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The Journal of the American College of Dentists最新文献

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Just What Kind of Business Is Dentistry? 牙科究竟是一门什么样的生意?
David W Chambers
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引用次数: 0
Northridge Dental Group. 北岭牙科集团。
Kristy S Borquez
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引用次数: 0
The Practice of Dr. Edward Denholm. 爱德华·丹霍姆医生的诊所。
Kimberly Arny
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引用次数: 0
Century College. 世纪学院。
Beth Rynders
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引用次数: 0
Cuba City Family Dental. 古巴市家庭牙科。
Sue Andrews
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引用次数: 0
Family HealthCare. 家庭医疗保健。
Tyler Winter
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引用次数: 0
Ethics of Gaming the System. 游戏系统的伦理。
Christopher Smiley

Dentists justifiably bridle at having to compromise what they believe, based on evidence, is in the patients' best interests based on reimbursement rules of benefits providers. Benefits providers justifiably bridle at having to pay for services not contracted by those who purchase insurance. A particular case involving performing multiple quadrants of root planing at a single appointment is used as an example of this tension. One alternative is for the profession and the industry to seek to negotiate a win-win joint position. Another is for a few to game the system, which only makes it more difficult to reach ethical common ground.

牙医有理由对不得不妥协他们认为基于证据的、基于福利提供者的报销规则的、符合患者最佳利益的东西感到愤怒。福利提供者对必须为那些购买保险的人没有签订合同的服务付费感到愤怒,这是有道理的。一个特殊的情况下,涉及执行多个象限的根规划在一个单一的约会被用作这种紧张的一个例子。另一种选择是专业人士和行业寻求协商一个双赢的共同立场。另一种是少数人利用制度,这只会让达成道德共识变得更加困难。
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引用次数: 0
Disruptive Innovation and the Oral Health System. 破坏性创新与口腔健康系统。
Paul Glassman

Disruptive innovation is a process whereby companies or industries that have succeeded in the past by producing ever more sophisticated and expensive products and services end up losing their customer base because eventually others enter to serve a market more in line with true consumer needs. The U.S. oral health system has followed this path and is now perfectly positioned for disruptive innovation. Among the innovations that are already disrupting the industry and will increasingly do so are consolidation of dental practices, bringing care to where people are through telehealth- health connected teams and Virtual Dental Homes, and payment systems that provide incentives for lowering costs and improving the health of the population.

颠覆性创新是这样一个过程:过去通过生产更复杂、更昂贵的产品和服务而取得成功的公司或行业,最终会失去他们的客户群,因为最终其他公司进入市场,为更符合消费者真正需求的市场提供服务。美国口腔健康系统遵循了这条道路,现在完全处于颠覆性创新的位置。已经并将越来越多地扰乱该行业的创新包括整合牙科实践,通过远程医疗——医疗联网团队和虚拟牙科之家——将护理带到人们所在的地方,以及为降低成本和改善人口健康提供激励的支付系统。
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引用次数: 0
Salt Fluoridation An Adjunct to Community Water Fluoridation. 盐氟化:社区水氟化的辅助手段。
Jack M Saroyan

After 70 years of community water fluoridation in the United States, still over 100 million people do not have the benefits of dietary fluoride. The saturation level may have been reached. Salt fluoridation can be an adjunct method for improving children's dental health in noncommunity water fluoridation areas. It is used worldwide and the World Health Organization recommends it when water fluoridation is not feasible as it is equally effective in the prevention and control of dental caries. The author calls for a debate on this proposal by organized dentistry.

在美国进行了70年的社区水氟化处理后,仍有超过1亿人没有从膳食氟化物中受益。可能已经达到饱和水平。盐氟化可作为改善非社区水氟化地区儿童牙齿健康的辅助方法。它在世界范围内使用,世界卫生组织建议在水氟化不可行的情况下使用,因为它在预防和控制龋齿方面同样有效。作者呼吁有组织的牙科对这一建议进行辩论。
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引用次数: 0
Dental Visit Utilization Procedures and Episodes of Treatment. 牙科访问利用程序和治疗事件。
Frederick Rohde, Richard J Manski, Mark D Macek

This investigation describes the factors associated with patients' initial decisions to seek dental care, including the corresponding number of visits and the types of services received during a dental visit episode. Data came from the nationally representative Medical Expenditure Panel Survey (MEPS). Episode-specific dental visits were further classified into three categories, based on type of services received: preventive, treatment-based, or a combination. Among individuals with a visit episode, 78% of the episodes consisted of a single visit. Within an episode, as the number of visits increased, the proportion of initial visits that were of the preventive type decreased.The findings showed that the primary driver of oral healthcare utilization in the United States is preventive care. As new health policy is developed, it is hoped that prevention will remain a central focus in dentistry and that all segments of the population will be able reap its benefits.

这项调查描述了与患者最初决定寻求牙科护理相关的因素,包括相应的就诊次数和在牙科就诊期间接受的服务类型。数据来自全国代表性医疗支出小组调查(MEPS)。根据所接受的服务类型,将特定时期的牙科就诊进一步分为三类:预防性、治疗性或两者结合。在有访问事件的个体中,78%的事件包括一次访问。在一次发作中,随着就诊次数的增加,预防性初次就诊的比例下降。研究结果表明,在美国,口腔保健利用的主要驱动力是预防保健。随着新的卫生政策的制定,希望预防仍将是牙科工作的中心重点,并希望所有人群都能从中受益。
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引用次数: 0
期刊
The Journal of the American College of Dentists
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