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A model for increasing senior dental student production using private practice principles.

Previous dental graduates have reported a lack of confidence in their ability to implement business practices upon graduation. The purpose of the new model was to enable senior students to gain experience using sound business principles in their senior year. This model involves setting and meeting production goals, teamwork, personnel evaluation, and performance incentives. This article reports the findings after implementing this model in the academic year 2003-04. Each student averaged 226 more charged visits than in 2002-03. Total dollars produced increased $7,526 per student, which represented a 63 percent increase in production over the previous year. Total dollars produced by the senior class increased from $713,740 to $1,066,139 over the previous year. A survey of the students' attitudes toward the model showed an increase in acceptance from the beginning of the senior year to the end of the year. The model was successful in achieving most of the desired outcomes but failed to increase seniors' chairtime utilization.

Attitude of Health Personnel↗

Uncompensated care provided by private practice physicians in Florida.

While a great deal of attention has been paid in recent years to establishing the magnitude and characteristics of uncompensated care in hospitals, comparatively little research has been undertaken to study physician uncompensated care. This article reports the results of a prospective patient-specific study of uncompensated care in Florida. Of 4,042 cases examined, 26.2 percent had charges voluntarily reduced below the usual and customary charge at the time of service. However, only 13.5 percent of those reductions were attributed to charity. Overall, 10.4 percent of the total billed amount was left unresolved. When payment source was considered, it was found that self-pay patients accounted for 30.6 percent of the cases but accounted for 52.0 percent of the unresolved amounts. Further analysis indicated that the self-pay patients were 35.5 times more likely to leave an outstanding balance than individuals with some type of insurance coverage. Odds of unresolved balances were also calculated as a function of income, specialty type, practice size, and type of visit.

Adolescent↗