A Model of Basic Dental Care Service in a Developing Health Care System

Objectives: This study aimed to assess the components of oral health care system in some developed countries and propose a model for Iran   Methods: The present study was a qualitative, cross-sectional, and comparative research that took place in 2012. Oral health care systems in some developed countries were reviewed to propose a framework for Iran. This framework was discussed and reviewed by an expert panel using Delphi method. Results: A table presenting type of service provider, type of centers and personnel, and methods for reimbursement in oral health care delivery system was discussed by an expert panel. The experts, with an average of 75% agreement rate, agreed on the need for a basic oral health care package free of charge for under 18-year-olds, compulsory periodical check-up examinations, and guarantee for payment of the services by the national insurance funds. Simplicity, comprehensiveness and focus on prevention and high risk age groups facilitate the adaptability of the model to various populations. Conclusion: An appropriate model for oral healthcare delivery system needs universal health insurance coverage, a basic service package focusing on preventive care with mandatory regular dental check-ups and participation of private practitioners and financing services through government revenues, premium, and health tax.