Journal
GERODONTOLOGY
Volume 31, Issue -, Pages 1-8Publisher
WILEY
DOI: 10.1111/ger.12092
Keywords
elderly; dental; care; health needs; vulnerable; England; caries; access; dentistry
Funding
- Colgate Palmolive company
- National Institute for Health Research [DHCS/05/05/008] Funding Source: researchfish
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ObjectiveThis paper presents a contextual approach to the assessment of dental health needs based on a life course approach with vulnerability integrated within the assessment of need. BackgroundLife course approaches to needs assessment,health care planning and commissioning of services are gaining popularity as there is a move away from simpler assessments of need based purely on population demographics such as age. The use of an assessment of vulnerability will be essential in the development of care pathways that are based on patient and population need rather than demand. MethodsAs an example of the health needs of a vulnerable population data are presented on an oral health needs assessment within nursing and residential homes in the North West of England. FindingsThese data serve to demonstrate the challenges of the disease burden within such a population but also the complexities of commissioning and delivering services to this group of patients. ConclusionsCare pathways designed to assist such patients should consider not only prevention and treatment modalities but also the means of implementing such therapies in varying settings and utilising the whole dental team.
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