PubMed Health⌕ Search

Biomedical subjects

J J Shelley

Publications and source records attributed to J J Shelley.

6 recordsLinked to original sources
PubMed1998

Can the Feres doctrine survive TRICARE, and should it?

As the total force structure of the U.S. armed forces downsizes, the Military Health Services System (MHSS) is taking commensurate cuts in personnel and resources. To minimize costs and optimize readiness, the Department of Defense seeks to increase resource sharing and support provided by managed care support contracts under TRICARE as well as contracting of civilian providers to provide health care in military treatment facilities. Proponents of such arrangements claim that these options result in increased quality of, and improved access to, health services at a substantial savings for MHSS. Central to this controversy is the Feres doctrine, which prevents members of the armed services from suing the government for any death or injury that is in some way "incident to service." The purpose of this paper is to explore the liability issues posed by these new contractual arrangements as well as their potential effect on Feres doctrine reform.

Contract Services↗
PubMed1992

Removable prosthodontic laboratory survey.

This article presents a brief review of the literature concerning the curriculum deemphasis for removable prosthodontics, especially on the subject of complete dentures. The authors surveyed commercial dental laboratories specializing in removable dental prosthetics in three major Texas cities to determine whether dentists were submitting adequate records and information with their complete denture work authorizations. Results indicate that dentists are requesting services from their laboratories without providing adequate records.

Dental Occlusion↗
PubMed1992

Delayed root canal therapy: an analysis of treatment over time.

A retrospective study of 898 teeth receiving root canal therapy was performed to document the sequelae of delayed completion of root canal treatment. Teeth were categorized into a prompt treatment group and a delayed treatment group. Comparisons of prompt and delayed treatment groups were made with regard to preoperative pain, interappointment emergencies, postobturation pain, and final treatment. Findings from this study show that a palliative endodontic procedure is an extremely effective treatment. However, 56% of teeth with incomplete root canal therapy eventually were extracted compared with 2 to 3% for the root canal filling treatment groups. By emphasizing the potential loss of the tooth rather than the potential of interappointment emergencies, the clinician may be more effective in achieving compliance among patients receiving delayed treatment.

Acute Disease↗
PubMed1991

Prevalence of burnout among military dentists.

Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselves and fearful, demanding patients on a daily basis. The purpose of this study was to assess the prevalence of burnout among military dentists practicing at a large installation using a standardized measurement device, the Maslach Burnout Inventory. Results indicate that the military dentists surveyed experience low to moderate levels of burnout. The military dentists sampled, in general, scored lower for burnout when compared to the norms of society and medicine.

Burnout, Professional↗