Suchergebnisse

AbstractAimTo create an accessible web‐based resource of providers willing to provide dental services for patients with special health care needs (SCHNs).MethodsWith a grant from The Duke Endowment, surveys were sent to dentists in South CarolinaResultsData showed that the majority of providers expressed willingness to treat patients with one or more mild SHCN, but fewer expressed willingness to treat those with one or more moderate or severe SHCN. Additionally, the data showed that among general practitioners specifically, only one‐third were willing to treat mild and moderate/severe manifestations of all categories listed. The number of practitioners willing to treat moderate to severe manifestations of SHCN and accept Medicaid and willing to take new Medicaid patients dropped even further.These results demonstrated a need to increase the number of providers in South Carolina who are willing to treat patients with SHCN, and a need to provide an accessible resource for patients with SHCN to be able to find these providers. Data collected populated the web‐based resource for the Special Adult Network of Dentists url:www.sandsc.org1ConclusionThis resource may be used by patients, caregivers, and health care providers and could be replicated in other states or designed as a national resource.

"In September 2017, Puerto Rico was struck by two major hurricanes—Irma and Maria—that intensified existing challenges in Puerto Rico's health and social services infrastructure. In the aftermath, the government of Puerto Rico created a long-term recovery plan built on an evidence-based assessment of the damage from the hurricanes and the ongoing needs across Puerto Rico. Development of the recovery plan was supported by the Federal Emergency Management Agency, other federal agencies, local stakeholders, and analysis from the Homeland Security Operational Analysis Center (HSOAC), operated by RAND Corporation under contract with the U.S. Department of Homeland Security. HSOAC research provided the foundation for the 31 courses of action in the recovery plan addressing the health and social services sector. These actions are a mix of social, governmental, fiscal, and economic policies and reforms. This collection of actions presents an opportunity to build a more resilient health and social services infrastructure and regional health care networks to ensure reliable access to services, promote health and well-being, and more efficiently and effectively respond to public health crises and future disasters. The actions span the areas of health care, public health and emergency preparedness, environmental health, mental and behavioral health, and social services. The damage and needs assessment and courses of actions cover four major themes: building system capacity to respond both during disasters and routine times; strengthening the health and social services workforce; strengthening support services for at-need populations; and creating health-promoting communities.

Introduction -- Puerto Rico's Health and Social Services Sectors Before the Hurricanes -- Damage and Needs Assessment -- Themes for Recovery and Courses of Action -- Implementation Considerations -- Appendix A: Courses of Action -- Appendix B: Health and Social Services Sector COAs -- Appendix C: COAs from Other Sectors Included in the Health and Social Services Portfolio -- Appendix D: Health and Social Services Portfolios -- Appendix E: Plan Development.