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1.
Inquiry ; 58: 469580211018293, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105420

RESUMO

The present work suggests research and innovation on the topic of dental education after the COVID-19 pandemic, is highly justified and could lead to a step change in dental practice. The challenge for the future in dentistry education should be revised with the COVID-19 and the possibility for future pandemics, since in most countries dental students stopped attending the dental faculties as there was a general lockdown of the population. The dental teaching has an important curriculum in the clinic where patients attend general dentistry practice. However, with SARS-CoV-2 virus, people may be reluctant having a dental treatment were airborne transmission can occur in some dental procedures. In preclinical dental education, the acquisition of clinical, technical skills, and the transfer of these skills to the clinic are extremely important. Therefore, dental education has to adapt the curriculum to embrace new technology devices, instrumentations systems, haptic systems, simulation based training, 3D printer machines, to permit validation and calibration of the technical skills of dental students.


Assuntos
COVID-19/epidemiologia , Educação em Odontologia/tendências , Educação à Distância/tendências , Padrões de Prática Odontológica/tendências , Currículo/tendências , Odontologia/tendências , Economia em Odontologia/tendências , Humanos
2.
Rev. ADM ; 78(1): 42-47, ene.-feb- 2021.
Artigo em Espanhol | LILACS | ID: biblio-1177761

RESUMO

La pandemia por COVID-19 no sólo ha generado un impacto negativo en la salud, sino que la economía global también se ha visto mermada, afectando más a los países subdesarrollados. Con relación a estos daños en las finanzas de los profesionales de la salud, existen algunos efectos que derivan de la pandemia COVID-19, los cuales tienen una fuerte repercusión en la economía de todos los trabajadores a nivel mundial y el ámbito odontológico no es la excepción. Esta revisión se obtuvo mediante la búsqueda de la información en una exploración electrónica en las bases de datos PubMed, Cochrane Library, LILACS, SciELO y Latindex. El impacto económico derivado de esta pandemia, sin lugar a dudas, ha afectado la economía de los odontólogos de práctica pública y privada, por lo que la toma de decisiones en la odontología debe contemplar un uso equilibrado de los recursos financieros (AU)


The COVID-19 pandemic has not only generated a negative impact on health, but the global economy has also been reduced, being the underdeveloped countries the most affected ones. In relation to these damages in the finances of health professionals, there are some effects that derive from the COVID-19 pandemic, having a strong impact on the economy of all workers worldwide and the dental field is no exception. This review was obtained by searching the information through an electronic examination in databases like PubMed, Cochrane Library, LILACS, SciELO and Latindex databases. The economic impact derived from this pandemic has undoubtedly affected the economy of dentists in public and private practice, so that decision-making in dentistry must consider a balanced use of financial resources (AU)


Assuntos
Infecções por Coronavirus , Economia em Odontologia , Pandemias , Odontologia Geral , Saúde Bucal , Bases de Dados Bibliográficas , Tomada de Decisões , Países em Desenvolvimento , Recursos Financeiros em Saúde , Avaliação do Impacto na Saúde
3.
Health Serv Res ; 56(1): 25-35, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32844447

RESUMO

OBJECTIVE: To examine the impact of commercial dental insurer and provider concentration on dentist reimbursement. DATA SOURCES: We utilized provider data from the American Dental Association, reimbursement data from IBM Watson MarketScan® Commercial Research Databases, submitted billed charges from FAIR Health® , dental insurance market concentration data from FAIR Health® , and county-level demographic and economic data from the Area Health Resources File and the Council for Community and Economic Research. STUDY DESIGN: We used the Herfindahl-Hirschman Index to separately measure commercial dental insurance concentration and dentist concentration. We studied the effect of provider and insurance concentration on dentist reimbursement. Using two-stage least squares, we accounted for potential endogeneity in dental insurer and provider concentration. PRINCIPAL FINDINGS: Across the dental procedures we examined, a 10 percent increase in dental insurance concentration is associated with a 1.95 percent (P-value = .033) reduction in gross payments to dentists. Conversely, a 10 percent increase in dentist concentration is associated with a more modest 0.71 percent (P-value = .024) increase in gross payments. A 10 percent increase in dental insurance concentration is associated with a 1.16 percentage point (P-value = .016) decline in the allowed-to-list price ratio, while a 10 percent increase in dentist concentration is associated with a 0.56 percentage point (P-value = .001) increase in the allowed-to-list price ratio. Similar patterns were found across dental procedure subcategories. CONCLUSIONS: Dental provider markets are substantially less concentrated than insurance markets, which may limit the ability of dentists to garner higher reimbursement.


Assuntos
Serviços de Saúde Bucal/economia , Seguradoras/economia , Seguro Odontológico/economia , Custos e Análise de Custo , Serviços de Saúde Bucal/estatística & dados numéricos , Economia em Odontologia , Humanos , Seguradoras/estatística & dados numéricos , Estados Unidos
4.
Artigo em Inglês | MEDLINE | ID: mdl-33266115

RESUMO

BACKGROUND: In order to protect dental teams and their patients during the COVID-19 pandemic, dentists have had to adopt several measures (operating and post-operating procedures) which may increase the total treatment time and costs relating to individual protective measures. This paper will propose a thorough analysis of operating dentistry procedures, comparing the economic performance of the activity in a dental surgery before and after the adoption of these protective measures, which are required to contain the risk of SARS-COV-2 infections. METHODS: The economic analysis is articulated in three approaches. Firstly, it assesses a reduction in markup by maintaining current charges (A); alternatively, it suggests revised charges to adopt in order to maintain unvaried levels of markup (B). And the third Approach (C) examines available dental treatments, highlighting how to profitably combine treatment volumes to reduce markup loss or a restricted increase in dental charges. RESULTS: Maintaining dental charges could cause a loss in markup, even rising to 200% (A); attempting to maintain unvaried levels of markup will result in an increase in dental charges, even at 100% (B); and varying the volumes of the single dental treatments on offer (increasing those which current research indicates as the most profitable) could mitigate the economic impact of the measures to prevent the transmission of SARS-COV-2 (C). CONCLUSIONS: The authors of this paper provide managerial insights which can assist the dentist-entrepreneur to become aware of the boundaries of the economic consequences of governmental measures in containing the virus infection.


Assuntos
COVID-19/prevenção & controle , Odontologia/métodos , Economia em Odontologia , Controle de Infecções/economia , Humanos , Pandemias
5.
Rev Salud Publica (Bogota) ; 20(6): 684-691, 2020 Nov 16.
Artigo em Espanhol | MEDLINE | ID: mdl-33206890

RESUMO

OBJECTIVE: To analyze the Quality of Life at Work (QOL) of dentists in Antioquia, Colombia, based on objective and subjective components. MATERIALS AND METHODS: A sample of 323 dentists was used for a descriptive study using a structured survey. Data were processed using in SPSS 17.0 and Epidat 3.1 software. RESULTS: Significant trends (p<0.05) were found for the decrease of male, home-based and postgraduate professionals. Fewer and fewer professionals earn more than five times the legal monthly minimum wage, have access to private health services, and enjoy more than 15 vacation days per year. On the other hand, the number of dentists that cover their social security expenses and updating courses costs by themselves Increased, as well as the number of professionals that moved to different municipalities to work (p<0.05). Working conditions and the distance between dreams and reality have meaningful differences for the periods observed. DISCUSSION: Findings ratify the incidence of health and education reforms over the practice of dentistry, revealing significant supply and demand conflicts that exacerbate the deterioration of working conditions and push professionals to merely accommodate, more and more, distancing from the once dreamed profession. CONCLUSION: The QOL for dentists in Antioquia has deteriorated due to negative tendencies on working conditions derived from the complexity and crisis of the working environment. In addition, professionals do not attempt to associate to face and transform this reality.


OBJETIVO: Analizar la Calidad de Vida Laboral (CVL) de los odontólogos en Antioquia, Colombia, a partir de componentes objetivos y subjetivos. MATERIALES Y MÉTODOS: Estudio descriptivo probabilístico con 323 odontólogos. Los datos fueron procesados en SPSS 17.0 y Epidat 3.1. RESULTADOS: Se encontraron tendencias significativas (p<0,05) en la disminución de los profesionales de sexo masculino, con casa propia y postgrado. Son cada vez menos los profesionales con ingresos mensuales superiores a cinco Salarios Mínimos Legales Vigentes (5 SMLV), que cuentan con medidas privadas de salud y que gozan de más de 15 días de vacaciones; aumentaron los odontólogos que asumían totalmente los costos de seguridad social, los que se desplazaban a otros municipios a ejercer su profesión (p<0,05). Las condiciones de trabajo y la distancia de los sueños-realidad presentan diferencias significativas en los períodos estudiados. DISCUSIÓN: Los hallazgos ratifican la incidencia que tuvieron las reformas en salud y educación en la profesión odontológica, revelando una problemática de oferta/demanda que agudiza el deterioro de las condiciones de trabajo y que han llevado al profesional a un acondicionamiento laboral lejano al ejercicio de la profesión que había soñado. CONCLUSIÓN: La CVL de los odontólogos en Antioquia se ha venido deteriorando en un entorno laboral complejo y en crisis; paralelo a esta situación, el profesional no busca asociarse para enfrentar y transformar esta realidad.


Assuntos
Odontólogos , Qualidade de Vida , Atitude do Pessoal de Saúde , Colômbia , Estudos Transversais , Odontologia/estatística & dados numéricos , Economia em Odontologia , Educação em Odontologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Prática Profissional , Salários e Benefícios , Inquéritos e Questionários , Local de Trabalho
6.
JNMA J Nepal Med Assoc ; 58(229): 677-680, 2020 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-33068090

RESUMO

INTRODUCTION: There is a global crisis which has been led by COVID-19. The patients undergoingdental procedures and dental professionals are at higher risk of contracting this disease owing toaerosols generated and a lot of face to face contact during the procedures. The aim of this study was to know the perceptions of dental students of COMS-TH regarding future of dentistry in Nepal amidCOVID-19 pandemic. METHODS: The present cross-sectional descriptive study was conducted at COMS-TH, Bharatpur by sending an online e-survey questionnaire to 146 dental students out of which 99 responded. The e-survey questionnaire consisted of three parts which consisted of questions about demographics, knowledge about COVID-19 and their perceptions about future of dentistry. RESULTS: The results of the study depicted that most of the students thought dentistry is good and noble profession and will recommend it to young medical aspirants. Most of them wanted to pursue post graduation courses in future giving preference to Oral and Maxillofacial Surgery. CONCLUSIONS: The study concluded that most of the dental students were satisfied with dentistry as their profession and wanted National Dental Association to fix the minimum charges of each dental procedure. Also there is a need to start more post graduation courses in existing institutions providing dental education as most of the students want to pursue it in future.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus , Odontologia/tendências , Economia em Odontologia/tendências , Pandemias , Pneumonia Viral , Estudantes de Odontologia , Betacoronavirus , COVID-19 , Escolha da Profissão , Feminino , Previsões , Custos de Cuidados de Saúde/tendências , Humanos , Controle de Infecções Dentárias , Masculino , Nepal , Padrões de Prática Odontológica/tendências , SARS-CoV-2 , Cirurgia Bucal , Inquéritos e Questionários
7.
Postgrad Med J ; 96(1142): 791-792, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32245754

RESUMO

The novel COVID-19 came under limelight few months back (December 2019) and has recently been declared a pandemic by WHO. It has resulted in serious financial implications being faced by dental practices, hospitals and healthcare workers. Dental practice currently is restricted to provision of emergency dental care whereas, many hospitals have also cancelled elective procedures to save finances for COVID-19 treatment which is expensive and unpredictable. In addition, healthcare workers are also facing financial challenges in this difficult time. Competent authorities should step in to help dental practices, hospitals and healthcare workers in order to ensure the provision of all types of healthcare efficiently in these testing times and beyond.


Assuntos
COVID-19/economia , Economia em Odontologia , Economia Hospitalar , Economia Médica , Pessoal de Saúde/economia , Hospitais , COVID-19/epidemiologia , Apoio Financeiro , Financiamento Governamental , Humanos
8.
Int J Health Econ Manag ; 20(2): 201-214, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31916042

RESUMO

We use Survey of Dental Practice data from 1983 to 2012 to examine market power of dentists and hygienists in private practice. Our findings are consistent with a dental market wherein practices use hygienist services as a "loss leader" in order to steer patients into more lucrative dental services, which exhibit the ability to markup price above marginal cost. Both dental care exhibits an elasticity of demand of roughly - 0.2, while hygienist care exhibits and elasticity of demand of nearly - 0.6. Another theme that emerged from our findings is the evidence for significant economies of scale in the dental market. The overall returns to scale parameter of 2.1 suggests significant increasing returns to scale are available to the typical dental practice. Given that the typical practice has 1.5 dentists, the finding is not surprising. While returns to scale diminishes with visit volume, the largest quartile of practices still has meaningful increasing returns to scale of roughly 1.75.


Assuntos
Odontologia , Competição Econômica , Economia em Odontologia , Higienistas Dentários/provisão & distribuição , Odontologia/tendências , Modelos Estatísticos , Salários e Benefícios/tendências , Inquéritos e Questionários , Estados Unidos
9.
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
Centers for Medicare and Medicaid Services, U.S. , Conflito de Interesses , Economia em Odontologia , Indústrias/economia , Idoso , Centers for Medicare and Medicaid Services, U.S./estatística & dados numéricos , Odontologia , Honorários e Preços , Setor de Assistência à Saúde , Humanos , Indústrias/ética , Medicare , Padrões de Prática Médica/economia , Estudos Retrospectivos , Estados Unidos
10.
Int J Health Econ Manag ; 20(2): 145-162, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31583512

RESUMO

We examine the effect of commercial dental insurance concentration on the size of dental practices, the decision of dentists to own a practice, and the choice of dentists to work at a dental management service organization-a type of corporate group practice that has become more prevalent in the United States in recent years. Using 2013-2015 dentist-level data from the American Dental Association, county-level data on firms and employment from the United States Census, and commercial dental insurance market concentration data from FAIR Health®, we find a modest effect of dental insurance market concentration on the size of dental practices. We also find that a higher level of commercial dental insurance market concentration is associated with a dentist's decision not to own a practice. There is inconclusive evidence that higher levels of dental insurance market concentration impact a dentist's decision to affiliate with a dental management service organization. Overall, our findings imply that dentists consolidate in response to increases in concentration among commercial dental insurers.


Assuntos
Odontologia/organização & administração , Seguro Odontológico , Administração da Prática Odontológica/tendências , Economia em Odontologia , Estados Unidos
11.
Eur J Orthod ; 42(1): 44-51, 2020 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-31067324

RESUMO

OBJECTIVES: To evaluate the costs of quad-helix (QH) and removable expansion plate (EP) treatments performed either in specialist or general dentistry for the correction of unilateral posterior crossbite with functional shift in the mixed dentition. TRIAL DESIGN: Four-arm parallel group multicentre randomized controlled trial. MATERIALS AND METHODS: One hundred and ten patients with unilateral posterior crossbite with functional shift were recruited. The patients were randomized by an independent person not involved in the trial. The randomization used blocks of 20 and into the following four groups: QH treatments in specialist orthodontic clinics (QHS), QH treatments in general dentistry (QHG), EP treatments in specialist orthodontic clinics (EPS), and EP treatments in general dentistry (EPG). Blinding was accomplished of the outcome assessor and data analyst. A cost analysis was performed with reference to intention-to-treat (ITT), regarding direct costs, indirect costs, and societal costs (the sum of direct and indirect costs) for calculations of successful treatments alone and for retreatments when required. To determine which alternative has the lower cost, a cost-minimization analysis was undertaken, based on that the outcome of the treatment alternatives were broadly equivalent, so the difference between them reduces to a comparison of costs. RESULTS: In the QHS group, 28 of 28 patients were successfully corrected compared to 23 of 27 in the QHG group. Treatment with expansion plate was less successful: 18 of 27 patients in the EPS group and 18 of 28 in the EPG group. QH treatment performed in specialist orthodontic clinics had significantly lower costs than QH or EP treatment accomplished in general dentistry as well as EP treatments in specialist orthodontic clinics. LIMITATIONS: Costs depend on local factors and should not be directly extrapolated to other locations. CONCLUSION: Treatment of unilateral posterior crossbite in the mixed dentition is recommended to be performed by a specialist orthodontist using the QH appliance. TRIAL REGISTRATION: The trial was not registered.


Assuntos
Má Oclusão , Aparelhos Ortodônticos Removíveis , Controle de Custos , Custos e Análise de Custo , Odontologia , Dentição Mista , Economia em Odontologia , Humanos , Má Oclusão/terapia , Aparelhos Ortodônticos Removíveis/economia , Resultado do Tratamento
12.
BMJ Open ; 9(9): e032446, 2019 09 12.
Artigo em Inglês | MEDLINE | ID: mdl-31515435

RESUMO

OBJECTIVE: To examine the oral health conditions and oral health behaviour of high-cost patients and evaluate oral health measures as predictors of future high-cost patients. DESIGN: A retrospective, population-based cohort study using administrative healthcare records. SETTING: The National Health Insurance Service (NHIS) medical check-up database (a.k.a. NHIS-national health screening cohort database) in South Korea. PARTICIPANTS: 131 549 individuals who received biennial health check-ups including dental check-ups in 2011 or 2012, aged 49-88. PRIMARY OUTCOME MEASURES: Current and subsequent year high-cost patient status. RESULTS: High-cost patients, on average, incur higher dental costs, suffer more from periodontal disease, brush their teeth less and use secondary oral hygiene products less. Some of the self-reported oral health behaviours and oral symptom variables show statistically significant associations with subsequent year high-cost patient indicators, even after adjusting for demographic, socioeconomic, medical conditions, and prior healthcare cost and utilisation. CONCLUSIONS: We demonstrate that oral health measures are associated with an increased risk of becoming a high-cost patient.


Assuntos
Economia em Odontologia , Comportamentos Relacionados com a Saúde , Doenças da Boca , Saúde Bucal/economia , Feminino , Custos de Cuidados de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/economia , Doenças da Boca/epidemiologia , Higiene Bucal/economia , Medidas de Resultados Relatados pelo Paciente , República da Coreia/epidemiologia , Estudos Retrospectivos , Fatores Socioeconômicos
13.
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
14.
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
15.
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
Atenção à Saúde , Odontologia/tendências , Economia em Odontologia , Gastos em Saúde , Humanos , Países Baixos
16.
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
17.
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
18.
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
Atenção à Saúde , Odontologia , Economia em Odontologia , Custos de Cuidados de Saúde , Humanos , Países Baixos
20.
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
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