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At least 73 records · Page 4Linked to original sources
PubMed1989

Dentistry and health policy.

Views expressed from several quarters of the health care system suggest that a reexamination of health policy concerning how health care is organized is likely in the next few years. The last time that a reorganization of health care occurred in the United States, dentistry was not included in a major component (Medicare). A review of the profession's stand at that time, and changes in demography of the elderly population since then, suggests that the position of the profession arrived at in the 1960's needs to be reexamined. The time to discuss what the position of dentistry should be in a new policy debate is now. Alternative approaches responding to economic considerations in the oral health care of the elderly are presented to stimulate discussion about the role of dentistry in health advocacy, both for the elderly and the population at large.

Aged↗
PubMed2003

Ageing and public satisfaction with the health service: an analysis of recent trends.

One possible explanation for the positive relationship between age and public and user views of health care is that it reflects a generational effect and this relationship has changed over the last decade or so. The analysis carried out in this report examines the relationship between ageing and levels of satisfaction with the health service in the UK using pooled data from the British Social Attitudes Survey, 1983-99. At the descriptive level there is strong evidence of a positive trend between age and satisfaction with general practice and hospital services, and for how the NHS is run but not for NHS primary dental services. Also, when comparing 1983 with 1999 data, there is evidence of a shift down in satisfaction levels for all of these indicators with the widest gap in inpatient services. At the multivariate level there is some evidence to suggest that, over time, the older population value how the NHS is run and GP and dental services at a slightly higher rate compared with the younger population, but the effect is small. This 'age/cohort' interaction effect is, however, negative for inpatient and outpatient services. These findings show little evidence of marked changes in attitude among the elderly or that the elderly are becoming more critical and less positive in their attitude to health care in the UK. The theoretical and methodological implications of these findings are discussed.

Adult↗
PubMed1999

Measuring oral health: does your treatment really make a difference.

An understanding of a broader concept of health is increasingly important for all health professionals, including dentists, and has recently been incorporated as a key principle in the Government White Paper, The New NHS. This aims to deliver a dependable, high quality, egalitarian health service. In the past, performance measurements in the UK have often relied simply on those areas which are most easily quantified. For example, within the hospital service, performance was measured in terms of the cost and the number of finished consultant episodes, from which the 'purchaser efficiency index' was calculated. This tended to produce a driving force rewarding those doing more rather than those doing more better. It is analogous to the system which has been the backbone of NHS dental practice for many years, 'fee per item of service', where throughout is rewarded rather than outcome. However, the White Paper has signalled a move away from simply counting activity. From April 1999 within the hospital service the purchaser efficiency index has been replaced with more rounded measures, reflecting the changing concepts of health, in a new broader performance framework to determine what really counts for patients. It will focus on measuring health improvement, fairer access, better quality and outcome, including the views of patients.

Dental Care↗
PubMed2002

A call for honesty.

Explore the source record for details and available documents.

Comprehensive Dental Care↗
PubMed2002

General dental practitioners' beliefs on the perceived effects of and their preferences for remuneration mechanisms.

OBJECTIVE: To identify GDPs preferences for differing remuneration mechanisms and their beliefs on the effect of the mechanisms in care provision. DESIGN: Postal questionnaire survey of 300 GDPs holding an NHS contract with a London Health Authority. RESULTS: GDPs perceive that remuneration mechanisms are important in determining the provision of care but not overall disease levels. There were differences in the preferred remuneration mechanisms when working under the NHS compared with the non-NHS sector. When providing care under the NHS, either the current remuneration system or a salaried plus bonus would be the preferred choice, while for non-NHS care a fee-per-item mechanism is preferred. Fee-per-item arrangement was the preferred choice of younger general practitioners compared with older practitioners. Females showed a greater preference for a salaried with bonus arrangement compared with males. CONCLUSIONS: If policy makers are to use remuneration mechanisms to influence the provision of care effectively, the beliefs that care providers hold about various mechanisms are important to understand how they would respond to changes in the system.

Adult↗
PubMed2002

Pressures on dental education--a personal view.

Dental schools and hospitals currently find themselves in the awkward position of being expected to be more productive whilst suffering a shortage of resources. In essence, they are expected to provide both education and NHS healthcare, yet scant attention is paid to the urgent issue of the resources required to achieve this. The same is true in medicine where the Government has promised 2000 more medical school places by 2005, a rise of almost 60%, to guarantee a decade of unprecedented expansion in doctor numbers in the NHS. However, the country's ability to train doctors is compromised by a shortage of academics available to teach them.

Delivery of Health Care↗