1. Dr. ElitaVinogradova Dr. Andis Paeglītis Baltic Dental Meeting 21.-22.09.12. Palanga, Lithuania Accessible and timely care

2. Accessible care – it is not only an issue of waiting time. Accessible care also includes such factors as: Resources Territorially accessible care Financially available care Care, available in due time Accessible and timely care

3. Resources-it is information about : Number of dentists Placement in the country State impact on the dentist’s placement in regions Accessible and timely care

4. RESOURCES The number of dentists in the country (dentist’s breakdown by age groups)

5. The number of dentists and hygienists in relation to the number of inhabitants 1 dentist = 1491 inhabitant 1 hygienist = 14910 inhabitants (10 dentists =1 hygienists) RESURSI

6. Dentist and hygienist placement in the country

7. State impact on the dentist’s placement in regions Resources

8. Territorially accessible care Work of the Oral Health Centres in Latvia Regional - 8 Local - 22

9. Family Family Local Government Local Government Ministry Ministry Dental centre Dental centre Territorially accessible care Privides transport and support to local dental practices Allocate funds to children’s dental care Methodical work Oral helth centres Oral helth centres To manage epidemiologic and informative examinations Planning mobile dental care Fulfils its obligation to the society and law Organize oral health conferences in the regions

10. Territorially accessible care Mobile dentistry

11. Accessibility for persons with impaired function alabilities United Nations „Convention on the Rights of Persons with Disabilities” Territorially accessible care

12. Obligatory insurance Private insurance Third person payment Paid services Financially available care

13. Possible funding model : Capitation model Payment after work-sistem of tariff Financially available care

14. Financial problems in Latvia:  We have to expand state-quaranteed aid.  National tariffs what covering/do not covering costs(as it is in children’s dentistry).  Expand possibility to insure individuals. Financially available care

15. Patient responsibility: Awareness Motivation Priority Care, available in due time

16. Professional responsibility Help in acute cases Scheduled help Regulary dental care Care, available in due time

17. Professional responsibility We have worked out detailed rules on acute and emergency help of dentistry (accordig to CECDO) Care, available in due time

18. This was our view on accessible and timely care We would like to discuss it with Lithuanian and Estonian colleages STRATEGY

19. Thank you for your attention NIDA last saturday