Skill-mix in preventive dental practice - will it help address need in the future?
Identifieur interne : 001916 ( Pmc/Curation ); précédent : 001915; suivant : 001917Skill-mix in preventive dental practice - will it help address need in the future?
Auteurs : Paul Brocklehurst [Royaume-Uni] ; Richard Macey [Royaume-Uni]Source :
- BMC Oral Health [ 1472-6831 ] ; 2015.
Abstract
Population health needs are changing. The levels of dental caries and periodontal disease across the population as a whole is falling. The proportion of adults with a functional dentition in many developed countries has increased substantially and edentulous rates have dropped to some of their lowest levels. Despite this, a pronounced social gradient still exists, many adults do not attend dental services regularly and disease in young children remains intransigent amongst the poorest. New challenges are emerging too as the growing number of older people, above sixty-five years of age, retain their teeth.
Ensuring “the right number of people with the right skills are in the right place at the right time to provide the right services to the right people” is critical for future dental service provision, both to meet the new challenges ahead and to ensure future services are cost-effective, efficient and reduce health-inequalities. Greater use of “skill-mix” models could have a substantial role in the future, as dentistry moves from a “cure” to a “care” culture.
The provision of dental services in many countries currently adopts a “one-size-fits-all”, where the dentist is the main care-giver and the emphasis is on intervention. As needs change in the future, the whole of the dental team should be utilised to deliver primary, secondary and tertiary prevention in an integrated model. Growing evidence suggests that other members of the dental team are effective in providing care, but introducing this paradigm shift is not without its challenges. The provision of incentives within funding systems and social acceptability are amongst the key determinants in producing a service that is responsive to need, improves access and delivers equity.
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DOI: 10.1186/1472-6831-15-S1-S10
PubMed: 26391730
PubMed Central: 4580825
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Skill-mix in preventive dental practice - will it help address need in the future?</title><author><name sortKey="Brocklehurst, Paul" sort="Brocklehurst, Paul" uniqKey="Brocklehurst P" first="Paul" last="Brocklehurst">Paul Brocklehurst</name><affiliation wicri:level="1"><nlm:aff id="I1">NWORTH, Y Wern, The Normal Site, Bangor University, Holyhead Road, Gwynedd, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>NWORTH, Y Wern, The Normal Site, Bangor University, Holyhead Road, Gwynedd</wicri:regionArea></affiliation></author><author><name sortKey="Macey, Richard" sort="Macey, Richard" uniqKey="Macey R" first="Richard" last="Macey">Richard Macey</name><affiliation wicri:level="1"><nlm:aff id="I2">School of Dentistry, University of Manchester, Oxford Road, Manchester, M13 9PL, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Dentistry, University of Manchester, Oxford Road, Manchester, M13 9PL</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26391730</idno><idno type="pmc">4580825</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580825</idno><idno type="RBID">PMC:4580825</idno><idno type="doi">10.1186/1472-6831-15-S1-S10</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001916</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001916</idno><idno type="wicri:Area/Pmc/Curation">001916</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001916</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Skill-mix in preventive dental practice - will it help address need in the future?</title><author><name sortKey="Brocklehurst, Paul" sort="Brocklehurst, Paul" uniqKey="Brocklehurst P" first="Paul" last="Brocklehurst">Paul Brocklehurst</name><affiliation wicri:level="1"><nlm:aff id="I1">NWORTH, Y Wern, The Normal Site, Bangor University, Holyhead Road, Gwynedd, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>NWORTH, Y Wern, The Normal Site, Bangor University, Holyhead Road, Gwynedd</wicri:regionArea></affiliation></author><author><name sortKey="Macey, Richard" sort="Macey, Richard" uniqKey="Macey R" first="Richard" last="Macey">Richard Macey</name><affiliation wicri:level="1"><nlm:aff id="I2">School of Dentistry, University of Manchester, Oxford Road, Manchester, M13 9PL, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Dentistry, University of Manchester, Oxford Road, Manchester, M13 9PL</wicri:regionArea></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>Population health needs are changing. The levels of dental caries and periodontal disease across the population as a whole is falling. The proportion of adults with a functional dentition in many developed countries has increased substantially and edentulous rates have dropped to some of their lowest levels. Despite this, a pronounced social gradient still exists, many adults do not attend dental services regularly and disease in young children remains intransigent amongst the poorest. New challenges are emerging too as the growing number of older people, above sixty-five years of age, retain their teeth.</p></sec><sec><title>Methods</title><p>Ensuring “the right number of people with the right skills are in the right place at the right time to provide the right services to the right people” is critical for future dental service provision, both to meet the new challenges ahead and to ensure future services are cost-effective, efficient and reduce health-inequalities. Greater use of “skill-mix” models could have a substantial role in the future, as dentistry moves from a “cure” to a “care” culture.</p></sec><sec><title>Discussion</title><p>The provision of dental services in many countries currently adopts a “one-size-fits-all”, where the dentist is the main care-giver and the emphasis is on intervention. As needs change in the future, the whole of the dental team should be utilised to deliver primary, secondary and tertiary prevention in an integrated model. Growing evidence suggests that other members of the dental team are effective in providing care, but introducing this paradigm shift is not without its challenges. The provision of incentives within funding systems and social acceptability are amongst the key determinants in producing a service that is responsive to need, improves access and delivers equity.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Birch, S" uniqKey="Birch S">S Birch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gallagher, J E" uniqKey="Gallagher J">J E Gallagher</name></author><author><name sortKey="Wilson, N H F" uniqKey="Wilson N">N H F Wilson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laurant, M" uniqKey="Laurant M">M Laurant</name></author><author><name sortKey="Reeves, D" uniqKey="Reeves D">D Reeves</name></author><author><name sortKey="Hermens, R" uniqKey="Hermens R">R Hermens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laurant, M" uniqKey="Laurant M">M 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Brocklehurst</name></author><author><name sortKey="Bridgman, C" uniqKey="Bridgman C">C Bridgman</name></author><author><name sortKey="Davies, G" uniqKey="Davies G">G Davies</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brocklehurst, P R" uniqKey="Brocklehurst P">P R Brocklehurst</name></author><author><name sortKey="Tickle, M" uniqKey="Tickle M">M Tickle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maxwell, R J" uniqKey="Maxwell R">R J Maxwell</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="abstract" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Oral Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Oral Health</journal-id><journal-title-group><journal-title>BMC Oral Health</journal-title></journal-title-group><issn pub-type="epub">1472-6831</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26391730</article-id><article-id pub-id-type="pmc">4580825</article-id><article-id pub-id-type="publisher-id">1472-6831-15-S1-S10</article-id><article-id pub-id-type="doi">10.1186/1472-6831-15-S1-S10</article-id><article-categories><subj-group subj-group-type="heading"><subject>Proceedings</subject></subj-group></article-categories><title-group><article-title>Skill-mix in preventive dental practice - will it help address need in the future?</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Brocklehurst</surname><given-names>Paul</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>paul.brocklehurst@manchester.ac.uk</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Macey</surname><given-names>Richard</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>richard.macey@manchester.ac.uk</email></contrib></contrib-group><aff id="I1"><label>1</label>NWORTH, Y Wern, The Normal Site, Bangor University, Holyhead Road, Gwynedd, UK</aff><aff id="I2"><label>2</label>School of Dentistry, University of Manchester, Oxford Road, Manchester, M13 9PL, UK</aff><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>15</day><month>9</month><year>2015</year></pub-date><volume>15</volume><issue>Suppl 1</issue><supplement><named-content content-type="supplement-title">Proceedings of Prevention in practice - making it happen</named-content><named-content content-type="supplement-editor">Iain Pretty and Angelo Mariotti</named-content><named-content content-type="supplement-sponsor">Publication charges for this supplement were funded by Colgate Palmolive. The articles have been through the journal's standard peer review process for supplements. Supplement Editor competing interests: Prof Pretty receives an unrestricted grant from Colgate Palmolive that provides salary costs via the University of Manchester. Prof Pretty has stock holdings via collective managed funds that will include key multinationals who produce and market oral health products. He received funding to attend the conference. He has no other competing interests to declare in relation to this supplement. Prof Mariotti received funding from Colgate Palmolive to attend and present at the Prevention in Practice conference. This was provided in the form of flights, hotel accomodation and subsistence. No one from the Colgate Palmolive Company was involved in the production, assessment or peer review of the manuscript nor was it submitted to them for approval prior to publication. He has no other competing interests to declare in relation to this supplement.</named-content></supplement><fpage>S10</fpage><lpage>S10</lpage><permissions><copyright-statement>Copyright © 2015 Brocklehurst and Macey</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Brocklehurst and Macey</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1472-6831/15/S1/S10"></self-uri><abstract><sec><title>Background</title><p>Population health needs are changing. The levels of dental caries and periodontal disease across the population as a whole is falling. The proportion of adults with a functional dentition in many developed countries has increased substantially and edentulous rates have dropped to some of their lowest levels. Despite this, a pronounced social gradient still exists, many adults do not attend dental services regularly and disease in young children remains intransigent amongst the poorest. New challenges are emerging too as the growing number of older people, above sixty-five years of age, retain their teeth.</p></sec><sec><title>Methods</title><p>Ensuring “the right number of people with the right skills are in the right place at the right time to provide the right services to the right people” is critical for future dental service provision, both to meet the new challenges ahead and to ensure future services are cost-effective, efficient and reduce health-inequalities. Greater use of “skill-mix” models could have a substantial role in the future, as dentistry moves from a “cure” to a “care” culture.</p></sec><sec><title>Discussion</title><p>The provision of dental services in many countries currently adopts a “one-size-fits-all”, where the dentist is the main care-giver and the emphasis is on intervention. As needs change in the future, the whole of the dental team should be utilised to deliver primary, secondary and tertiary prevention in an integrated model. Growing evidence suggests that other members of the dental team are effective in providing care, but introducing this paradigm shift is not without its challenges. The provision of incentives within funding systems and social acceptability are amongst the key determinants in producing a service that is responsive to need, improves access and delivers equity.</p></sec></abstract><conference><conf-date><day>29</day><month>6</month><year>2014</year></conf-date><conf-name>Prevention in practice - making it happen</conf-name><conf-loc>Cape Town, South Africa</conf-loc></conference></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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