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PubMed1977

A survey of dental care programs offered by "qualified" HMOS.

None of the federally qualified HMOs had a fully prepaid comprehensive dental care program. Less than a third of the plans went beyond the then mandated benefits of the Act, and those that did, only provided the benefits on a fee-for-service basis. The more established plans, with enrollments exceeding 15,000 members, offered a full spectrum of services, and have acceptable levels of utilization. There appears to be a relation between size and services offered and overall utilization of the dental services. The general direction HMOs are taking with regard to the scope of services provided is hard to predict because more than two thirds of the HMOs studied were "transitional" HMOs. The more mature plans appeared to be leaning toward fully comprehensive services; however, only the "basic" dental services then mandated by the Act were covered by prepayment. It is difficult to predict how the nearly 200 HMOs now being planned and developed will integrate dental care into their programs, especially when dental care services are no longer required as a "basic health service". Based upon the cautious approaches used by the HMOs now in operation, it appears safe to assume that comprehensive dental care programs will not be offered by HMOs until they are forced to do so by competing health insurance carriers or a dental program provides them with a competitive edge.

Costs and Cost Analysis↗

PubMed1977

Expenditures for the dental care of indigent children in the Chattanooga project, 1971-1975.

This paper is part of a continuing study of the cost of children's dental care in a publicly funded model program. The Program--the Chattanooga Project--was designed to provide information and experience necessary for the development of similar programs elsewhere in the United States. From 1970 to 1975 comprehensive dental care was provided, at no charge, to an average of 5,500 indigent children per year. Children were treated in private practices (39%), public fixed clinics (20%), and public mobile clinics (41%). Costs were defined as public expenditures for purchasing care from private practitioners or producing care in public practices. As a framework for the analysis, program activities and their respective costs were divided into direct and indirect components. The former relate to the provision of care and the latter to noncare-oriented activities. Direct (indirect) costs per patient were $46.56 ($16.31) in private practices, $40.17 ($16.11) in fixed clinics, and $35.49 ($13.41) in mobile clinics. These results substantiate previous findings from a shorter period. A priori reasons for differences among the three modes in terms of patients' health status or the type of care provided have been specified and are currently under investigation.

Adolescent↗

PubMed1996

The dental curriculum: what should be new in the 21st century?

Dental education is at a critical juncture. The success of water fluoridation has reduced the caries burden of Americans and, consequently, has raised questions about the disproportionate technical emphasis on treating the sequelae of caries in US dental schools. Additionally, several powerful external factors-such as changing demographics, advances in biological science, fundamental changes in our health care delivery system, and a modest US economy-are forcing dental educators to question the appropriateness of retaining the current dental curriculum into the 21st century. The author considers these factors, suggests what type of dentist will be needed by society in approximately 20 years, and concludes that today's dental educational system is inadequate to produce such a dentist. Several elements, in addition to technical excellence, are required for the dental curriculum, including major changes in pedagogy, relevant science training, practical fluency in medicine, an increased mix of stomatologic skills, and broader contact with other health care providers.

Biological Science Disciplines↗

PubMed1988

Biomaterials for the dental market.

There are a number of products and improvements in existing products desired by the dental industries. However, it is important to realize that the dental marketing system is changing and uses different criteria than those which influenced the marketing in the last decade. More integrated systems are being marketed to the dentists, and the consumers are more interested in products which will help them maintain their teeth and gums. Fluoridation and other changes have helped in retaining the teeth, usually for the whole lifetime. This progress will change the way dentists practice, and will change the materials and equipment they need.

Biocompatible Materials↗

PubMed1999

Key steps in the strategic analysis of a dental practice.

As dentistry is becoming increasingly competitive, dentists must focus more on strategic analysis. This paper lays out seven initial steps that are the foundation of strategic analysis. It introduces and describes the use of service-customer matrices and location-proximity maps as tools in competitive positioning. The paper also contains a brief overview of the role of differentiation and cost-control in determining key success factors for dental practices.

Catchment Area, Health↗

PubMed1961