1. Thailand Country Report on Quality of Dental services Sutha Jienmaneechotchai DDS. MPH. Director, Bureau of Dental Health, Dept. of Health ASEAN Chief Dental Officers Meetings 27-28 August 2013

2. About Thailand Quality of Dental Services Patient safety, Effectiveness Patient centeredness Timeliness Efficiency Equity

3. About Thailand

4. Ethnic Groups

5. People and Society Population 67,448,120 (July 2013) Population 67,448,120 (July 2013) Urbanization urban population: 34.1% of total population (2011) rate of urbanization: 1.6% Urbanization urban population: 34.1% of total population (2011) rate of urbanization: 1.6% Life expectancy at birth:(2013) total population: 74.05 years male: 71.66 years female: 76.58 years Life expectancy at birth:(2013) total population: 74.05 years male: 71.66 years female: 76.58 years Health expenditure 3.9% of GDP(2010) Health expenditure 3.9% of GDP(2010) Physicians density: 0.3 physicians/1,000 population (2004) Hospital bed density: 2.1 beds/1,000 population (2010) Physicians density: 0.3 physicians/1,000 population (2004) Hospital bed density: 2.1 beds/1,000 population (2010) Source: https://www.cia.gov/library/publications/the-world-factbook/geos/th.html#People

6. Quality of Dental Services Patient safety, Effectiveness

7. School of Dentistry Curriculum meets requirements Dental Students Meet school Standards Thai License Exam part 1 Written Examination of Basic Biomedical Science part 2 Written Examination of Clinical Science part 3 Clinical examination Input: Dental personnel Dental Council School Dentistry CDA-TDC

8. Dental Safety Goals and Guidelines 2010: Safety Communication, Treatment, Infectious control and Record Process Clinical practice Guidelines Any kinds of Accreditation (HA, ISO, PSO)

9. Output, outcome Objective /KPI Re accredit Consumer protection Record, report and survey

10. Quality of Dental Services Patient centeredness

11. Primary care unit in every sub-district Care provide by doctors from local communities Dental Etiquettes

12. Quality of Dental Services Timeliness

13. Within the care units under universal coverage

14. Quality of Dental Services Efficiency

15. Promote health rather than cure National level oral health promotion program Area based oral health promotion Fully utilized of equipment Balance of cost

16. Toothbrush’s Labeling (MR 2012) DOH Tooth brush standard TSI Committee for oral care product No sugar added in follow on formula milk (MR#26) Ban carbonated drink sale in school Policy F in Drinking water (<0. 7mg/L) F in Bottled Water (MR# 6) F in Toothpaste ( < 1000 ppm ) Dental Networks Against Tobacco Smoking cessation in Dental Clinic Oral Health Promotion: National Level : NATIONA L LEVEL SUGAR CONTROL TOBACCO CONTROL Law enforcement / Regulation / Policy / Standard set up F standard Oral Care Products WHO Regional Consultation on Oral health strategy, Kathmandu, Nepal 28-29 November 2012

17. AREA BASE A D B C E Oral Health Promotion : Area base Elderly Mothers &Child Dental Exam in ANC 77 % Dental Exam in WCC 77 % F varnish application 42% Preschool/ Daycare School Children Toothbrush after lunch 96% Fissure sealant in 1 st grade 22.5% Comprehensive care Schools Ban on sale of Carbonated drink 77 % Elderly Club 365 clubs/year Dental Prostheses 30,000 /year Preventive Clinic for the Elderly Environment/ Community Surveillance for F in water in risk area cover 20 province Dental Fluorosis mitigation project in 10 province Tooth brushing after lunch No sweetened milk Safe sancks Implement 96.5 % Oral exam & treatment WHO Regional Consultation on Oral health strategy, Kathmandu, Nepal 28-29 November 2012

18. Source: Bureau of Dental Health, 1994-2012 Result of Oral Health Promotion Program Dental Caries Prevalence in Thai children (1994-2007)

19. Quality of Dental Services Equity

20. 20 Percentage of the Thai with health insurance, 2003 and 2011 2003 2011 Social security scheme Civil service welfare Universal coverage Other schemes No insurance

21. Service Utilization of Thai People in 2011 Dental service utilization rate in Thai people increased (7.4 % in 2006 to 9.3 % in 2011) The highest utilization rate were 5-14 and 15-24 yrs each group at 11 % The lowest utilization rate was 0-4 years at 2.3 % Dental service utilization rate (2006-2011) 2011 Service utilization in 12 m, distributed by age 2006 2007 2008 2009 0-4 5-14 15-24 25-59 60+ Source: National Statistic Office, 2011 In 2011 WHO Regional Consultation on Oral health strategy, Kathmandu, Nepal 28-29 November 2012

22. Promote health rather than cure National Health Act Efficient use of resources by good administrative and management practices. People should be the part of the ownership People have the right to choose their health services expenditure and equity of access to the same quality of health An equal sharing of health care services

23. Health Indivi dual Environ ment Health service system Health Act, 2007 Healthy Public Policy, people participation Health Promotion Foundation Act, 2001 Support health promotion action Health Security Act 2002 Health care reform Equity Efficiency Quality Health behavior Health belief Socio-economic Culture Community / family pattern Politics Infra structure Technology

24. Thank you for your attention