The U.S. Oral Health Workforce in the Coming Decade Workshop Summary (2009) / Chapter Skim
Currently Skimming:
7 Challenges of the Current System
7 Challenges of the Current System
Pages 53-66
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 53... ...
The practice of dentistry is a privilege that includes an underlying responsibility and expecta tion to give back to society. To quote from the report of the American Dental Education Association President's Commission: Economic market forces, societal pressures, and professional self-interest must not compromise the contract of the oral health provider with society.
|
From page 54... ...
The modular curriculum allows time for further community service. Grant funding secured the building of a special care clinic that has become the largest provider of special care dentistry in the Southwest.
|
From page 55... ...
Additionally, in an agreement with the National Association of Community Health Centers, the Hometown Project allows community health centers to identify students they want to prioritize for job interviews. Conclusions To create the leaders of tomorrow, new and creative thinking is needed when considering the types of students to recruit into dental schools and how to train them.
|
From page 56... ...
One example of the mismatch between what professionals are trained to do and what they are legally permitted to do is the variability in state laws regarding nurse practitioners. State laws vary tremendously regarding whether nurse practitioners can work independently despite the fact that there is no evidence indicating that nurse practitioners do better with physician supervision.
|
From page 57... ...
Promising Directions While these challenges are serious, some promising advances show an increased reliance on evidence and data for regulatory decisions. For example, new state-based models for deciding scope of practice laws have arisen whereby separate advisory committees review all the submitted evidence (both by the profession proposing an extension of scope and the profession opposing that expansion)
|
From page 58... ...
, increased standardization of administrative functions among the boards, and more coordinated oversight of regulatory boards within each state. To address the lack of health workforce data, three promising directions for data collection are important to note: short surveys can be tied to relicensure; online data collection and management makes most economic and research sense; and standards across professions and across states would be most valuable and provide the most useful comparison and trend data.
|
From page 59... ...
The state board of dentistry passed an emergency regulation in opposition to this, and the FTC subsequently brought an antitrust action against the board for reasons of unfair competition that would lead to the loss of preventive services for thousands of children. financing challenges Craig W
|
From page 60... ...
Second is to understand the importance of allocating resources to public health disease management and disease risk-reduction strategies as a financing activity independent of invasive dental care. Another strategy is to look for alternative activitybased financing systems for specific dental care that gets away from the perverse incentives that are built into the current fee-for-service payment system.
|
From page 61... ...
the context of shared risk, and more improvements are needed for efficiency re 7-2 image and text between arrows isof oral health care services. and effectiveness in the delivery fixed Discussion In response to a question about HealthPartners' ability to get medicine and dentistry to work together in clinics, Amundson responded that the programs have been various and variable.
|
From page 62... ...
Bader, D.D.S., M.P.H. University of North Carolina Quality assessment in dental care may be defined as the evaluation of patient care provided by a dental care plan or delivery system for the purposes of comparing one plan or system to another.
|
From page 63... ...
Dental research is challenged in part by the lack of the financial resources needed to perform expensive clinical trials. In addition, because of the typical practice design, it can be difficult to obtain outcomes data due to the need to gather data from multiple practices through chart extraction.
|
From page 64... ...
Under this definition, three sets of measures could be rapidly introduced to improve quality assessment in dentistry: patient experience measures, oral health-related quality-of-life measures, and effectiveness of care measures. First, under patient experience measures, the Agency for Healthcare Research and Quality developed Consumer Assessment of Healthcare Provider Systems (CAHPS)
|
From page 65... ...
Discussion In response to questions about the value of an electronic dental record in quality assessment, Bader said a properly designed electronic patient record that records diagnoses could automatically generate practitioner or plan-level performance measures. The record, he said, would provide information on outcomes and appropriateness since the diagnosis could be compared to the chosen treatment.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.