The public dental service

Public Health ◽  
1934 ◽  
Vol 48 (3) ◽  
pp. 87-88
Keyword(s):  
Dental Service ◽  
The Public ◽  
Public Dental Service

Community-based preventive activities in the Public Dental Service in Norway

2017 ◽  
Vol 16 (2) ◽  
pp. e112-e119 ◽  
Author(s):  
E Widström ◽  
A Tillberg ◽  
LI Byrkjeflot ◽  
L Stein ◽  
R Skudutyte-Rysstad
Keyword(s):  
Dental Service ◽  
Community Based ◽  
The Public ◽  
Public Dental Service

Employer Control and the Work Environment: A Study of the Swedish Public Dental Service

1992 ◽  
Vol 22 (4) ◽  
pp. 669-688 ◽  
Author(s):  
Eva Bejero ◽  
Töres Theorell
Keyword(s):  
Control System ◽  
Work Environment ◽  
Response Rate ◽  
Dental Service ◽  
Management Style ◽  
Questionnaire Study ◽  
The Public ◽  
Public Dental Service

The Public Dental Service in Sweden has a system of surveillance and supervision based on time studies, piecework wages for dentists, and detailed time reporting. This control system and its development are described in this article. The focus is on the effects of the system on the staff. A representative group of Swedish dentists (n = 896) and dental nurses (n = 600) was asked to participate in a questionnaire study exploring the work environment in the Public Dental Service. The response rate was 87 percent. The dentists reported that they felt constantly supervised and evaluated. Their work tempo was related to surveillance, competition, and demands of the employer. There was no correlation between work tempo and piecework results. A high percentage of the staff mentioned weaknesses in the charging and piecework system that they thought could result in an undesirable influence on dentists' work. A majority would have preferred fixed salaries. The results are discussed in terms of gender, motivation, proletarianization, and management style.

Chair-side preventive interventions in the Public Dental Service in Norway

BDJ ◽  
2016 ◽  
Vol 221 (4) ◽  
pp. 179-185 ◽  
Author(s):  
E. Widström ◽  
A. Tillberg ◽  
L. I. Byrkjeflot ◽  
R. Skudutyte-Rysstad
Keyword(s):  
Dental Service ◽  
Preventive Interventions ◽  
The Public ◽  
Public Dental Service

scholarly journals Twelve years with a capitation payment system in Swedish dental care: longitudinal development of oral health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charlotte Andrén Andås ◽  
Magnus Hakeberg
Keyword(s):  
Oral Health ◽  
Dental Care ◽  
Dental Service ◽  
Payment System ◽  
Capitation Payment ◽  
Caries Prevalence ◽  
The Public ◽  
Public Dental Service ◽  
Payment Models

Abstract Background Since 2007, patients receiving oral health care within the Public Dental Service in Sweden have had the possibility to choose between the traditional fee-for-service (FFS) payment system or the new capitation payment system, ‘Dental Care for Health’ (DCH). Payment models are believed to involve different incentive structures for patients and caregivers. In theory, different incentives may lead to differences in health-related outcomes, and the research has been inconclusive. This 12-year longitudinal prospective cohort study of patients in regular dental care analyzes oral health development and self-reported oral health in relation to the patients’ level of education in the two payment systems, and compares with the results from an earlier 6-year follow-up. Methods Information was obtained through a questionnaire and from a register from n = 5877 individuals who kept their original choice of payment model for 12 years, 1650 patients in DCH and 4227 in FFS, in the Public Dental Service in Region Västra Götaland, Sweden. The data comprised manifest caries prevalence, levels of self-reported oral health and education, and choice of dental care payment model. Analyses were performed with chi square and multivariable regression analysis. Results The findings from the 6-year follow-up were essentially maintained at the 12-year examination, showing that the pre-baseline caries prevalence is the most influential factor for less favorable oral health development in terms of the resulting caries prevalence. Educational level (≥ university) showed an increased influence on the risk of higher caries prevalence after 12 years and differed between payment models with regard to the relation to self-rated oral health. Conclusions Differences in health and health-influencing properties between payment models were sustained from 6 to 12 years. Strategies for making use of potential compensatory mechanisms within the capitation payment system to increase oral health equality should be considered.

Impact of initiatives to reduce public dental waiting lists in Queensland, Australia

2015 ◽  
Vol 21 (4) ◽  
pp. 460 ◽  
Author(s):  
Ratilal Lalloo ◽  
Jeroen Kroon
Keyword(s):  
Open Data ◽  
Waiting Lists ◽  
Dental Service ◽  
Waiting List ◽  
Oral Diseases ◽  
Protection Measures ◽  
The Public ◽  
Public Dental Service ◽  
Data Policy ◽  
General Care

Information on public dental service waiting lists is available as part of the Queensland Government open data policy. Data were analysed for the period December 2012 to December 2013, to present the total number and percentage of people waiting for care and who have waited beyond the desirable period. Over the 1-year study period, the number of people on the waiting list decreased from 130 546 to 77 146, a difference of 40.9%. A decrease of 80.6% was found for those waiting beyond the desirable period for care. The largest decrease was for general care (44.9%). The initiatives to reduce the public dental waiting list appear to have been successful in significantly reducing the number of people waiting in general and especially those waiting beyond the desirable period. The initiatives to decrease waiting lists represent a downstream approach and are less likely to have any significant impact on the prevention of oral diseases. As waiting lists are reduced, more emphasis should be placed on upstream approaches such as health promotion, specific protection measures and targeting high-risk individuals for oral diseases.

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