Treatment needs and skill mix workforce requirements for prosthodontic care: a comparison of estimates using normative and sociodental approaches
Identifieur interne : 000B99 ( Main/Exploration ); précédent : 000B98; suivant : 000C00Treatment needs and skill mix workforce requirements for prosthodontic care: a comparison of estimates using normative and sociodental approaches
Auteurs : Norintan Ab-Murat [Malaisie, Royaume-Uni] ; Aubrey Sheiham [Royaume-Uni] ; Richard Watt [Royaume-Uni] ; Georgios Tsakos [Royaume-Uni]Source :
- BMC Oral Health [ 1472-6831 ] ; 2015.
Abstract
The traditional measure for assessing dental treatment needs and workforce requirements based solely on normative need (NN) has major shortcomings. The sociodental approach (SDA) to assess needs overcomes some of the shortcomings as it combines normative and subjective needs assessments and also incorporates behavioural propensity (Sheiham and Tsakos 2007).
The objective of this study was to estimate and compare prosthodontic treatment needs and workforce requirements, using the normative and the sociodental approaches for different skill mix models.
A cross-sectional study was conducted on 732 university employees aged 30–54 years. Normative prosthodontic need was assessed using the WHO (1997) method. The SDA includes NN and also considers oral impacts, measured through the OIDP index, and behavioural propensity. Estimates of prosthodontic need and dental workforce requirements using the two methods were compared using McNemar and Wilcoxon Signed Rank test respectively. The dental workforce required for prosthodontic treatment based on NN and SDA approaches were then compared using different workforce skill mix models.
The proportion of subjects needing prosthodontic treatment was lower by more than 90% when the SDA was used compared to NN. The number of dentists required for prosthodontic treatment per 100,000 people were 98.8 using NN compared to 2.49 using SDA. Using a skill mix approach, the requirements for dentists per 100,000 people decreased slightly when more denture procedures were delegated to dental therapists.
There were very much lower levels of prosthodontic treatment needs and workforce requirements when using the sociodental approach compared to normative methods.
Url:
DOI: 10.1186/s12903-015-0015-9
PubMed: 25887142
PubMed Central: 4367907
Affiliations:
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approaches</title><author><name sortKey="Ab Murat, Norintan" sort="Ab Murat, Norintan" uniqKey="Ab Murat N" first="Norintan" last="Ab-Murat">Norintan Ab-Murat</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia</nlm:aff><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Epidemiology and Public Health, University College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">University College de Londres</orgName></affiliation></author><author><name sortKey="Sheiham, Aubrey" sort="Sheiham, Aubrey" uniqKey="Sheiham A" first="Aubrey" last="Sheiham">Aubrey Sheiham</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Epidemiology and Public Health, University College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">University College de Londres</orgName></affiliation></author><author><name sortKey="Watt, Richard" sort="Watt, Richard" uniqKey="Watt R" first="Richard" last="Watt">Richard Watt</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Epidemiology and Public Health, University College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">University College de Londres</orgName></affiliation></author><author><name sortKey="Tsakos, Georgios" sort="Tsakos, Georgios" uniqKey="Tsakos G" first="Georgios" last="Tsakos">Georgios Tsakos</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Epidemiology and Public Health, University College London, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Epidemiology and Public Health, University College London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region><settlement type="city">Londres</settlement></placeName><orgName type="university">University College de Londres</orgName></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The traditional measure for assessing dental treatment needs and workforce requirements based solely on normative need (NN) has major shortcomings. The sociodental approach (SDA) to assess needs overcomes some of the shortcomings as it combines normative and subjective needs assessments and also incorporates behavioural propensity (Sheiham and Tsakos 2007).</p><p>The objective of this study was to estimate and compare prosthodontic treatment needs and workforce requirements, using the normative and the sociodental approaches for different skill mix models.</p></sec><sec><title>Methods</title><p>A cross-sectional study was conducted on 732 university employees aged 30–54 years. Normative prosthodontic need was assessed using the WHO (1997) method. The SDA includes NN and also considers oral impacts, measured through the OIDP index, and behavioural propensity. Estimates of prosthodontic need and dental workforce requirements using the two methods were compared using McNemar and Wilcoxon Signed Rank test respectively. The dental workforce required for prosthodontic treatment based on NN and SDA approaches were then compared using different workforce skill mix models.</p></sec><sec><title>Results</title><p>The proportion of subjects needing prosthodontic treatment was lower by more than 90% when the SDA was used compared to NN. The number of dentists required for prosthodontic treatment per 100,000 people were 98.8 using NN compared to 2.49 using SDA. Using a skill mix approach, the requirements for dentists per 100,000 people decreased slightly when more denture procedures were delegated to dental therapists.</p></sec><sec><title>Conclusion</title><p>There were very much lower levels of prosthodontic treatment needs and workforce requirements when using the sociodental approach compared to normative methods.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sheiham, A" uniqKey="Sheiham A">A Sheiham</name></author><author><name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Elderton, Rj" uniqKey="Elderton R">RJ Elderton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author><author><name sortKey="Truin, Gj" uniqKey="Truin G">GJ Truin</name></author><author><name sortKey="Batchelor, P" uniqKey="Batchelor P">P Batchelor</name></author><author><name sortKey="Sheiham, A" uniqKey="Sheiham A">A Sheiham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Astrom, An" uniqKey="Astrom A">AN Astrom</name></author><author><name sortKey="Kida, Ia" uniqKey="Kida I">IA Kida</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gherunpong, S" uniqKey="Gherunpong S">S Gherunpong</name></author><author><name sortKey="Sheiham, A" uniqKey="Sheiham A">A Sheiham</name></author><author><name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ryu, Ji" uniqKey="Ryu J">JI Ryu</name></author><author><name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name></author><author><name sortKey="Sheiham, A" uniqKey="Sheiham A">A Sheiham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Srisilapanan, P" uniqKey="Srisilapanan 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Harper</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tuominen, R" uniqKey="Tuominen R">R Tuominen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morin, C" uniqKey="Morin C">C Morin</name></author><author><name sortKey="Lund, Jp" uniqKey="Lund J">JP Lund</name></author><author><name sortKey="Sioufi, C" uniqKey="Sioufi C">C Sioufi</name></author><author><name sortKey="Feine, Js" uniqKey="Feine J">JS Feine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malherbe, D" uniqKey="Malherbe D">D Malherbe</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Colussi, Cf" uniqKey="Colussi C">CF Colussi</name></author><author><name sortKey="De Freitas, Sf" uniqKey="De Freitas S">SF De Freitas</name></author><author><name sortKey="Calvo, Mc" uniqKey="Calvo M">MC 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sortKey="Sheiham, A" uniqKey="Sheiham A">A Sheiham</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kayser, Af" uniqKey="Kayser A">AF Kayser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kay, Ej" uniqKey="Kay E">EJ Kay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Locker, D" uniqKey="Locker D">D Locker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scheutz, F" uniqKey="Scheutz F">F Scheutz</name></author><author><name sortKey="Heidmann, J" uniqKey="Heidmann J">J Heidmann</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Malaisie</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Malaisie"><noRegion><name sortKey="Ab Murat, Norintan" sort="Ab Murat, Norintan" uniqKey="Ab Murat N" first="Norintan" last="Ab-Murat">Norintan Ab-Murat</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Ab Murat, Norintan" sort="Ab Murat, Norintan" uniqKey="Ab Murat N" first="Norintan" last="Ab-Murat">Norintan Ab-Murat</name></region><name sortKey="Sheiham, Aubrey" sort="Sheiham, Aubrey" uniqKey="Sheiham A" first="Aubrey" last="Sheiham">Aubrey Sheiham</name><name sortKey="Tsakos, Georgios" sort="Tsakos, Georgios" uniqKey="Tsakos G" first="Georgios" last="Tsakos">Georgios Tsakos</name><name sortKey="Watt, Richard" sort="Watt, Richard" uniqKey="Watt R" first="Richard" last="Watt">Richard Watt</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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