Dr. Vu Dinh Minh National Hospital of Odonto- Stomatology, Hanoi

Oral Health Care Quality Effectiveness Safeness Equity

SITUATION

Oral Health Care System Governmental servicesPrivate services

Governmental services

Level of professional management National level: Two National hospitals - Conducted by Ministry of Health Provincial hospital: 63 Dental Dept. - Belong to Provincial Health Dept. District health care center Commune health care center

Situation  National hospitals: equipped with advanced technologies  District health care center: difficulties in remote areas  Lack of professional health workers  Poor equipment and services  Professional gap between levels

Solutions  Periodical Training Course for health worker  Continuing education course on demand  On site training (technology transfer)  Support the equipment for rural areas:  Governmental budget  Regional budget  Socialization  Professional workshop

Private services

Situation  Unequal professional ability  Difficult to manage the quality

Solution  Improve the effective control by Ministry of Health and Provincial Department of Health  Control the licence of profession  Management of oral health care quality:  Equipment  Qualification of dentists  Cross- infection control  Requirement for continuing education

Solution  Improve the quality of governmental dental services (priority: remote and isolated area)  Enforcement of qualification control of private dental services  Patients’ satisfaction to adjust the policy

Dentistry High Risk Patients Dentist Dental assistant

Cross Infection Control  Hospital and private section: Following the principle given by the Ministry of Health.  Periodical inspection  Training course for:  Dentists  Dental assistants  Hygienist

 All people in community have right to receive the oral health care on demand  Receive the insurance (not covered for esthetic dentistry)  Receive the Preventive Program:  Water Fluoridation in the South  Salt Fluoridation in Northern mountainous areas  School Based Program all over the country Equity for people

Equity for dental workers  Salary for dental workers is still low  Remain the big difference between professional levels:  Opportunity to enrich knowledge and skills  Opportunity to approach the new technology  Salary