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  • 1.
    Hallberg, Lillemor
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Hakeberg, Magnus
    Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Behav & Community Dent, S-40530 Gothenburg, Sweden..
    Hallberg, Ulrika
    Nordic Sch Publ Hlth, Gothenburg, Sweden..
    Facing a moral dilemma - introducing a dental care insurance within the Public Dental Service2012Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, nr 3, s. 149-156Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Through the reform entitled "Dental care insurance dental care at a fixed price", patients are offered a dental insurance, a capitation plan, that ensures that they can visit the dentist regularly during a period of three years at a fixed price per month (Frisktandvard). This insurance may be offered to all patients. The aim of this study was to generate a theory explaining the main concern for the staff at the public dental service when they have to introduce and advocate dental care insurance to patients. Interview data from 17 persons, representing different professions within the public dental service, were collected and analyzed simultaneously in line with guidelines for grounded theory. The results indicated that dentists/dental hygienists experienced several difficult standpoints concerning the implementation of the dental insurance, somewhat of a moral dilemma. The staff generally had a "cautiously positive attitude" to the forthcoming dental care insurance, but had perceptions how and when the patients should be offered the insurance and what that may mean to the clinic. The respondents reflected about the economic aspects for the clinic and how the oral health may be affected over time for the patients.

  • 2.
    Johansson, Gunvi
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Söderfeldt, Björn
    Department of Oral Public Health, Centre for Oral Health Sciences, Malmö University, Malmö, Sweden.
    Wärnberg Gerdin, Elisabeth
    Centre for Public Health Sciences, Östergötland County Council, Linköping, Sweden.
    Halling, Arne
    Department of Health Sciences, Kristianstad University, Kristianstad, Sweden.
    Axtelius, Björn
    Department of Oral Public Health, Centre for Oral Health Sciences, Malmö University, Malmö, Sweden.
    Ostberg, Anna-Lena
    Department of Health and Environmental Sciences, University of Karlstad, Karlstad, Sweden.
    Measuring oral health from a public health perspective2008Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 32, nr 3, s. 125-137Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The paper aims to analyse measures of oral health-related quality of life (OHQOL) from a Public Health perspective. Twenty-two measures were analysed conceptually as to their mirroring of the Public Health principles: empowerment, participation, holism and equity. Elements of empowerment were found in connection with application of the measures. Participation was found in using lay opinions during development in 12 measures. All measures analysed had elements of a holistic approach so far that they were not wholly biological. Two measures captured positive health effects. Measures were available for all ages, various languages and populations, an element of equity. No measure was wholly compatible with Public Health. They were based on a utilitarian theory not in full accordance with modern health promotion. There is a need to develop measures that more obviously capture the positive aspects of health and health as a process, as well as the personal perspective of oral health.

  • 3.
    Nederfors, Tommy
    et al.
    King Faisal Specialist Hospital and Research Centre, Department of Dentistry, Riyadh, Saudi Arabia.
    Holmström, Gunilla
    Spenshult Rheumatological Hospital, Oskarström, Sweden .
    Paulsson, Gun
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Sahlberg, Dick
    Central Hospital Halmstad, Department of Internal Medicine, Halmstad, Sweden.
    The relation between xerostomia and hyposalivation in subjects with rheumatoid arthritis or fibromyalgia2002Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 26, nr 1, s. 1-7Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim of this study was to evaluate the relation between xerostomia and hyposalivation in 100 subjects with either rheumatoid arthritis or fibromyalgia, and further, to evaluate the predictive value of xerostomia on hyposalivation. Unstimulated and chewing stimulated whole saliva was collected in the morning with the subjects in a strict fasting condition and then about 2 hours later, after intake of a standardised breakfast. All participants filled in a questionnaire, mainly dealing with xerostomia. Forty subjects demonstrated a pathological fasting unstimulated whole saliva secretion rate, the corresponding number for fasting stimulated secretion being 39. For unstimulated, but not for stimulated saliva, the fasting secretion rate was significantly lower than the non-fasting. Xerostomia was reported by 74 subjects, this group having significantly lower both unstimulated and stimulated secretion rates than the non-xerostomic group. On the individual level, the predictive value of xerostomia on hyposalivation showed high sensitivity but unsatisfactory specificity. In conclusion, this study underlines the importance of applying strictly standardised procedures when collecting saliva, and that fasting unstimulated whole saliva is the diagnostic salivary secretion of choice. Finally, xerostomia was found to predict hyposalivation on a group, but not on an individual level.

  • 4.
    Nederfors, Tommy
    et al.
    Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Paulsson, Gun
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Isaksson, Rita
    Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Ability to estimate oral health status and treatment need in elderly receiving home nursing: a comparison between a dental hygienist and a dentist2000Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 24, nr 3, s. 105-116Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to compare the estimation ability of a dental hygienist to that of a dentist when, independently, recording the oral health status and treatment need in a population of elderly, receiving home nursing. Seventy-three persons, enrolled in a home nursing long-time care programme, were recruited. For the oral examination a newly developed protocol with comparatively blunt measurement variables was used. The oral examination protocol was tested for construct validity and for internal consistency reliability. Statistical analyses were performed using Wilcoxon matched pairs signed rank sum test for testing differences, while inter-examiner agreement was estimated by calculating the kappa-values. Comparing the two examiners, good agreement was demonstrated for all mucosal recordings, colour, form, wounds, blisters, mucosal index, and for the palatal but not the lingual mucosa. For the latter, the dental hygienist recorded significantly more changes. The dental hygienist also recorded significantly higher plaque index values. Also regarding treatment intention and treatment need, the dental hygienist's estimation was somewhat higher. In conclusion, when comparing the dental hygienist's and the dentist's ability to estimate oral health status, treatment intention, and treatment need, some differences were observed, the dental hygienist tending to register "on the safe side", calling attention to the importance of inter-examiner calibration. However, for practical purpose the inter-examiner agreement was acceptable, constituting a promising basis for future out-reach activities.

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