在明尼苏达州,将牙科治疗师纳入安全网实践增加了口腔保健的可及性。

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Mishal Khan MHA, Frank Catalanotto DMD, Astha Singhal BDS, MPH, PhD, F. Lee Revere PhD, MS
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引用次数: 0

摘要

研究目的本研究评估了明尼苏达州一家大型非营利组织--儿童牙科服务机构(CDS)引入牙科治疗师(DTs)的影响。目的是通过分析儿童牙科服务机构牙医和治疗师提供的牙科医疗服务和程序的趋势,评估牙科治疗师在改善明尼苏达州牙科医疗服务的可及性和降低牙科医疗成本方面的效果:该研究利用 2009 年至 2021 年的 CDS 数据,比较了牙医、牙科治疗师和注册牙科保健师 (RDH) 的患者数量、手术类型、工资数据和支付趋势。投资回报率(ROI)趋势是根据每类提供者的工资和收入计算得出的:在 CDS 引入牙科医生并实施流动诊所后,所服务的患者人数和数量稳步增长,这表明就诊率有所提高。到 2020 年,牙科医生提供的氟化物、密封剂和拔牙服务的比例不断增加。有趣的是,到 2021 年,DTs 的服务量有所下降,这可能是由于 Covid 导致的劳动力短缺。投资回报率分析表明,牙科医生的投资回报率急剧上升,最终超过了牙医,而注册牙医的投资回报率则保持不变。牙医在采用 DT 后,投资回报率最初也有所上升:结论:在 CDS 中整合 DT,通过扩大流动诊所、增加患者数量和重新分配治疗程序,改善了就医条件,同时还显示出积极的投资回报。研究结果表明,对于其他寻求改善牙科医疗服务、提高运营效率和提升牙科医疗团队投资回报率的机构来说,采用 DT 模式可能是一种很有前景的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integration of dental therapists in safety net practice increases access to oral health care in Minnesota

Objectives

This study evaluates the impact of introducing dental therapists (DTs) into Children's Dental Services (CDS), a large non-profit organization in Minnesota. The aim is to assess the effect of DTs in improving access and reducing dental care costs in Minnesota by analyzing the trends in dental care delivery and procedures performed by CDS dentists and therapists.

Methods

Using 2009 to 2021 data from CDS, the study compares trends in patient volume, types of procedures, salary data and payments by dentists, DTs, and registered dental hygienists (RDH). Return on investment (ROI) trends are calculated using salary and revenues for each provider type.

Results

After introducing DTs at CDS and implementing mobile clinics, the number of patients served and volume increased steadily, demonstrating increased access. DTs provided an increasing proportion of fluorides, sealants, and extractions through 2020. Interestingly 2021, there was a decrease for DTs, possibly due to Covid related workforce shortages. ROI analysis showed that DTs' ROI dramatically rose, eventually surpassing dentists, while RDHs maintained a constant ROI. Dentists' ROI also initially increased after adopting DTs in the practice.

Conclusion

Integrating DTs at CDS improved access by expanding mobile clinics, increasing patient volume, and redistributing procedures, while demonstrating a positive return on investment. Results suggest that adopting the DT model may be a promising practice for other organizations seeking to improve access to dental care, increase operational efficiency, and boost the dental care team's ROI.

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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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