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Biomedical subjects

J R Freed

Publications and source records attributed to J R Freed.

11 recordsLinked to original sources
PubMed1992

Clinical board examinations: variation found in pass rates.

This study found significant variation in pass rates within and among state and regional dental board clinical examinations during 1979-1988. This suggests that factors other than the abilities of the candidates influence exam outcomes. As long as individual states can argue that there is currently no definitive system to assure the quality of dental care, states may remain reluctant to relax their restrictions on dentists' freedom of movement.

Educational Measurement↗
PubMed1992

Do no harm.

Explore the source record for details and available documents.

California↗
PubMed1991

Dental licensure in the European Economic Community: implications for the United States.

The formation of the European Economic Community is resulting in historic changes. By the end of 1992, the European Community is expected to be operating as a single market of more than 320 million consumers, the largest in the world. The fundamental assumption underlying the creation of the European Community is that the best method to increase the general prosperity is a free market. The free market included services as well as goods and required the elimination of restrictions on the movement of people, goods and services among the 12 nations. In dentistry, this has already meant the elimination of licensure restriction for dentists in good standing who are citizens of the EEC and trained in approved educational programs within the EEC, but commercial barriers still remain to be eliminated by the end of 1992. The events occurring in Europe indicate that the outcome of the controversy regarding movement of dentists among states in the United States will be determined by larger societal considerations outside of the profession. The free market principle which underlies the changes in Europe is the fundamental economic philosophy in the United States. To the extent that limitation on the movement of health professionals is seen to contribute to higher costs for health care services in the United States, there may be increased efforts to license by credentials. Similarly, factors such as the need of families for greater freedom of movement between states and court challenges based on constitutionally protected rights may determine the outcome of licensure of dentists rather than issues which are of concern within the professional dental community.

Education, Dental↗
PubMed1979

A Markovian model for evaluating dental care programs.

A Markov model is suggested as a means of evaluating dental care programs. Four mutually exclusive states of dental care are defined as Markovian states. These are episodic, initial, maintenance and nonuse. Records for all patients entering a university teaching clinic (n = 578) over a 12-month period were examined and classified in one of the states of care at entry into the clinic and at 1-year intervals from the date of entry for 3 years. An analysis of the findings indicated that the Markov model did fit reasonably well and provided a good approximation of the empirical data.

Dental Care↗
PubMed1976

Dental health: what is being taught to college students.

An analysis of the dental health material in all college-level, health education textbooks published between 1966 and 1973 showed a deficiency in the amount, the thoroughness, and the quality of the dental health information given. Realibility of information from one source to another is low, and some information is inaccurate. On the basis of information in these textbooks, serious questions are raised concerning the adequacy of dental health education in college-level health education courses. The dentist is advised to review and to examine the dental health information that is being taught in these courses.

Adolescent↗
PubMed1976

Educational value of a university-sponsored community dental clinic: a three year student evaluation.

The overall assessment of the clinic experience by the students was positive. Response to the open-ended questions showed that a number of students took pride in the Venice clinic and that they gained a great deal of personal and professional satisfaction from being able to provide service to people in a low-income and minority community. Almost 90% stated that their understanding of health problems of the poor was improved; 75% felt that their ability to relate to patients from different backgrounds was broadened; and 45% expressed more willingness to practice in a low-income area. This community setting also enlarged the scope of the students' clinical experience. Over 50% saw pathological conditions that they had not viewed previously. In addition, over 90% of the students did at least 50% more work, and over half of these performed twice as much treatment.

Community Dentistry↗
PubMed1975

Utilization of emergency dental services by rural, nonreservation Indians.

The Shasta-Trinity-Siskiyou Indian dental clinic, which serves rural, nonreservation Indians in California, implemented a health education program designed to convert patients from an emergency to a routine care basis. A study was conducted, therefore, of the utilization patterns of 109 emergency patients treated at a clinic from September, 1971, through November, 1972, in order to provide information to improve this educational program. The results of the study showed that 58.7 percent of the emergency patients returned for routine care. Analyses of those patients who returned and those who did not return for care were made with regard to age, sex, time since last dental visit, and type of emergency treatment received. There were significant differences between the two groups of emergency patients with regard to age and type of treatment received. Those most likely to return for routine care were the patients 15 years or younger, and those who had received operative care. The emergency patients in the 16-25 age group, and those who received periodontal care were the least likely to return. No significant differences were found with regard to sex, or time since last dental visit. The emergency patients and patients whose initial visit to the clinic was for routine care were compared. A significant difference was found with regard to age. The patients 15 years or younger had the lowest percentage of initial visits for emergency care, and the 16-25 year age group had the highest. No significant differences were found with regard to sex, or time since last dental visit. This study may well be the first to examine the utilization of dental services by rural, non reservation Indians. The findings presented can serve as a basis for future investigation to improve the provision of dental services to this patient population.

Adolescent↗