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

2015 ◽  
Vol 21 (4) ◽  
pp. 460 ◽  
Author(s):  
Ratilal Lalloo ◽  
Jeroen Kroon

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.

2015 ◽  
Vol 21 (1) ◽  
pp. 27 ◽  
Author(s):  
Ratilal Lalloo ◽  
Jeroen Kroon

Information on public dental service waiting lists is available as part of the Queensland Government open data policy. Data were summarised across the care categories and health districts to present the total number and percentage of people waiting for care and who have waited beyond the desirable period. As of 31 December 2012 there were 130 546 people on the dental waiting list; of these 85.8%, 8.5% and 2.2% were waiting for general care desirable within 24, 12 and 3 months, respectively. Across all care categories, almost 56% of those on the waiting list were beyond the desirable waiting period. The average number of people on the waiting list and the average number waiting beyond the desirable time differ substantially per clinic by district. Ongoing analysis of the Queensland public dental service waiting list database will determine the impact on patient waiting times of Federal Government initiatives announced in 2012 to treat an estimated 400 000 patients on waiting lists nationwide over the next 3 years and to expand services to assist low-income adults to receive dental services.


2017 ◽  
Vol 16 (2) ◽  
pp. e112-e119 ◽  
Author(s):  
E Widström ◽  
A Tillberg ◽  
LI Byrkjeflot ◽  
L Stein ◽  
R Skudutyte-Rysstad

1992 ◽  
Vol 22 (4) ◽  
pp. 669-688 ◽  
Author(s):  
Eva Bejero ◽  
Töres Theorell

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.


2020 ◽  
Vol 5 (1) ◽  
pp. 75-86
Author(s):  
Rizki Khairun Nisa

Haji merupakan salah satu ibadah yang sangat populer atau masyhur bagi seluruh umat muslim di dunia, yaitu sebagai bentuk implementasi rukun Islam yang ke-lima. Di Indonesia sendiri minat masyarakat umat muslim untuk dapat menunaikan ibadah haji selalu mengalami peningkatan dari tahun ke tahun. Hal Ini mengakibatkan waiting list yang terbilang lama yaitu mencapai 41 tahun sehingga mayoritas jemaah haji Indonesia berada pada usia lansia pada saat keberangkatan. Berkaca dari waktu tunggu (waiting list) yang terjadi di Indonesia maka perlu adanya upaya dalam menghadapinya, baik dari pihak pemerintah maupun masyarakat. Tulisan ini membahas tentang upaya pemerintah dalam menghadapi waiting list di Indonesia dengan cara mensosialisasikan pentingnya pendaftaran ibadah haji diusia muda. Upaya sosialisasi dari permerintah tersebut diharapkan dapat menyadarkan masyarakat untuk mempersiapkan pendaftaran ibadah haji diusia muda yang bertujuan mengurangi berbagai risiko pada masa keberangkatan, seperti kondisi kesehatan, usia lanjut, risiko tinggi, dan daya tangkap yang berkurang. Hal tersebut tentunya dapat menganggu proses perjalanan dan pelaksanaan ibadah haji. Metode yang digunakan dalam penulisan ini yaitu deskriptif kualitatif melalui studi literatur, dengan menjabarkan faktor penting dalam pendaftaran ibadah haji diusia muda dan sosialisasi pemerintah terkait urgensi pendaftaran ibadah haji diusia muda sebagai upaya menghadapi waiting list di Indonesia. Hajj is one of the most popular or famous forms of worship for all Muslims in the world, namely as a form of implementation of the fifth pillar of Islam. In Indonesia, the interest of the Muslim community to be able to carry out the pilgrimage has always increased from year to year. This resulted in a fairly long waiting list, reaching 41 years, so that the Indonesian Hajj was at an elderly age when he disappeared. Reflecting on the waiting time (waiting list) that occurs in Indonesia, it is necessary to deal with it, both from the government and society. This paper discusses the government's efforts in dealing with waiting lists in Indonesia by socializing the importance of registering the Hajj pilgrimage at a young age. The socialization efforts of the government are expected to be able to make the public aware of the registration of Hajj pilgrimage registration at a young age which aims to reduce various risks during the validity period, such as health conditions, old age, high risk, and reduced catching power. This of course can disrupt the travel process and the implementation of the pilgrimage. The method used in this study is descriptive qualitative through literature studies, by explaining important factors in the registration of youth worship and related government socialization urging the registration of youth worship as an effort to face waiting lists in Indonesia.


BDJ ◽  
2016 ◽  
Vol 221 (4) ◽  
pp. 179-185 ◽  
Author(s):  
E. Widström ◽  
A. Tillberg ◽  
L. I. Byrkjeflot ◽  
R. Skudutyte-Rysstad

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charlotte Andrén Andås ◽  
Magnus Hakeberg

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.


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