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I42 WHAT IS THE ROLE OF A HEALTH DEPARTMENT IN THE DENTAL CARE PICTURE? ------------- -AND THE EXPERTS ANSWER: "The availability of dental health ser- vices for the entire population must he a major concern of every health department, whether or not the department is actually involved in the provision of dental care. The health de artmen+ has the responsi- bility to devefop accurate, current inf or- mation on the extent to which the oral health needs of the population are being met and the factors which may interfere with the receipt of dental care by specific population grou s. It is also their re- sponsibility to {ring this information to the attention of the public and the pro- fession, to suggest plans to correct the deficiencies noted, and to urge action to meet the total dental health needs of the population. "Whether or not health departments ac- tually operate dental care programs rlepends on the decision of the legislatiires and governing bodies of the various states and communities. A health department should he prepared to administer dental care pro- Dr. Wesley D. Young grams for segments of the population if Boise, Idaho this responsibility is delegated t o them." This question regarding the role of health departments in dental care is in- terpreted to invite comment on the extent of program involvement rather than on the degree of interest. With our preventive approach, our concern with quality of care and our administrative background we public health dentists have much to offer in the development of sound care programs as well ae in their administration. Depending on such factors as local legislative, fiscal ard administrative patterns our activities may range from advisory to supervisory. Health departments take pride in identi- fying problems. We should not balk at being irlentified with solutions. Dr. Arthur Bushel New York City

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I 42

WHAT IS THE ROLE OF A HEALTH DEPARTMENT

IN THE DENTAL CARE P I C T U R E ?

- - - - - - - - - - - - - - A N D THE EXPERTS ANSWER:

"The a v a i l a b i l i t y of d e n t a l h e a l t h ser- vices f o r t h e e n t i r e p o p u l a t i o n must h e a m a j o r c o n c e r n of e v e r y h e a l t h d e p a r t m e n t , w h e t h e r o r n o t t h e d e p a r t m e n t i s a c t u a l l y i n v o l v e d i n t h e p r o v i s i o n o f d e n t a l ca re . The h e a l t h d e a r t m e n + h a s t h e r e s p o n s i - b i l i t y t o d e v e f o p a c c u r a t e , c u r r e n t i n f or- m a t i o n o n t h e e x t e n t t o w h i c h t h e oral h e a l t h n e e d s o f t h e p o p u l a t i o n a r e b e i n g m e t a n d t h e f a c t o r s w h i c h may i n t e r f e r e w i t h t h e r e c e i p t o f d e n t a l care by s p e c i f i c p o p u l a t i o n g r o u s . It i s a l s o t h e i r r e - s p o n s i b i l i t y t o { r i n g t h i s i n f o r m a t i o n t o t h e a t t e n t i o n of t h e p u b l i c a n d t h e p r o - f e s s i o n , t o s u g g e s t p l a n s t o c o r r e c t t h e d e f i c i e n c i e s n o t e d , and t o u r g e a c t i o n t o meet t h e t o t a l d e n t a l h e a l t h n e e d s of t h e p o p u l a t i o n .

"Whether o r n o t h e a l t h d e p a r t m e n t s ac- t u a l l y o p e r a t e d e n t a l care programs rlepends on t h e d e c i s i o n of t h e l e g i s l a t i i r e s a n d g o v e r n i n g b o d i e s of t h e v a r i o u s s t a t e s and communi t ies . A h e a l t h d e p a r t m e n t s h o u l d he p r e p a r e d t o a d m i n i s t e r d e n t a l c a r e p r o -

Dr. Wesley D. Young grams f o r s e g m e n t s o f t h e p o p u l a t i o n if Boise, Idaho t h i s r e s p o n s i b i l i t y i s d e l e g a t e d t o them."

T h i s q u e s t i o n r e g a r d i n g t h e r o l e o f h e a l t h d e p a r t m e n t s i n d e n t a l c a re i s i n - t e r p r e t e d t o i n v i t e comment on t h e ex ten t of program i n v o l v e m e n t r a t h e r t h a n on t h e d e g r e e of i n t e r e s t . W i t h o u r p r e v e n t i v e a p p r o a c h , o u r c o n c e r n w i t h q u a l i t y o f care and o u r a d m i n i s t r a t i v e background we p u b l i c h e a l t h d e n t i s t s have much t o o f f e r i n t h e development of sound care programs as w e l l a e i n t h e i r a d m i n i s t r a t i o n . D e p e n d i n g on s u c h f a c t o r s as l o c a l l e g i s l a t i v e , f i s c a l a r d a d m i n i s t r a t i v e p a t t e r n s o u r a c t i v i t i e s may r a n g e f r o m a d v i s o r y t o s u p e r v i s o r y . H e a l t h d e p a r t m e n t s t a k e p r i d e i n i d e n t i - f y i n g problems. W e s h o u l d n o t b a l k a t b e i n g i r l e n t i f i e d w i t h s o l u t i o n s .

D r . A r thu r Bushel New York C i t y