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1.
Gen Dent ; 68(1): 56-60, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31859664

RESUMO

The purpose of this retrospective, observational study was to characterize the amounts and types of healthcare industry payments made to dental care providers in 2017. Data were collected from the Open Payments database of the US Centers for Medicare & Medicaid Services. Dentists were classified as providing general services or services in 1 of 9 specialties recognized by the American Dental Association (prior to the recognition of dental anesthesiology). The value and nature of each payment made to providers were recorded, and descriptive statistics were calculated. Distributions across dental specialties were compared with analyses of variance. In 2017, US dentists received a total of 321,627 industry payments totaling $110,750,601. The most money was spent on service fees ($37,333,870; 33.7%), followed by consulting fees ($12,983,013; 11.7%) and royalties and licenses ($11,426,776; 10.3%). Each provider received a median payment of $63.27 (range, $0.21-$22,931,027.12) spread over 2 payments (range, 1-285). Participation rates among dental specialists ranged from 19% to 62%, and the highest rates were found among orthodontists (61.8%), oral and maxillofacial surgeons (55.7%), and periodontists (54.6%). The greatest median payments per provider were made to specialists in oral and maxillofacial radiology ($187.52), periodontics ($127.31), and oral and maxillofacial surgery ($123.39). The mean number (P < 0.01) and amount of payments (P < 0.01) per provider differed significantly across all specialties. The majority of dentists in this study received less than $200; however, the distribution of payments was positively skewed by a few top earners. The effect of these payments on clinical practice remains to be determined.


Assuntos
Conflito de Interesses , Economia em Odontologia , Indústrias/economia , Idoso , Odontologia , Honorários e Preços , Setor de Assistência à Saúde , Humanos , Indústrias/ética , Medicare , Padrões de Prática Médica/economia , Estudos Retrospectivos , Estados Unidos
2.
Prim Dent J ; 8(2): 22-29, 2019 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-31431202

RESUMO

The article is intended to put the current NHS dental contract in england into context and identify areas where there has been confusion about interpretation of certain clauses. the article describes these as grey areas and provides a rationale for logically interpreting these issues, such as urgent treatment, mixing NHS and private treatment and defining what a course of treatment is.
These are the views of the authors based on significant personal experience of the contract, both as practitioners and as dento-legal advisers.


Assuntos
Contratos , Odontologia , Economia em Odontologia , Inglaterra , Humanos
3.
Comput Methods Programs Biomed ; 176: 51-59, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31200911

RESUMO

BACKGROUND AND OBJECTIVE: The rapid growth of computer methods encourages and creates competitive advantages in the medical industry. Nowadays many health centers try to build successful and beneficial relationships with their patients using customer relationship management (CRM) methods, to recognize target patients, attract potential patients, increase patient loyalty and maximize profitability. Customer lifetime value (CLV) is a metric that can help organizations to calculate their customers' value or group them; therefore in this research we aim to develop a new CLV model for the medical industry that groups patients using computer-based methods. METHODS: To model CLV for the medical industry, we will use two computer-based methods. First, to model patients' behavior, a data mining approach is required: the K-means algorithm is used to cluster patients and the decision tree technique is used to analyze patient clusters. Next, Markov chain model, a stochastic approach, is utilized to predict future behavior of customers RESULTS: This paper proposes a new CLV model for the medical industry that has some benefits over other CLV papers. It is patient behavior based, helping us to predict the future behavior of each patient as well as helping to modify managerial strategies for each type of patient. The derived CLV model includes less than 0.08 error rates. CONCLUSIONS: Using the derived CLV model helps health centers to group their patients by computer-based methods, which makes their decision making more accurate and trustworthy. The present research helps organizations within the health industry to group and rank their patients by a new CLV model and fit their strategies to each patient group, based on his/her behavior type.


Assuntos
Mineração de Dados/métodos , Clínicas Odontológicas/economia , Odontologia/organização & administração , Economia em Odontologia , Processos Estocásticos , Algoritmos , Comportamento , Análise por Conglomerados , Comércio , Tomada de Decisões , Pesquisa Empírica , Custos de Cuidados de Saúde , Humanos , Irã (Geográfico) , Cadeias de Markov , Registros Médicos , Reprodutibilidade dos Testes , Software
4.
Ned Tijdschr Tandheelkd ; 126(6): 285-293, 2019 Jun.
Artigo em Holandês | MEDLINE | ID: mdl-31211294

RESUMO

Healthcare expenditures will continue to increase in the coming years, raising questions regarding the sustainability of the Dutch healthcare system and solidarity, but also about the optimal use of available resources. Given the issues in the oral care sector, attention for economic insights is appropriate there as well. Relevant issues in this regard are the design of the basic and supplementary health insurance schemes for oral care, the market structure and financing of oral care, questions regarding task shifting in oral care, as well as socio-economic inequalities in oral health. A closer cooperative relationship between oral care and the health economy can help in achieving an optimal and sustainable organisation of the Dutch oral care sector. In other words, an organisation contributing in an efficient and fair way to good oral care for all Dutch citizens.


Assuntos
Assistência à Saúde , Odontologia/tendências , Economia em Odontologia , Gastos em Saúde , Humanos , Países Baixos
5.
Ned Tijdschr Tandheelkd ; 126(6): 317-323, 2019 Jun.
Artigo em Holandês | MEDLINE | ID: mdl-31211297

RESUMO

By means of a brief online questionnaire with 12 statements about the organisation, quality and impact of oral care in the Netherlands, the readers of the Netherlands Journal of Dentistry (NTVT) were asked to express their opinions on a number of important subjects concerning oral care in the Netherlands with respect to health economic matters. A total of 237 readers (61% men, 39% women) completed the online questionnaire. 70% of them were working as dentists and had been active in a practice for between 31 and 40 years. According to the study, a shift from curing to prevention was considered to be necessary. Most of the respondents also thought inequality in oral health in the Netherlands is increasing and people avoid going to the dentist due to the associated costs. In conclusion, most oral care providers appear to be reasonably positive about Dutch oral care. Attention for prevention, appreciation of oral health and the reduction of inequality in oral care continue to be necessary.


Assuntos
Odontologia , Economia em Odontologia , Odontologia Preventiva/economia , Odontologia Preventiva/organização & administração , Odontólogos , Feminino , Humanos , Masculino , Países Baixos , Saúde Bucal , Inquéritos e Questionários
6.
Ned Tijdschr Tandheelkd ; 126(6): 325-330, 2019 Jun.
Artigo em Holandês | MEDLINE | ID: mdl-31211298

RESUMO

Health economics deals with issues about the use of scarce resources in healthcare. An important branch of health economics concerns economic evaluations, which consist of a comparison of the costs and effects of 2 or more treatments. The role and importance of economic evaluations in oral care are increasing but are not yet as evident as in other areas of healthcare (such as pharmacy). An economic evaluation provides a broad picture of the costs and health benefits of a particular diagnostic or treatment strategy, resulting in a cost-effectiveness ratio (expressed, for example, as costs per quality-adjusted life year gained). The results are intended for use in policy-making, such as decisions about in- or exclusion from the basic benefits package. To date, only a limited number of economic evaluations of oral care have been carried out, mainly focused on caries. It is important to be able to demonstrate that the treatment provided in oral care is cost-effective. Oral care may put itself in a vulnerable position in the distribution of scarce resources when the costeffectiveness of its treatments is uncertain.


Assuntos
Economia em Odontologia , Saúde Bucal , Odontologia Preventiva , Análise Custo-Benefício , Odontologia , Humanos , Países Baixos
7.
Ned Tijdschr Tandheelkd ; 126(6): 335-340, 2019 Jun.
Artigo em Holandês | MEDLINE | ID: mdl-31211299

RESUMO

In the Netherlands, dental diseases are the third most expensive category of healthcare costs. The total cost of the consumption of oral care gives, however, no insight into the content of the care. Data from health insurers do provide such insight, but due to limitations in reimbursements the data from health insurers represent only part of all the costs of oral care. In this study an attempt was made, by means of an estimation, to gain insight into the total cost of oral care, financed both by basic and supplementary health insurance and by the patients themselves . This estimation was made at the level of UPT clusters and is based on data from the health insurers and a large factoring company for the years 2011, 2013 and 2014. Based on this estimate, one can conclude that on average between 21% and 32% of oral care consumption is financed privately. A complete picture of the costs of oral care is important in determining the contribution of oral care to public health. The structure of the current financial system, however, impedes transparency concerning oral care consumed.


Assuntos
Assistência à Saúde , Odontologia , Economia em Odontologia , Custos de Cuidados de Saúde , Humanos , Países Baixos
9.
Stomatologiia (Mosk) ; 96(5): 14-18, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29072638

RESUMO

The paper presents the analysis of regulatory frameworks for wage payment system in federal, state and municipal dental clinics. The new wage payment system provided significant freedom for employers in payments size determination by regulation of basic, stimulating and compensative salary payoffs. The study highlights the need for scientific studies on dental care quality assessment criteria for wage payment system.


Assuntos
Odontologia , Economia em Odontologia , Legislação Odontológica , Salários e Benefícios/legislação & jurisprudência , Humanos , Federação Russa
12.
Todays FDA ; 29(1): 42-3, 45, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30457305
13.
N Y State Dent J ; 83(2): 43-6, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29920031

RESUMO

The continuing dramatic increases in the U.S. Hispanic population are considered relative to the economic concerns of dental practice. Oral health needs, limited finances and health insurance, together with varying cultural orientation, are reviewed in terms of the potential for growing Hispanic political strength.


Assuntos
Economia em Odontologia , Hispano-Americanos/estatística & dados numéricos , Humanos , New York , Estados Unidos
17.
Rev Saude Publica ; 502016 Jul 21.
Artigo em Inglês, Português | MEDLINE | ID: mdl-27463254

RESUMO

OBJECTIVE: To estimate the investments to implement and operational costs of a type I Oral Health Care Team in the Family Health Care Strategy. METHODS: This is an economic assessment study, for analyzing the investments and operational costs of an oral health care team in the city of Salvador, BA, Northeastern Brazil. The amount worth of investments for its implementation was obtained by summing up the investments in civil projects and shared facilities, in equipments, furniture, and instruments. Regarding the operational costs, the 2009-2012 time series was analyzed and the month of December 2012 was adopted for assessing the monetary values in effect. The costs were classified as direct variable costs (consumables) and direct fixed costs (salaries, maintenance, equipment depreciation, instruments, furniture, and facilities), besides the indirect fixed costs (cleaning, security, energy, and water). The Ministry of Health's share in funding was also calculated, and the factors that influence cost behavior were described. RESULTS: The investment to implement a type I Oral Health Care Team was R$29,864.00 (US$15,236.76). The operational costs of a type I Oral Health Care Team were around R$95,434.00 (US$48,690.82) a year. The Ministry of Health's financial incentives for investments accounted for 41.8% of the implementation investments, whereas the municipality contributed with a 59.2% share of the total. Regarding operational costs, the Ministry of Health contributed with 33.1% of the total, whereas the municipality, with 66.9%. Concerning the operational costs, the element of heaviest weight was salaries, which accounted for 84.7%. CONCLUSIONS: Problems with the regularity in the supply of inputs and maintenance of equipment greatly influence the composition of costs, besides reducing the supply of services to the target population, which results in the service probably being inefficient. States are suggested to partake in funding, especially to cover the team's operational cost. OBJETIVO: Estimar os investimentos para implantação e os custos operacionais de uma Equipe de Saúde Bucal modalidade tipo I na Estratégia Saúde da Família. MÉTODOS: Estudo de avaliação econômica, tipo análise de investimentos e custos operacionais de uma equipe de saúde bucal no município de Salvador, Bahia, Brasil. O cálculo dos investimentos para implantação foi obtido pela soma dos investimentos em obras civis e instalações em rateio, equipamentos, móveis e instrumentais. Para os custos operacionais, foi analisada a série histórica de 2009 a 2012 e adotou-se o mês de dezembro de 2012 para levantamento dos valores monetários vigentes. Os custos foram classificados em custos diretos variáveis (materiais de consumo) e custos fixos diretos (salários, manutenção, depreciação do capital fixo dos equipamentos, instrumentais, móveis e edificações), além dos custos fixos indiretos (higienização, segurança, energia e água). Foi também calculada a participação do Ministério da Saúde no financiamento e descritos os fatores que influenciam o comportamento dos custos. RESULTADOS: O investimento para implantação de uma Equipe de Saúde Bucal modalidade tipo I foi de R$29.864,00. Os custos operacionais de uma Equipe de Saúde Bucal modalidade tipo I situaram-se em torno de R$95.434,00 por ano. Os incentivos financeiros do Ministério da Saúde para investimentos cobriram 41,8% dos investimentos com implantação, enquanto o município participou com 59,2% do total. Para os custos operacionais, a participação do Ministério da Saúde foi de 33,1%, enquanto o município participou com 66,9%. Dentro dos custos operacionais, o elemento de maior peso foram os salários, representando 84,7%. CONCLUSÕES: Problemas com a regularidade no abastecimento dos insumos e manutenção de equipamentos influenciam sobremaneira na composição dos custos, além de reduzir a oferta de serviços à população-alvo, resultando em provável ineficiência do serviço. Sugere-se o cofinanciamento estadual, especialmente para cobrir o custo operacional da equipe.


Assuntos
Economia em Odontologia , Saúde Bucal/economia , Brasil , Custos e Análise de Custo , Serviços de Saúde Bucal/economia , Saúde da Família , Humanos
19.
N Y State Dent J ; 82(2): 38-42, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27209718

RESUMO

The ADA Principles of Ethics and Code of Professional Conduct is an expression of the obligation occurring between the profession and society to meet the oral health needs of the public. At a time of economic concerns for the profession, suggestions are made to bring together the ethics of the profession and the need to expand services to underserved populations, including individuals with disabilities and the poor. The profession's effort to secure economic support for such an effort is possible with increased legislative awareness of the magnitude of the problem. To this end, the number of individuals with disabilities was developed for each Congressional district in New York State in an effort to challenge members of Congress to recognize the need in terms of their constituents, rather than in terms of the tens of millions with disabilities in the United States-which become "just numbers," not actual people.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/ética , Economia em Odontologia , Ética Odontológica , Acesso aos Serviços de Saúde/ética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Assistência Odontológica para Pessoas com Deficiências/economia , Organização do Financiamento , Gastos em Saúde , Acesso aos Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde/ética , Humanos , Medicaid/economia , Área Carente de Assistência Médica , Pessoa de Meia-Idade , New York , Dinâmica Populacional , Pobreza , Estados Unidos , Adulto Jovem
20.
N Y State Dent J ; 82(1): 17-20, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26939152

RESUMO

Every five years a series of studies is carried out by the Census Bureau which provides an opportunity to review the basic economic well-being of the many industries at the national, state and county levels. A comparison of dental economic data from the 2007 and 2012 studies for the period that encompassed the 2007-2009 "Great Recession" details the general economic difficulties faced by the dental profession during this period.


Assuntos
Odontólogos/estatística & dados numéricos , Economia em Odontologia/estatística & dados numéricos , Prática Profissional/estatística & dados numéricos , Odontólogos/economia , Recessão Econômica/estatística & dados numéricos , Economia/estatística & dados numéricos , Administração Financeira/economia , Administração Financeira/estatística & dados numéricos , Humanos , New York , Administração da Prática Odontológica/economia , Administração da Prática Odontológica/estatística & dados numéricos , Prática Profissional/economia , Área de Atuação Profissional/economia , Área de Atuação Profissional/estatística & dados numéricos , Estados Unidos
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