulated, mainly from the countryside. These are regions that are in a growing desertification and have difficulty in attracting dentists and municipalities with a very low population, specified Orlando Monteiro da Silva speaking to Lusa.
The president of OMD argues that the state can and should create incentive mechanisms to attract dentists to settle in areas with little or no coverage, noting that the municipalities also have their role.

Alcoutim, Aljustrel, Alvito, Arraiolos, Barrancos, Chamusca, Corvo (Azores), Figueiró dos Vinhos, Freixo de Espada a Cinta, Gavião, Marvão, Nisa, Oleiros, Ourique, Penamacor, Viana do Alentejo and Vila Velha de Ródão are some of the municipalities without registered dentists.
In these 30 municipalities, the average resident population of 4,864 people, according to the Order of the data relating to 2014.

Sapo Saúde 

641. More than 173,000 people receive dental checks since January

More than 173,000 people have received dental checks since January, with the largest share of beneficiaries to be the children of 7 to 13 years, according to official figures from the Dental Association. In the first five months of the year, 173 259 people received dental checks, with a total utilization rate of around 65%, but ranging from 24% to 15 year olds to 85% in patients with HIV / AIDS.
The main beneficiaries are children aged 7, 10 and 13 years in public schools, which already received more than 120,000 checks to use in dental treatment in private clinics. Since the program began in 2008, about 1.9 million users had access to dental checks, with which they were performed more than 6.5 million treatments.

This National Program for Promotion of Oral Health covers children and young people who attend public schools at 7, 10, 13 and 15 years of age and followed pregnant women in public services, seniors who receive the solidarity supplement and people with HIV / AIDS. Since the program began, the number of beneficiaries has been steadily increasing, surpassing the 413,000 last year, with more than 633,000 checks issued and 408,000 actually used.

According to the president of the Dental Association, the program data also show that the severity of the lesions treated has been steadily decreasing, which meets the objectives. About 60% of interventions correspond to preventive procedures such as application of sealants (protecting the cracks of the teeth against tooth decay), with the incidence of cavities to provide significant reductions in children, "the main target" program.

The Dental Association argues, however, that the program be extended to diabetics, remembering that it is a group with additional risk for oral health problems. For the president, Orlando Monteiro da Silva, in the current economic situation of the country should be considered to extend the program to additional risk groups such as diabetics. For this, da Silva Monteiro stresses that an increase of the program's budget, even remembering that there are about one million diabetic diagnosed in the country.

Although the issue of the funds needed to extend dental checks be a decision of the Ministry of Health, the president believes that it is an investment that allows for cost rationalization. There is a huge relationship between diabetes and oral health. Diabetes needs to be controlled to have a good oral health and vice versa. good control of oral health, particularly of the gums and the bone is necessary, so that diabetes is not exacerbated, he told the Lusa news agency.

Recently, the Health Regulatory Authority questioned the universality and equity in access to dental checks, noting that left out children who attend private schools and pregnant not followed in public services. At present there are 3305 dentists to collaborate with the program, which reaches more than 5,500 clinics and offices across the country.

PÚBLICO     

640. the Dental Association's president awarded by AMERICAN DENTAL ASSOCIATION

Orlando Monteiro da Silva, president of the Dental Association (OMD), was elected an honorary member of the American Dental Association (ADA), one of the most respected medical organizations Dentists worldwide.
For the first time, a Portuguese elected honorary member of the ADA. This distinction is awarded to personalities who have contributed in an exceptional way to the advancement of dentistry and globally to promote oral health. In addition to the election as an honorary member of the ADA, the Chairman of the Medical Association was also the first Portuguese to be elected president of the FDI (World Dental Federation).
The delivery of the award will take place at the meeting of the "House of Delegates," the ADA, in October, during the association's annual conference, which takes place in San Antonio, Texas.

jornaldentistry 

639. Access, competition and quality in the National Oral Health Promotion

https://www.ers.pt/uploads/writer_file/document/1019/Estudo_ERS_-_PNPSO.pdf

638. ORAL CANCER SCREENING: Claim your rights

Each user of the National Health Service (SNS in Portuguese) shall, from now entitled to two checks dentist annually for diagnosis of oral cancer and the other two for biopsy. According to a rule of the Directorate General of Health, this extension of the National Program of Oral Health Promotion aims to increase the survival of oral cancer after diagnosis of the disease.

It is set to target population persons belonging to risk groups (male smokers, with more than 40 years and alcohol consumption) and patients with lesions in the oral cavity and with complaints of pain, color changes or the surface of the oral mucosa. The value of each check-diagnosis is 15 euros and each check-biopsy 50 euros, each user can receive annually two checks of each.

The Order of Dentists have estimated that are now held annually about five thousand biopsies to oral cancer. The intervention will always get the family doctor or by screening the high risk of users or clinical diagnosis of potentially malignant lesions in the mouth.

The existence of a suspicious lesion should always be subject to differential diagnosis, being sent by the computer system of health centers a check-diagnosis which can be used in a medical dentist adhering to the program. In the case of the dentist or Stomatological consider necessary to perform a biopsy should perform the collection of the product and sent to a reference laboratory using then a check-biopsy.

When a tumor is detected, the laboratory reports, by a computerized system, the Portuguese Institute of Oncology of the respective area, which should make an appointment urgently. The program involved 240 dentists, a network that aims to geographically cover the whole country.

Jornal Médico   

637. Oral Health PORTUGAL

Group on FaceBook
monitoring of oral health in Portugal
* * *

https://www.facebook.com/groups/376006582519771/

636. Thirty-two teeth invade the streets of Lisbon

The passage of the human denture through the streets of Lisbon coincided with the action of mobile office Colgate, which provided hundreds of check-ups free routine to the population between 12 and 16 March. Inserted in the 15th edition of Oral Health Month Colgate, Lisbon, April 15, 2014 - As part of Oral Health Month ended March 31, 32 giant teeth, forming a true giant teeth, strolled through the streets of historic Lisbon. Who was in the areas of Baixa Chiado and Rossio he was surprised by the passage of a human dentition consists of 32 teeth, in a relaxed way, interacted with the curious who roamed this area and were surprised by the animation created by Colgate.Fun, teeth interacted with who toured the area, approaching people to reinforce the importance of good oral hygiene and reminding them that oral health can be viewed in a cheerful and relaxed.
this action was a great way to draw attention to the importance of hygiene and careful oral health in a didactic way, very funny and original. Here's the funny video of human teeth Colgate in action:

https://www.facebook.com/photo.php?v=230319273843055&set=vb.149596731915310&typ

e=2&theater

635. Oral health program: evolution, instruments and results

The state of oral health in children and young people is particularly worrying for the acquired knowledge that caries and periodontal diseases, if properly prevented or treated early, are of a high vulnerability, with reduced economic costs and gains on relevant health. Since 1985, the General Directorate of Health has an ongoing National Programme for the Promotion of Oral Health. This program of oral health in the National Health Service (NHS), began with the promotion of oral health in schools, and later extended to preventive and curative measures with the entry of Oral Hygienists (HO) and contracting with service private dentistry. In 2008, this contractual model has been revised emerging dentist check. The study aims to contribute to the understanding of the evolution of oral health program, their instruments and their latest results. In the empirical study, we analyzed data resulted from information compilation of the Oral Health Program for Children and Youth and screenings conducted at school. The study intends to reflect on the benefits / costs of a model that favors the traces of dental caries, as a measure of screening versus a universal subsidy model which enables access to all children. Hiring Oral Hygienists may have capital gains not only in the short term through the screening of children to assign dentist check, but also long-term with the systematic implementation of measures to promote oral health. In the sample it was found that only about 45.5% of children at age 7, the free teeth have cavities. The study data reveal a membership of only half of the children to a totally free, with 24.7% of children who actually had oral health needs did not use dental check. However, virtually all children using the check complete their treatment plan. The exception that occurs at age 10, related to the eruption of the premolars, suggests a review of the age cohorts assignment dentist check. With application of screening a universe of 237 children with an average rate of 40.7% caries free, it would be possible to reduce costs in 5700 euros. The economic analysis of the oral health sector can make an important contribution in decision-making in this health sector.

634. March: Month of oral health

Learn more about the month of oral health

http://mesdasaudeoral.colgate.pt/entrada

633. Which the dentist ratio: inhabitant recommended by the WHO?

I believe that all dentists should have ever hearing the phrase WHO recommends a ratio of one dentist for every 1,500 inhabitants. But what did you mean by that? That the ratio of 1: 9,000 is bad, then the ratio of 1: 167 is good? It makes little sense.
Paulo Capel Narvai wrote an article for the Journal's website saying that this data would be a legend. A kind of hoax that had begun even before the popularization of the Internet. He says:

It is not enough to combat the current health manpower training policy - there including dental human resources - the boring quote from the World Health Organization recommends one dentist to 1,500 people. (There are variations as 1 / 1,000 and 1 / 2,000). There are at least two errors in that: firstly, WHO does not recommend anything. At some point someone must have misread somewhere mistakenly cited the WHO and, since then, there has been a mechanical and uncritical repetition of this proportion. I never met the bibliographic reference in articles that mention such proportion. In WHO documents, to which I had access, I never read anything about it. Until some researchers uncover the mystery, it can be concluded that it is pure legend.

I confess that for a long time am not silent, looking for the origins of the legend, as found publications until 1979 with this information. Until you hit me the idea to look for where it started (or not): the WHO itself.

I found a statement from the organization that explains the whole thing:
The World Health Organization (WHO) and the Pan American Health Organization (PAHO) does not recommend or establish optimal rates of number of beds per capita to be followed and enforced by its member countries. Nor define and recommend the desirable number of doctors, nurses and dentists per capita. There is also guidance on the optimal duration of medical appointments or a desirable number of patients seen per hour. Emphasis added.

So how it happened?
In the distant year 1972 took place the III Special Meeting of Health Ministers of the Americas, which resulted in Health Ten-Year Plan for the Americas. The assembled ministers agreed the goal of achieving 8 doctors, 2 dentists, 4.5 nurses and 14.5 nursing auxiliaries per 10,000 inhabitants. Only that. 

The document is the result of a PAHO-WHO event, but is not an official resolution of the organization, which would as dentists should exist for every so many thousand inhabitants.
Even because in 1972 the reality was different, right? Right here a Vitor Pinto Article 1983 does not let me lie.

Marcos Santana 

    

632. Dentistas do Bem come to the North Interior to treat children and young people in need

The Dentistas do Bem have reached the north of Portugal being inside the village of Mogadouro the first town in this region to receive this service provided by volunteer doctors dentists will conduct dental appointments children and needy youngsters.
It is important to reach the interior of the country. Had failed to even launch the project in the Northern Interior and so Mogadouro is first settlement of this area to welcome our initiative, he told Lusa Carla Grace, representative of the Turma do Bem.

The Turma do Bem is a Non Governmental Organization (NGO), whose main project is the Dentist Well, want to start the year 2014 spread north of smiles south of Portugal, and chose Mogadouro to help decentralize the project so far I had not yet arrived in the districts of Bragança, Vila Real and Guarda.

DESTAK

631. Statistics (number of visitors to the blog)

630. Master's thesis (oral health)

Dear colleagues,
My name is Ana Firmino, have basic training in Oral Hygiene since 2010 by FMDUL, I'm not exercising, and now I find myself preparing my master's thesis by ENSP-UNL, whose theme is related to the Oral Health .
Given the current economic conjecture of our country and according to the inequalities of access to the population is subject, in particular in relation to oral health as a public health component, increasingly it appears an oral health deterioration of our population and other associated problems.
Since it is a field of great concern to professionals in our area, mostly argue that oral health should be part and be 'delivered' to the population free of charge, not a right for us acquired described in the Constitution with the following words:

"1. Everyone has the right to health protection and the duty to defend and promote.
2. The right to health protection is achieved:
a) Through a national universal service and overall health, and bearing in mind the economic and social conditions of citizens, tend Free;
b) The creation of economic, social, cultural and environmental conditions that guarantee, specifically, the protection of children, youth and old age (...)
3. To ensure the right to health protection, primary duty to the state:
a) Ensuring access of all citizens, regardless of their economic circumstances, care of preventive medicine, curative and rehabilitative;
b) ensure a rational and efficient coverage of the whole country in human resources and health facilities (...). "

We know that in relation to oral health is not what is practiced in reality. Therefore, contact you with goals to request some information (studies, articles, papers, posters, etc.) relevant to me they can provide.
Essentially intend to make an introduction to the hygienist, dentist, stomatologist, dentist in order to highlight what roles and function of each of the oral health of the individual, how they can work together and how they complement each other.

I also want to address the supply and access to oral health in public and private side face the population's needs (No. professionals - those mentioned above, but essentially HO and MD - number of public and private spaces, perceived need of the population - the elderly , pregnant women, children and young people, HIV carriers, etc.).
Desire to seek out new approaches and programs applied in other reference countries (European or otherwise), avant-garde in this area and pointing positive results due to the implementation of their programs.

In order to address the aspect of Human Resource Management (number of professionals, number of professionals in service, number of professionals by type public or private, dentist check number issued by various levels and number of use thereof, results of programs oral health previously carried out, etc.) over the existing needs, we need reliable information and based on the evidence.
Still intend to compare results of oral health with other countries and its programs, finally intend to propose new methods and more effective programs that create larger population conditions for access to a public shed with equal access for all.

I really appreciate if I can provide as much information and I ask or think that may be relevant for my study.
I accept suggestions or some sort of guidance if they wish or deem necessary.
They will eventually require a statement of the institution to which I belong belongs, thank you ma request as soon as possible in order to carry out the project without further delay.
I await feedback.
Thanks,
Ana M. P. Firmino,
24 HO Course (FMDUL)
VIII Master in Health Management (National School of Public Health - UNL).
Electronic mail:
margarida_firmino88@hotmail.com or FaceBook

629. Seven foods that make healthy teeth and gums

Raw Food - The strength made for chewing raw food support teeth stronger, guaranteeing them firmly. In this case, other difficult to chew food, such as meat and mace, also help.Vitamin C - Lack of vitamin C causes bleeding gums and decreased bone mass, which in the long term can lead to tooth loss. One should not overdo the intake of very acidic foods - like orange and pineapple, rich in vitamin C - because let their teeth more porous. One option is to rinse with water to neutralize the acid after ingestion, not advising immediate brushing, because the friction of the brush with the glaze will cause the teeth to further wear.Water - Consuming water is important because it eliminates waste, sugars and acids. Furthermore, water of big cities contains fluorine, which enhances the resistance of tooth enamel.Milk and milk products - in this case, what is essential is the consumption of calcium, as the nutrient composition is part of teeth, and appropriate levels ensures good health and tooth formation. Another source of calcium are dark leafy greens such as kale.High-fiber foods - Besides contributing to gastrointestinal health, these foods promote self-cleaning teeth, preventing the formation of plaque - causing cavities and gingivitis.Vitamin D - Vitamin D increases the efficiency of intestinal calcium absorption by 40% the phosphorus and 80%; also help in fixing the calcium in bone and tooth bases.Sugarless gum - sugar-free chewing gum between meals stimulate saliva formation, which contributes to cleaning teeth. The chewing gum may become even more valuable when provided xylitol (see the label), a sweetener that helps the dental remineralization process and contributes to the longevity and protection of the teeth.

Oneida Werneck

Yahoo

628. The SNS is necessary and sustainable

By ignorance of reality or political strategy, some people say that the National Health Service (SNS) is spender and unsustainable. It is exactly the opposite!Let's talk numbers, based on the latest OECD data, relating to 2010. In terms of percentage of GDP, Portugal spent 10.7% in Health (public and private spending), France and Germany 11.6% and OECD average was 9.5%. But per capita, the comparison is fair and honest, Portugal spent only $ 2,728, compared to 3974 in France, 4338 in Germany and 3268 the average of OECD countries. However, for the previous amount, the Portuguese State only contributes 65.8%. Against 77.0% in France, 76.8% in Germany and 72.2% on average across OECD countries. In other words, Portugal has a global budget system and, above all, cheaper for the state. It is recalled that in the meantime, from 2010 to 2012, the government reduced the public contribution to the SNS by 20% and that for 2013 the State Budget provides that public spending on health is only 5.1% of GDP.

And the quality? Portugal has 3.4 hospital beds per 1,000 inhabitants, while France has 6.4, Germany 8.3 and the OECD average is 4.9. You can not cut more hospital beds without harming patients! The mean duration of hospitalization in days was 5.9 in Portugal, 5.7 in France, 9.5 in Germany, 7.1 in the OECD average. The Portuguese hospital specialists work well!

Life expectancy of women at 65: 20.6, 22.6, 20.9 and 20.7 years respectively in Portugal, France, Germany and the OECD average. We are very well, but we can improve, which goes mainly to combat risk factors, prevent and treat chronic diseases.

Infant mortality in 2010 (deaths in the first year per 1,000 live births): 2.5 in Portugal, 3.6 in France, 3.4 in Germany and 4.3 in the OECD. One of the best parameters of global analysis of the quality of a health system. Portugal was the best in 2010!

Only in per capita expenditure on the consumption of drugs would compare not so well. This year we spent $ 508.1 versus 634.5 in France, 640.0 and 495.4 of Germany to the OECD average. But in the meantime, from 2010 to 2012, the value of the drug in ambulatory market and the average cost per package declined about 20% as a result of the measures implemented by the Government. Which means that today we are already below the OECD average and that there is slack to introduce innovative medication.

As shown by the coldness of the OECD numbers, the SNS is of great quality and cheap. As recently stated in Brussels at a meeting organized by the European Public Health Alliance (EPHA), the Portuguese health system is the world's best, excludes no one, is sustainable and should be preserved. Who want to claim otherwise, you will have to show underlying!

If any government want to have democratic legitimacy to destroy the SNS, the parties that support it will need to apply for elections with this explicit program, or undergo option for Health in Portugal to a national referendum. It was not the 10% of GDP on health Portugal that led to bankruptcy. It was mediocre, spender and corrupt way "the other 90%" is spent by successive governments.

José Manuel Silva

Fundação para a Saúde

627. Pope receives the TURMA DO BEM, largest network of volunteer dentists in the world

As it has done since becoming pontiff, the pope Francisco yesterday broke the rules of the Vatican in the audience who received the largest network of volunteer dentists in the world, the TURMA DO BEM, alongside heads of state and religious organizations. Dismissed the restricted Sala São Paulo and welcomed the 348 delegations in St. Peter's Square, crowded by 100,000 people.

Friendly and smiling, she kissed children, rang true, spoke to pilgrims. After the catechesis that invited everyone, on World Environment Day, to change the culture of waste disposal and the culture of solidarity and meeting, blessed faithful and received bishops and guests. Among them, two of the 23 representatives of the TURMA DO BEM: Fabio Bibancos, founder and winner of the Social Entrepreneur Award 2006 partnership leaf with the Schwab Foundation, and Osvaldo Magro Filho, elected world's best dentist for the non-governmental organization for the impact of their work.

You are very good, pray for me, the Pope said the Bibancos, who reported to Francis that the organization has 14 000 volunteer dentists in 11 countries and has served 38,000 children and youth. See dentists being respected in this way was beautiful, Bibancos said. Even if you are not Catholic, it is a power of faith, of hope.

Also thrilled, Magro Filho said the expectation is to multiply the social technology. It's time for society to roll up our sleeves and rescue solidarity.

Folha de S. Paulo 

626. Portugal buy military submarines and cuts in child welfare and juvenile

The government lowered the value of each check-dentist from 40 to 35 euros, according to an order published today in the Official Gazette.

The current economic and financial environment requires the implementation efforts, which should be shared by all. It is therefore decreased the amount of the check-dentist, on the one hand, without reducing access and population coverage and, second, with enhanced coverage of the 15 full years, justified the order signed by the Deputy State Secretary Health Minister.

Thus, the value of each check dental down five euros, going from 40 to 35 euros.

DESTAK

625. virtual dentistry

http://www.odontologiavirtual.com/search/label/Articles%20of%20dentistry