The Structure of the Dental Workforce in the 21st Century

2000 ◽  
Vol os7 (1) ◽  
pp. 15-17 ◽  
Author(s):  
Diana M Scarrott
Keyword(s):  
Decision Making ◽  
Customer Service ◽  
21St Century ◽  
Economic Efficiency ◽  
Central Planning ◽  
Market Place ◽  
Practice Level ◽  
Regulatory Processes ◽  
Dental Procedures ◽  
The Uk

Graham Try (page 9) has suggested that the UK is heading towards dentist shortage. This paper picks up the story from there, speculating on how a shortage of dentists might stimulate changes in working methods. The market place will look for workforce configurations which make business sense at practice level and which deliver services in a form which patients find helpful and convenient. Although some dental procedures can be carried out by people with less training than dentists, this may not contribute to economic efficiency and could make the customer service experience less appealing. Changes in the structure of the workforce may therefore be less radical than has sometimes been suggested. Much depends on how decision-making and regulatory processes evolve. It seems likely that local and practice level decision-making will grow at the expense of central planning.

Biosolids management integrated into national organic resource strategies in the UK

2007 ◽  
Vol 2 (4) ◽  
Author(s):  
P.J. Matthews
Keyword(s):  
Customer Service ◽  
Food Processing ◽  
Special Treatment ◽  
Market Place ◽  
Playing Field ◽  
Municipal Compost ◽  
Starting Point ◽  
Organic Resource ◽  
The Uk ◽  
Organic Resources

There are many kinds of organic byproducts. They are potentially useful, but can be wasted and thrown away. One use for many of these products is as fertilisers and soil conditioners but they are managed and regulated separately. Customers are faced with choices of services and products. Examples are biosolids, municipal composts, food processing byproducts and farm yard manures. Biosolids are perceived as being special, but part of a range of a number of wastes seeking a disposal. The target must be to establish and maintain safe, sustainable and welcome operations for the supply of all of these products. Trust is at the heart. There is nothing special about biosolids; they should not demand special treatment and should be viewed as one of a range of safe products. There must be a ‘level playing field’ for all products and then customers can choose that which is most suitable for their needs on the basis of agronomic value, customer service and financial deals available. So, for example, municipal compost and biosolids should compete in the market place on the basis of normal commercial terms, but not on the basis of differential safety or quality. It behoves everyone to co-operate in creating the starting point of equality of opportunity. The UK has established the Sustainable Organic Resources Partnership to bring together all stakeholders for all kinds of organic resources. The objective has been to create a national focus of knowledge excellence, which can provide the confidence for building public trust. The paper describes the history, role and future of SORP.

scholarly journals Imagery in the UK: Britain's troubled imagery intelligence architecture

2009 ◽  
Vol 35 (4) ◽  
pp. 957-969 ◽  
Author(s):  
PHILIP H. J. DAVIES
Keyword(s):  
Decision Making ◽  
Foreign Policy ◽  
21St Century ◽  
Policy Decision ◽  
The Status ◽  
Policy Decision Making ◽  
Uk Government ◽  
The Uk ◽  
Uk Foreign Policy

AbstractThis article examines the status, role and development of imagery intelligence in the UK government. It is argued that imagery intelligence occupies a subordinate and marginalised position compared to other forms of intelligence, chiefly from human sources and the interception of communications. The origins of that position are recounted, and the problems arising from internal struggles over control of imagery examined. It is concluded that the existing approach to imagery represents a serious problem and that a substantial restructuring and upgrading of imagery intelligence is essential if UK foreign policy decision-making is to be properly informed in the 21st Century.

How multidisciplinary are multidisciplinary case reviews in cancer care? Feasibility analysis of a theory-driven team decision-making fidelity framework

2019 ◽  
Author(s):  
Tayana Soukup ◽  
Ged Murtagh ◽  
Ben W Lamb ◽  
James Green ◽  
Nick Sevdalis
Keyword(s):  
Decision Making ◽  
Cancer Care ◽  
Recent Decade ◽  
Individual Case ◽  
Multidisciplinary Teams ◽  
Final Decision ◽  
Political Climate ◽  
Implementation Framework ◽  
Feasibility Evaluation ◽  
The Uk

Background Multidisciplinary teams (MDTs) are a standard cancer care policy in many countries worldwide. Despite an increase in research in a recent decade on MDTs and their care planning meetings, the implementation of MDT-driven decision-making (fidelity) remains unstudied. We report a feasibility evaluation of a novel method for assessing cancer MDT decision-making fidelity. We used an observational protocol to assess (1) the degree to which MDTs adhere to the stages of group decision-making as per the ‘Orientation-Discussion-Decision-Implementation’ framework, and (2) the degree of multidisciplinarity underpinning individual case reviews in the meetings. MethodsThis is a prospective observational study. Breast, colorectal and gynaecological cancer MDTs in the Greater London and Derbyshire (United Kingdom) areas were video recorded over 12-weekly meetings encompassing 822 case reviews. Data were coded and analysed using frequency counts.Results Eight interaction formats during case reviews were identified. case reviews were not always multi-disciplinary: only 8% of overall reviews involved all five clinical disciplines present, and 38% included four of five. The majority of case reviews (i.e. 54%) took place between two (25%) or three (29%) disciplines only. Surgeons (83%) and oncologists (8%) most consistently engaged in all stages of decision-making. While all patients put forward for MDT review were actually reviewed, a small percentage of them (4%) either bypassed the orientation (case presentation) and went straight into discussing the patient, or they did not articulate the final decision to the entire team (8%). Conclusions Assessing fidelity of MDT decision-making at the point of their weekly meetings is feasible. We found that despite being a set policy, case reviews are not entirely MDT-driven. We discuss implications in relation to the current eco-political climate, and the quality and safety of care. Our findings are in line with the current national initiatives in the UK on streamlining MDT meetings, and could help decide how to re-organise them to be most efficient.

Benchmarking Risk Analysis Practice in the International Water Sector

2006 ◽  
Vol 1 (2) ◽  
Author(s):  
B.H. MacGillivray ◽  
P.D. Hamilton ◽  
S.E. Hrudey ◽  
L. Reekie ◽  
S.J.T Pollard
Keyword(s):  
Decision Making ◽  
Risk Analysis ◽  
Water Utilities ◽  
Water Sector ◽  
Water Utility ◽  
Analysis Techniques ◽  
The Usa ◽  
International Water ◽  
Practical Guidance ◽  
The Uk

Risk analysis in the water utility sector is fast becoming explicit. Here, we describe application of a capability model to benchmark the risk analysis maturity of a sub-sample of eight water utilities from the USA, the UK and Australia. Our analysis codifies risk analysis practice and offers practical guidance as to how utilities may more effectively employ their portfolio of risk analysis techniques for optimal, credible, and defensible decision making.

The Law & Politics of Brexit: Volume II

2020 ◽  
Keyword(s):  
Decision Making ◽  
European Union ◽  
Legal Framework ◽  
Comprehensive Analysis ◽  
The European Union ◽  
Trade Relations ◽  
The United Kingdom ◽  
The Uk ◽  
Financial Settlement ◽  
The Eu

This book provides the first comprehensive analysis of the withdrawal agreement concluded between the United Kingdom and the European Union to create the legal framework for Brexit. Building on a prior volume, it overviews the process of Brexit negotiations that took place between the UK and the EU from 2017 to 2019. It also examines the key provisions of the Brexit deal, including the protection of citizens’ rights, the Irish border, and the financial settlement. Moreover, the book assesses the governance provisions on transition, decision-making and adjudication, and the prospects for future EU–UK trade relations. Finally, it reflects on the longer-term challenges that the implementation of the 2016 Brexit referendum poses for the UK territorial system, for British–Irish relations, as well as for the future of the EU beyond Brexit.

A review of contemporary inhalation sedation guidelines and regulations related to treating children

2017 ◽  
Vol 8 (3) ◽  
pp. 112-118 ◽  
Author(s):  
S Rajan ◽  
DJ Manton ◽  
N Bhujel
Keyword(s):  
Nitrous Oxide ◽  
General Anaesthesia ◽  
Paediatric Dentistry ◽  
Safe Practice ◽  
Global Trends ◽  
Inhalation Sedation ◽  
Dental Procedures ◽  
The Us ◽  
The Uk

Inhalation sedation (IS) with nitrous oxide (N2O) is classified as minimal sedation. In paediatric dentistry, IS works well for mildly anxious but potentially cooperative children, reducing the need for general anaesthesia for simple dental procedures. We review contemporary guidelines relating to ISN2O in Australasia, the UK, Europe and the US. As this is a multispecialty area, with differences in laws, regulations, guidance and governance from country to country, this review aims to illuminate global trends and assist with the designing of local regulations for the safe practice of ISN2O.

scholarly journals NI4 Analysis of Stakeholders Involved in HTA Decision Making Process in the UK

2012 ◽  
Vol 15 (7) ◽  
pp. A278
Author(s):  
A. Kalbasko ◽  
M. Andreykiv ◽  
A. Van Engen ◽  
O. Zorzi
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
The Uk

scholarly journals Student dropout at university: a phase-orientated view on quitting studies and changing majors

2021 ◽  
Author(s):  
Lisa Bäulke ◽  
Carola Grunschel ◽  
Markus Dresel
Keyword(s):  
Decision Making ◽  
Information Search ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Final Decision ◽  
Cross Sectional ◽  
Confirmatory Factor Analyses ◽  
Student Dropout ◽  
Regulatory Processes ◽  
Present Cross Sectional Study

AbstractStudent dropout can be conceptualized as a decision-making process, consisting of different phases. Based on previous literature on student dropout, decision-making, and action-phases, we proposed that the process of developing dropout intentions includes the following phases: non-fit perception, thoughts of quitting/changing, deliberation, information search, and a final decision. In the present cross-sectional study, we empirically investigated if the assumed phases can be distinguished from each other, if the phases follow the presumed order, and whether each phase is associated with certain characteristics. Furthermore, we considered a strict separation between quitting studies completely and changing a major. For this purpose, we analyzed data of N = 1005 students (average age of 23.0 years; 53% female; 47% male) from a German University. By using confirmatory factor analyses, we found the supposed factor structure for the different phases concerning both kinds of dropout, quitting studies, and changing majors. In each process, structural equation modelling indicated positive relations between adjoining phases. The factor values correlated to a substantial amount with an assortment of variables associated with student dropout. On a theoretical level, the conception of different phases of student dropout helps to get a better understanding of regulatory processes in the context of student dropout.

Caesarean section as an informed choice in the UK: a systematic review

2021 ◽  
Vol 29 (10) ◽  
pp. 579-588
Author(s):  
Clementine Djatmika ◽  
Joanne Lusher ◽  
Jane Meyrick ◽  
James Byron-Daniel
Keyword(s):  
Decision Making ◽  
Caesarean Section ◽  
Psychological Impact ◽  
Healthcare Providers ◽  
Informed Choice ◽  
Steady Increase ◽  
Thematic Synthesis ◽  
Critical Appraisal Skills ◽  
Online Library ◽  
The Uk

Background Despite the steady increase in the number of women giving birth via caesarean section in the UK, little is understood about how shared decision making is implemented in obstetrics or what this means for women that have given birth via caesarean. The aim of this review is to assess narratives of women's experiences of caesarean birth as an informed choice and their involvement in this process. Methods A number of databases were searched, including MEDLINE via EBSCO, EMBASE via OVID, MIDIRS via OVID, Scopus, Wiley Online Library, Google Scholar and Ethos, as well as the reference sections of the included studies. Primary studies published between 1990–2020 were included and quality was assessed using the critical appraisal skills programme tool. Findings were analysed using a thematic synthesis framework to elicit higher order interpretations. Results A total of 11 studies were included in the final review. Quality assessment indicated the studies were generally of good quality, with the main limitations being in methodology quality indicators. Thematic synthesis identified eight subthemes within three main themes: ‘patient-doctor relationships’, ‘decision making as an emotional journey’ and ‘caesarean not really an informed “choice”’. The role of healthcare providers in promoting women's agency via patient-centred care was a prominent theme in women's narratives. Conclusions Women's decision making in consent to undergo caesarean births is a complex, emotionally driven process that can have a significant long-term psychological impact.

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