Planning dental services

Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

Planning is an integral part of dental care provision that can operate at many different levels. At a national level, government NHS policy impacts upon dental services in different ways. For example, in the General Dental Service, patient charge bands in England are currently set by the government. In the future, at the national level, the National Health Service Commissioning Board (NHSCB) will determine national policy and national delivery requirements. The NHSCB will be responsible for commissioning primary dental services and contractual arrangements with dentists. At the Health and Wellbeing Board (HWB) level in England, planners (in conjunction with general medical practioner (GMP) consortia/clinical care commissioning groups (CCGs)) will make decisions over the priorities for local services, and the types and range of services offered locally. Within a dental practice, dental practitioners and their team members may develop a range of practice policies aimed at improving the services provided. Finally, every day clinicians develop treatment plans for individual patient care based upon their oral health needs. All these activities are planning in action. This chapter will examine the basic principles of planning, and review the different steps in the planning process. At the most basic level, planning aims to guide choices so that decisions are made in the best manner to reach the desired outcomes. Planning provides a guide and structure to the process of decision-making to maximize results within the limited resources available. Is planning really necessary when there are so many other demands on practitioners’ time? Planning can be justified for the following reasons: . . . ● It provides an opportunity to be proactive in decision-making rather than constantly reacting to pressures and demands. . . . . . . ● It enables priorities to be set. . . . . . . ● It identifies where resources can be directed to have the greatest impact. . . . Various planning models have been proposed to act as a guide to the different steps in the planning process. The rational planning model provides a basic guide to the process (McCarthy 1982), and involves the following steps: . . . 1 Assessment of need: e.g. identification of the oral health problems and concerns of the population. . . . . . . 2 Identifying priorities: agreeing the target areas for action. . . .

2018 ◽  
Vol 7 (10) ◽  
pp. 198
Author(s):  
Galia Benítez

In the creation of trade policy, business actors have the most influence in setting policy. This article identifies and explains variations in how economic interest groups use policy networks to affect trade policymaking. This article uses formal social network analysis (SNA) to explore the patterns of articulation or a policy network between the government and business at the national level within regional trade agreements. The empirical discussion herein focuses on Brazil and the setting of exceptions list to Mercosur’s common external tariff. It specifically concentrates on the relations between the Brazilian executive branch and ten economic subsectors. The article finds that the patterns of articulation of these policy networks matter and that sectors with stronger ties to key government decision-makers have a structural advantage in influencing trade policy and obtaining and/or maintaining their desired, privileged trade policies, compared with sectors that are connected to government actors with weak decision-making power, but might have numerous and diversified connections. Therefore, sectors that have a strong pluralist–clientelist policy structure with connections to government actors with decision-making power have greater potential for achieving their target policies compared with more corporatist policy networks.


2005 ◽  
Vol os12 (4) ◽  
pp. 117-121 ◽  
Author(s):  
Jennifer D Hally ◽  
Nigel B Pitts

In this paper the authors define the concept of care pathways and explain what they are and how they have been applied in various areas of healthcare. The authors discuss the benefits of the care pathway approach and outline the first national dental NHS (clinical) care pathway and its link to National Institute for Clinical Excellence (NICE) guidance on dental recall intervals. The authors go on to explain that as a result of one of the key recommendations of Options for Change, the concept of care pathways will be extended to the primary dental services of the NHS. The first care pathway will be the Oral Health Assessment (OHA). The authors describe the development of, and rationale for, the OHA and provide details of its planned introduction. The authors conclude that the OHA should act as the initial interface between the primary care team and the dental patient. In so doing it should enable a change in the focus of care, from treatment-based to more prevention-led, personalised care appropriate to the specific needs of individual patients.


2018 ◽  
Vol 13 (1) ◽  
pp. i21
Author(s):  
Jennifer Hanthorn Conquest ◽  
John Skinner ◽  
Estie Kruger ◽  
Marc Tennant

Objective: This study investigated the delivery of paediatric (0-17 years) government dental services in New South Wales (NSW), Australia through public dental clinics and the commissioned payments models of Fee-for-Service and Capped-Fee.  Method: De-identified patient data from government provided dental care and the commissioned services was sourced from NSW Oral Health Data Warehouse for evaluation and interpretation using descriptive analysis during the period 1 January 2012 to 31 December 2013.  Result: The breakdown of dental care provided the associated cost analysis for the study’s cohort that resulted in both years, more than 50 percent dental services offered to paediatric patients were preventive care in all payment systems.  The most common preventive items offered were fluoride treatment, dietary advice, oral health education and fissure sealants. Conclusion: There was little difference in the mix of dental care provided between study years and age groups through the three payment systems in NSW.  The difference between the government services and those provided via the Fee-for-Service and Capitation payment systems was negligible. This has important implications for the delivery of dental care to public dental care, particularly when patients may not live close to a public dental clinic and also with the interest nationally in giving patients greater choice.


Author(s):  
Jannes van der Wal ◽  
Peter Eecen ◽  
Jasper Veldman

Megaprojects are large and complex projects that entail multi-actor management, non-standard technology and processes. This chapter aims to explore offshore wind projects (OWPs) as megaprojects, particular in the planning phase. Based on interviews with 26 experts from a variety of backgrounds in the offshore wind industry in The Netherlands, the risks and uncertainties in the planning phase of OWPs and key factors in the decision making process are explored. A framework is presented that depicts the planning phase of an OWP, as well as ten risks and seven uncertainties that are most common in an OWP. The role of the government and the project structure are further highlighted. The findings of this research allow practitioners to gain a better overview of the planning process of an OWP and can help to improve asset management decision making.


Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

Prevention is a core element of the practice of dentistry in the 21st century. Of course the provision of evidence based dental treatment and surgical intervention are the main clinical roles for dentists, but, as health professionals, prevention is also a key responsibility (Department of Health 2012 ; Petersen 2009 ; Steele et al. 2009). Adopting a preventive orientation is relevant to all aspects of clinical care, from diagnosis and treatment planning to referral and monitoring procedures. Dentists and their team members have an important role in helping their patients prevent, control, and manage their oral health. Prevention is important for all patients, but support needs to be tailored to the needs and circumstances of each individual. It is also essential that any preventive advice and support is informed by scientific evidence to ensure maximum benefit is gained. Effectiveness reviews of preventive interventions have shown that many are ineffective and may increase oral health inequalities unless they are supported by broader health promotion interventions (Watt and Marinho 2005; Yehavloa and Satur 2009). Prevention in clinical settings therefore needs to be part of a more comprehensive oral health promotion strategy that addresses the underlying causes of dental disease through public health action, as well as helping patients and their families prevent oral diseases and maintain good oral health through self-care practices. Health education is defined as any educational activity that aims to achieve a health-related goal (WHO 1984). Activity can be directed at individuals, groups, or even populations. There are three main domains of learning (see also Chapter 9 ): . . . ● Cognitive: understanding factual knowledge (for example, knowledge that eating sugary snacks is linked to the development of dental decay). . . . . . . ● Affective: emotions, feelings, and beliefs associated with health (for example, belief that baby teeth are not important). . . . . . . ● Behavioural: skills development (for example, skills required to effectively floss teeth). . . . How do knowledge, attitudes, and behaviours relate to each other? For most people, in most instances, the relationship is complex, dynamic, and very personal; very rarely is it linear.


2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Ronald Titon ◽  
Luki Karunia

This study aims to analyze the participatory planning process at the Tangerang City Public Works Agency. The method used in this study is descriptive with a qualitative approachThe focus of participatory planning analysis research based on participatory planning models includes aspects: Investigation, Problem Formulation, Identification of Carrying Capacity, Formulation of Objectives, Establishing Detailed Steps, and Designing a Budget. The sources used are primary data and secondary data. Data collection techniques with observation, interviews, and documentation. Data analysis method with data reduction, data presentation, and conclusion drawing.The results of the analysis show that the aspect of investigation starts from the level of RT / RW, Village Musrenbang, District Musrenbang up to the SKPD Forum. Aspect formulation of the problem found data collected is what is truly felt by the community, even though there are some of the data collected which is then used as an activity not felt in the expected year. The identification aspect appears to be carrying capacity. Aspects of formulating objectives have used the principles: Transparent, Responsive, Participatory, and Accountable. The aspect of setting detailed steps, the planning process carried out already contains what will be achieved, what activities will be carried out in accordance with the planning document and the proposed results of the Musrenbang, the division of tasks / responsibilities at the government level, especially the technical service the community level only proposes proposals for activities, and has included time even though it is still general. Community involvement should be carried out continuously. Government officials are expected to be resource persons and facilitators and mediators in the planning process. An information system is needed that specifically handles the planning process that can be accessed by the general public in order to see the proposals and the results of the planning process that has been implemented.Keywords: Partisipative Planning Process


2009 ◽  
Vol 39 (8) ◽  
pp. 1498-1506 ◽  
Author(s):  
Pekka Leskinen ◽  
Jouni Pykäläinen ◽  
Arto Haara

Quantitative decision analysis and respective planning models offer many benefits in forest planning. They are efficient, quick, inexpensive, objective, and repeatable. However, quantitative planning and the respective planning models also include many sources of uncertainty. In this paper our research objective is to analyse decision makers’ preferential uncertainty in the context of multicriteria forestry decision making by using statistical models for so-called interval-scale continuous decision problems. The models are based on 0–1-type utility functions by applying a Finnish school grading system for collecting the preference data. The basic idea is to assess the preferences at some discrete points and then estimate the continuous priority function according to the statistical estimation techniques. An interactive approach for reducing the preferential uncertainty included in the priority model is also developed. In the interactive step, the improvements of the priority model are based on uncertainty measures related to local and (or) global priority models. The role of statistical uncertainty analysis is to make the interactive planning process more efficient and reliable. The interactive and statistical approaches complement each other and promote decision makers’ learning.


2010 ◽  
Vol 4 (3) ◽  
pp. 52-54 ◽  

ABSTRACT Parents can play an important role as team members of the oral health care delivery team of their children. The pros and cons of the presence of parents during dental treatment are discussed. This article also describes various factors to be considered during decision making process to either include or exclude the parent during dental treatment of their child to achieve the ultimate goal of providing safe and quality dental treatment.


2021 ◽  
Vol 3 ◽  
Author(s):  
Hellen E. Msemo ◽  
Andrea L. Taylor ◽  
Cathryn E. Birch ◽  
Andrew J. Dougill ◽  
Andrew Hartley ◽  
...  

Weather-related disasters negatively impact livelihoods and socioeconomic activities and often lead to the loss of lives and homes. This study uses disaster data from the Disaster Management Department (DMD) in Tanzania to describe the spatial distribution of weather-related disasters, their socioeconomic impacts and highlight opportunities to improve production and uptake of weather and climate information by climate sensitive sectors. Between 2000 and 2019, severe weather accounted for ~69% of disasters in Tanzania. The Government spent over 20.5 million USD in response to these disasters, which destroyed over 35,700 houses and 1,000 critical infrastructures (roads, bridges, schools, and hospitals), affected over 572,600 people, caused over 240 injuries and 450 deaths. To reduce these impacts, it is important to understand the decision-making process in terms of what and how national guidelines create and enabling environment for integration of weather and climate information into disaster risk reduction strategies. For example, the National Transport Policy which is supposed to provide cross-sectorial guidelines on the use of weather and climate information addresses the use to marine industry but remains silent to other climate sensitive sectors and the public. Whilst weather warnings are available Tanzania continues to suffer from the impacts of weather-related disasters. There is a clear need to better understand the value of weather warning information at short timescales (1–5 days) and how this information can be better used in the individual decision-making processes of those receiving advisories and warnings. The review of policies to guide on cross- sectoral actions to foster the uptake of weather and climate services, decisions across climate sensitive sectors, both nationally and sub-national level is recommended.


2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Reza Hendriyantore

The effort to put good governance in development in Indonesia is basically not new. Since the Reformation, the transformation of closed government into an open government (inclusive) has begun to be pursued. Highlighting the conflicts in the land sector that tend to strengthen lately, there are some issues that have intensified conflicts in the field, such as the lack of guaranteed land rights in various legal and policy products. In this paper, a descriptive method is considered important in identifying the applicable issue and methodological framework for addressing governance issues in Indonesia. To reduce such agrarian conflicts between farmers and the government, and as an effort to increase farmers' income, all farmers are incorporated into agricultural cooperatives. Agricultural cooperatives are structured down to the National Level. Thus, farmers participate in good access to the marketing of agricultural produce.Keywords:good governance, agrarian conflict, agricultural cooperative


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