2 Socio-medical OHRQoL Bio-medical Health Disease I hope this would make easier to understandPerceptions of health are different between persons. “My” health and “your” health may not be the same.The difference between people’s perceptions is mainly from: difference in sex, age, cultures, SES.For example, this person is a very fair person. feel half-half between the presence/absence of disease and something else in his quality of life.This may be a medical person, or dentist, concerns so much about diseases. Have to check up regularly every year and treat everything he finds “abnormal”, according to medical definitions.In contrast, this may be a lay person, doesn’t care at all or very little about medical diagnosis. He is already satisfied as long as he can function normally or have a normal daily life.Do you now get the feeling of OHRQoL? Where is it?Socio-medicalHealth
9 Question emerges What is a goal of oral health service? Free from oral diseases ?Perfect mouth ?Clear understanding is needed“oral diseases” โรคทางช่องปาก“oral status” สภาวะช่องปาก“oral health” สุขภาพช่องปาก
10 “Oral health” Not the absence of oral diseases Multi-dimensional wellbeing in “life”, in relation to mouth (OHRQoL)FunctioningPsychological wellbeingSocial rolesSubjective feeling varied by individuals
11 Different concepts ... different outcomes Bio-medical concept:based on the absence/presence of clinical diseasesSocio-dental concept:takes into account social impacts, normal role functioning, change in daily life such as inability to work, attend school, undertake duties.
14 Implications of OHRQoL on populations Limited resourcesPrioritizationTo those with higher impactsFor diseases more likely to cause impactsThe aim is the improvement of OHRQoL
15 Applications to clinical settings DiagnosisUnderstand patient’s problems and needsTreatment planningShared-decision makingTreatment evaluationQoL improvementEvidence of the contribution of your tx. to patient’s QoL*** Humanised Health Care***