Filling a gap in the health policy literature, author and dental public health specialist Dr. Carlos Quiñonez explores the complexities surrounding Canada’s dental care system and policies, including how they came to be, their consequences, and what they mean for oral health and access to dental care.
The Politics of Dental Care in Canada seeks to answer a long standing policy question in Canadian health care: Why is dental care excluded from Canada’s national system of health insurance, Medicare? The text presents a history of dentistry in Canada from the late 19th century onward, outlining how dentistry traversed a developing Canadian welfare state. Dr. Quiñonez explores factors that led to dentistry’s separation from larger movements in health care policy, including moral questions on individual versus social responsibility over health, scientific advances in the field, and prevailing economic uncertainty.
Opening with a series introduction by Dr. Dennis Raphael, this vital text offers an extensive overview on how the politics of dental care contributes to inequalities and inequities in oral health. From discussing scientific and public health advances in dentistry to looking at the general nature of oral health care in Canada from an international perspective, this text serves as an important addition to the field of health policy and a foundational resource for courses in dentistry, health studies, and comparative health policy.
FEATURES
comprehensively discusses the current state of Canadian dental care policy, the history and factors that led to the policy, and the resulting outcomes and inequalities
presents the latest available information on the epidemiology of oral diseases and conditions; the connection between oral health and systemic health; and the organization, financing, and delivery of oral health care in Canada and internationally
Chapter 1: Introduction to the Politics of Dental Care
1.1. The Politics of Dental Care and Why It Matters
1.2. Political Economy, the Social Determinants of Health, and the Greatest Ideological Trade-off in Modern Society
1.3. The Epidemiology of Oral Disease and the Organization, Financing, and Delivery of Dental Care
1.4. Summary
Chapter 2: The History of Dental Care in Canada
2.1. Laying the Professional Bases
2.2. Prevention as a Political, Economic, and Social Imperative
2.3. The Rise of the Welfare State
2.4. The Golden Age of Dentistry
2.5. Dentistry and Medicare
2.6. The Rise of Public and Private Financing
2.7. The Decline of Publicly Financed Dental Care
2.8. Summary
Chapter 3: A Tale of Two Cities and Loose Ends: The Politics of Dental Care and the Policy and Programmatic Holes It Leaves
3.1. A “Patchwork of Purpose” and Public and Private Roles in Dental Care
3.2. Who Has Oral Disease and a Lack of Access to Dental Care
3.3. The Magnitude of Oral Health–Related Inequality
3.4. The Consequences of Oral Disease and Poor Access to Oral Health Care
3.5. The Oral-Systemic Health Link
3.6. Appropriate Use of Resources
3.7. Professional Outcomes
3.8. Summary
Chapter 4: Potential Solutions
4.1. Conceptual Frameworks That Help Identify Interventions
4.2. Primordial Prevention
4.3. Primary Prevention
4.4. Secondary Prevention
4.5. Tertiary Prevention
4.6. Quaternary Prevention
4.7. Summary
Index
Biography
Dr. Carlos Quiñonez is a researcher, dental public health specialist, and an Associate Professor and Director of the Specialty Training Program in Dental Public Health at the Faculty of Dentistry, University of Toronto. His main focus is on applied policy research, with an emphasis on equity and the history, politics, and economics of dentistry.
“Finally, an insightful book documenting Canada’s complex dental health care system. Thoroughly researched and referenced, this book is sure to become a primary resource for those leading, practising, or studying oral health care in Canada.”
—Dr. Doug Brothwell, Dean and Professor in the College of Dentistry, University Saskatchewan
“Carlos Quiñonez has written a remarkable piece of scholarship, combining an excellent review of the history and context of dentistry in Canada over the past 100 years with a clear and profound reflection on the way forward … This is a very timely contribution to the debate on the place of government and public and private provisions of health and dental care in Canada.”
—Dr. Paul Allison, Professor, Faculty of Dentistry, McGill University
“This book is the definitive record on how dentistry is addressed in health care policy in Canada and the very real consequences of our policy choices. … It also provides a very useful framework for assessing the role of dentistry within broader health policy that can be applied internationally.”
—Dr. Marko Vujicic, Chief Economist & Vice President, Health Policy Institute, American Dental Association
“Oral health is an important but often neglected topic. This excellent book presents a scathing political analysis of oral health and dental care in Canada. … Radical change is needed, and this book provides valuable insights for the way ahead.”
—Professor Richard Watt, Chair of Dental Public Health, University College London
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