Conceptual frameworks for understanding system capacity in the care of people with special health care needs.
This paper seeks to (1) identify strengths and weaknesses of the US health care system regarding oral care for persons with special needs; (2) provide a framework for understanding system capacity; and (3) describe the context within which dental care is provided in the United State. It explores a series of concepts that help explain the current lack of access for those with special needs and synthesizes options for improvement.
Edelstein
Burton L
BL
Social and Behavioral Sciences, College of Dental Medicine, Columbia University, New York, NY, USA. ble22@columbia.edu
D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D003695:Delivery of Health Care / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D003730:Dental Care for Persons with Disabilities / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D003815:Dentists / Q000523:psychology / Q000600:supply & distribution; D005378:Financial Support; D015438:Health Behavior; D006291:Health Policy; D006297:Health Services Accessibility / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D007400:Interprofessional Relations; D008484:Medicaid / Q000191:economics; D009042:Motivation; D010348:Patient Care Team; D011320:Primary Health Care / Q000458:organization & administration; D011787:Quality of Health Care; D014481:United States; D035862:Vulnerable Populations