WorldWideScience

Sample records for public dental service

  1. Utilization of dental health services by Danish adolescents attending private or public dental health care systems

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Petersen, Poul Erik; Bastholm, Annelise

    2002-01-01

    The objectives of the study were: 1) to describe the choice of dental care system among 16-year-olds, 2) to describe the utilization of dental services among 16-17-year-olds enrolled in either public or private dental care systems, and to compare the dental services provided by the alternative...... systems. The study comprised 1,245 adolescents from 3 municipalities; the historical cohort study design was applied; and data were collected from dental records (public dental service) and dental claims (private practice). At age 16, 12% preferred being enrolled in the private practice system, while 88......% remained in the public dental care system. During the 2-year study period the attendance rate was 99% for the public system, while 90% attended the private practice system (Pdental services were provided more frequently by the public than the private system (P

  2. Utilization of Dental Services in Public Health Center: Dental Attendance, Awareness and Felt Needs.

    Science.gov (United States)

    Pewa, Preksha; Garla, Bharath K; Dagli, Rushabh; Bhateja, Geetika Arora; Solanki, Jitendra

    2015-10-01

    In rural India, dental diseases occur due to many factors, which includes inadequate or improper use of fluoride and a lack of knowledge regarding oral health and oral hygiene, which prevent proper screening and dental care of oral diseases. The objective of the study was to evaluate the dental attendance, awareness and utilization of dental services in public health center. A cross-sectional study was conducted among 251 study subjects who were visiting dental outpatient department (OPD) of public health centre (PHC), Guda Bishnoi, and Jodhpur using a pretested proforma from month of July 2014 to October 2014. A pretested questionnaire was used to collect the data regarding socioeconomic status and demographic factors affecting the utilization of dental services. Pearson's Chi-square test and step-wise logistic regression were applied for the analysis. Statistically significant results were found in relation to age, educational status, socioeconomic status and gender with dental attendance, dental awareness and felt needs. p-value dental services, thereby increasing the oral health status of the population.

  3. Access to dental public services by disabled persons.

    Science.gov (United States)

    Leal Rocha, Lyana; Vieira de Lima Saintrain, Maria; Pimentel Gomes Fernandes Vieira-Meyer, Anya

    2015-03-13

    According to the World Health Organization, one in every 10 people has a disability, and more than two-thirds of them do not receive any type of oral dental care. The Brazilian Constitution of 1988 guarantees all civilians including disabled people the right to healthcare, shaping the guidelines of the Brazilian National Health Care System (Sistema Único de Saúde--SUS). However, there is limited information about the true accessibility of dental services. This study evaluated the accessibility of public dental services to persons with disabilities in Fortaleza, Ceará, which has the third highest disability rate in Brazil. A cross-sectional quantitative study using structured questionnaires was administered to dentists (n = 89) and people with disabilities (n = 204) to evaluate the geographical, architectural, and organizational accessibility of health facilities, the communication between professionals and patients with disabilities, the demand for dental services, and factors influencing the use of dental services by people with motor, visual, and hearing impairments. 43.1% of people with disabilities do not recognize their service as a priority of Basic Health Units (BHU), 52.5% do not usually seek dental care, and of those who do (n = 97), 76.3% find it difficult to receive care and 84.5% only seek care on an emergency basis. Forty-five percent are unaware of the services offered in the BHU. Of the dentists, 56.2% reported difficulty in communicating with deaf patients, and 97.8% desired interpreters stationed in the BHU. People with disabilities gave better accessibility ratings than dentists (p = 0.001). 37.3% of the patients and 43.8% of dentists reported inadequate physical access infrastructure (including doors, hallways, waiting rooms, and offices). Dentists (60%) reported unsafe environments and transportation difficulties as geographical barriers, while most people with disabilities did not report noticing these barriers. While access to dental

  4. Factors influencing the use of public dental services: An application of the Theory of Planned Behaviour

    Directory of Open Access Journals (Sweden)

    Spencer A John

    2008-04-01

    Full Text Available Abstract Background There is limited evidence of the influence of psychosocial factors and health beliefs on public dental patient's patterns of service use in Australia. The research aims were to examine associations between dental attitudes and beliefs of public dental service users and dental visiting intention and behaviour using the Theory of Planned Behaviour. Methods 517 randomly selected adult public dental patients completed a questionnaire assessing dental attitudes and beliefs which was matched with electronic records for past and future dental service use. A questionnaire measured intentions, attitudes, subjective norms and perceptions of behavioural control and self-efficacy in relation to visiting public dentists. A measure of dental attendance at public dental clinics was obtained retrospectively (over 3 1/2 years and prospectively (over a one year period following the return of the questionnaire by accessing electronic patient clinical records. Results Participants had positive attitudes, subjective norms and self-efficacy beliefs towards dental visiting but perceived a lack of control over visiting the dentist. Attitudes, subjective norms, self-efficacy and perceived control were significant predictors of intention (P Conclusion Public dental patients held favourable attitudes and beliefs but perceived a lack of control towards dental visiting. Reducing structural barriers may therefore improve access to public dental services.

  5. Longevity of posterior resin composite restorations in permanent teeth in Public Dental Health Service

    DEFF Research Database (Denmark)

    Pallesen, Ulla; van Dijken, Jan W V; Halken, Jette;

    2013-01-01

    To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service.......To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service....

  6. Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service

    Directory of Open Access Journals (Sweden)

    Savanheimo Nora

    2012-10-01

    Full Text Available Abstract Background Dental general anaesthesia (DGA is a very efficient treatment modality, but is considered only in the last resort because of the risks posed by general anaesthesia to patients’ overall health. Health services and their treatment policies regarding DGA vary from country to country. The aims of this work were to determine the reasons for DGA in the Helsinki Public Dental Service (PDS and to assess the role of patient characteristics in the variation in reasons and in the treatments given with special focus on preventive care. Methods The data covered all DGA patients treated in the PDS in Helsinki in 2010. The data were collected from patient documents and included personal background: age ( Results The DGA patients (n=349 were aged 2.3 to 67.2 years. Immigrants predominated in the youngest age group (p Conclusions Extreme non-cooperation, dental fear and an excessive need for treatment were the main reasons for the use of comprehensive, conservative DGA in the Helsinki PDS. The reasons for the use of DGA and the treatments provided varied according to personal and medical background, and immigration status with no gender-differences. Preventive measures formed only a minor part of the dental care given under DGA.

  7. Water quality in water lines of dental units in the public dental health service in Göteborg, Sweden.

    Science.gov (United States)

    Dahlén, Gunnar; Alenäs-Jarl, Elna; Hjort, Gunilla

    2009-01-01

    Presence of bacteria in high levels in the water lines of dental units is well known. The extent of this problem is however less well studied.This study was conducted to evaluate the water quality of all dental units within the Public Dental Health Service (Folktandvården, FTV) of the city of Göteborg, Sweden. 405 dental units in 35 clinics were tested.The evaluation included both "fast growing" (2 days incubation) and "slow growing" (7 days incubation) bacteria in 50 ml water sample from the units. The presence of potential pathogens, e.g., coliforms, Pseudomonas spp and Legionella pneumophila were also examined. Of the 405 dental units, 303 (75%) did not have acceptable (desinfection of all units of the Public Dental Health Service is needed.

  8. Measuring service quality of public dental health care facilities in Kelantan, Malaysia.

    Science.gov (United States)

    John, Jacob; Yatim, Fekriah Mohd; Mani, Shani Ann

    2011-09-01

    This study investigates patients' expectations and perceptions of service quality in public dental health care and measures their "satisfaction gap." This descriptive study involved 481 dental outpatients in Kelantan, Malaysia. A modified SERVQUAL 20-item instrument was used to assess patients' expectations before and perceptions after receiving dental treatment. The "satisfaction gap" was then measured. showed that patients visiting for management of dental pain were more satisfied (P = .007) than those visiting with appointment. The most significant service quality dimensions were related to responsiveness, assurance, and empathy of the dental health care providers. There was a significant difference between the patients' expectations and their perceptions of service provided (P < .01) with regard to all dimensions. In conclusion, dental service providers should give emphasis to the compassionate and emotional aspects of care and to remember that they are integral components of quality service.

  9. [Local government and public dental health services: an analysis of inequality in use].

    Science.gov (United States)

    Soares, Felipe Fagundes; Chaves, Sônia Cristina Lima; Cangussu, Maria Cristina Teixeira

    2015-03-01

    The aim of this study was to identify factors associated with the use of primary and specialized public dental health services and private services. A population-based household survey was conducted in two cities of Bahia State, Brazil. Key informants provided data on socioeconomic variables and use of dental health services. Organization of the local public dental health service was ranked as worse versus better. Univariate and multivariate polytomous logistic regression was performed. Of the total of 1,290 individuals, 38.76% used private services, 33.80% used public primary care, and 17.29% used both primary care and the Center for Dental Specialties. Less use of both primary care and specialized public services was associated with lower education (OR = 1.47; 95%CI: 1.03-2.10) and worse organization of services (OR = 1.74; 95%CI: 1.22-2.48), when compared to the exclusive use of primary care. The study showed inequality in the use of dental services, even when comparing more homogeneous groups, namely users of public services.

  10. Political or dental power in private and public service provision: a study of municipal expenditures for child dental care

    DEFF Research Database (Denmark)

    Andersen, L. B.; Bech, M.; Lauridsen, J.

    2012-01-01

    Both professionals and politicians may affect expenditures for highly professional services provided in the public and private sector. We investigated Danish publicly financed child dental care with a special focus on the influence of politicians and dentists on the expenditure level. By studying...... spatial patterns in expenditure levels across municipalities, we are able to test the influences of these two main actors and the networks through which learning is achieved. Four hypotheses on the existence of different spatial spillover effects are tested. The empirical analysis is based on annual data...... from 1996 to 2001 for 226 Danish municipalities, thus allowing for the control for heterogeneity between municipalities and for intra-municipal correlations across time. The results point to differences in expenditures between municipalities with privately and publicly produced dental care. Furthermore...

  11. Political or dental power in private and public service provision: a study of municipal expenditures for child dental care.

    Science.gov (United States)

    Andersen, Lotte Bøgh; Bech, Mickael; Lauridsen, Jørgen

    2012-07-01

    Both professionals and politicians may affect expenditures for highly professional services provided in the public and private sector. We investigated Danish publicly financed child dental care with a special focus on the influence of politicians and dentists on the expenditure level. By studying spatial patterns in expenditure levels across municipalities, we are able to test the influences of these two main actors and the networks through which learning is achieved. Four hypotheses on the existence of different spatial spillover effects are tested. The empirical analysis is based on annual data from 1996 to 2001 for 226 Danish municipalities, thus allowing for the control for heterogeneity between municipalities and for intra-municipal correlations across time. The results point to differences in expenditures between municipalities with privately and publicly produced dental care. Furthermore, dentists appear to be the most important actors for the spatial spillover effects, and these effects are especially strong for municipalities situated in the same county that use private dental clinics. There is no evidence of political spatial spillover effects between municipalities.

  12. Time series analysis of dental care procedures in Brazilian public services, 1994-2007

    National Research Council Canada - National Science Library

    Roger Keller Celeste; Jacqueline Furtado Vital; Washington Leite Junger; Michael Eduardo Reichenheim

    2011-01-01

      The objectives of this study were to describe the time series of monthly rates of five dental care procedures in the Brazilian public health system and to assess changes in trends of dental procedures from 1994 to 2007...

  13. NHS dental care and the issues of public service ethos, governance, accountability and probity.

    Science.gov (United States)

    Batchelor, Paul

    2009-06-01

    A decision by any government to intervene in dental care requires that accountability arrangements exist and that the public has faith in them. Such arrangements require a range of governance mechanisms that in turn create routes of accountability. If accountability is to have meaning an appropriate probity system is necessary. Existing probity arrangements in the NHS dental care system are far from ideal: the checks on claims are far less vigorous than under the previous contractual agreement. While the Dental Reference Service continues to refine its probity activities there are few, if any, assessments of the quality of diagnosis and treatment planning let alone the quality of the treatment provided, along with financial shortfalls. The nature of the contract introduced in April 2006 means that, even with compliance, its use as a quality assurance mechanism is substantially weaker. To address these shortfalls requires improvements in the governance arrangements a key element of which is clarity in accountability. Accountability provides an understanding of how a delivery system works, the pressures and incentives facing its actors and allows for better reform design and implementation. If a public dental service is to have excellent outcomes, be fair and equitable and offer value for money the present failings must be addressed. As has been identified in other public services: "...certain assumptions appear to be based on a belief that these standards were general throughout the public sector and would be maintained or adapted during periods of change. Little attention was given to what compromises the standards, how they are perceived and implemented across the public sector and who monitors or polices them, particularly in times of change." (Doig, 1995). The development of improved probity arrangements and a suitable contract through which the service delivered is specified would be a starting point. Perhaps then both the public and the profession can begin to

  14. Relationship between risk assessment and payment models in Swedish Public Dental Service

    DEFF Research Database (Denmark)

    Petersson, Gunnel Hänsel; Twetman, Svante

    2017-01-01

    BACKGROUND: To a) compare risk categories in patients selecting a capitation payment (CP) model with those in fee-for-service (FFS), b) determine the 3-year caries increment in the two groups, and c) compare the amount of delivered preventive care in the two groups. METHODS: A comprehensive risk...... the dental records. RESULTS: More patients in the low risk category preferred the CP model (74% vs. 26%) while >80% with high risk selected FFS. The baseline caries level was significantly higher in the FFS group as well as the 3-year caries increment (1.6 vs. 0.8 DFS: p ... preventive care delivered to each patient was generally lower in the FFS model; it was most frequent among patients with "some" risk in the CP model (83.8%) while the lowest delivery rates were found among low risk patients in the FFS system (32.4%). CONCLUSIONS: Young adults in public dental care with low...

  15. 42 CFR 440.100 - Dental services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Dental services. 440.100 Section 440.100 Public...) MEDICAL ASSISTANCE PROGRAMS SERVICES: GENERAL PROVISIONS Definitions § 440.100 Dental services. (a) “Dental services” means diagnostic, preventive, or corrective procedures provided by or under the...

  16. Experience with suspecting child maltreatment in the Norwegian public dental health services, a national survey.

    Science.gov (United States)

    Brattabø, Ingfrid Vaksdal; Iversen, Anette Christine; Åstrøm, Anne Nordrehaug; Bjørknes, Ragnhild

    2016-11-01

    Detecting and responding to child-maltreatment is a serious challenge and public health concern. In Norway, public dental health personnel (PDHP) have a mandatory obligation to report to child welfare services (CWS) if they suspect child-maltreatment. This study aimed to assess PDHP's frequency of reporting and failing to report to CWS and whether the frequencies varied according to personal, organizational and external characteristics. An electronic questionnaire was sent to 1542 public dental hygienists and dentists in Norway, 1200 of who responded (77.8%). The majority 60.0%, reported having sent reports of concern to CWS throughout their career, 32.6% had suspected child-maltreatment but failed to report it in their career and 42.5% had sent reports during the three-year period from 2012 to 2014. The reporting frequency to CWS was influenced by PDHP's personal, organizational and external characteristics, while failure to report was influenced by personal characteristics. Compared to international studies, PDHP in Norway sends reports of concern and fails to report to CWS at relatively high rates. PDHP's likelihood of reporting was influenced by age, working experience, number of patients treated, size of the municipality and geographical region, while failure to report to CWS was influenced by working experience.

  17. Public knowledge/perceptions about AIDS transmission: concerns about use of dental services.

    Science.gov (United States)

    Grace, E G; Cohen, L A; Ward, M A

    1994-02-01

    This telephone survey of 739 adults living in the State of Maryland (response rate 68.9%) examined the association between public perceptions and knowledge about the routes of transmission of AIDS, and concerns about contracting AIDS in a dental office and attitudes toward confidentiality of AIDS infected dentists and patients. The greatest areas of inaccuracies related to the risk of giving and receiving blood. Associations were demonstrated between public knowledge and concern about AIDS. Racial differences were found in both knowledge and concerns. Accurate dissemination of information to the public about AIDS is essential for the maintenance of public confidence and trust in the safety of dental offices and dental treatment.

  18. Patients' choice of payment system in the Swedish Public Dental Service--views on dental care and oral health.

    Science.gov (United States)

    Ostberg, Anna-Lena; Ahlström, Birgitta; Hakeberg, Magnus

    2013-01-01

    The aim of this study was to generate new knowledge of considerations and factors having impacted the patients' choice of payment system and their views on oral health. Moreover, their later attitudes to the prepaid risk-related payment system, having been enrolled or not, were explored. A qualitative design was chosen and data was collected through semi-structured interviews.Twenty patients in the Public Dental Service (PDS) in western Sweden were strategically sampled with reference to gender, age (older/younger adults), residence (rural/urban), and choice of payment system:fee-for-service or capitation plan.The interview guide covered areas concerning the payment systems, patient considerations before choosing system, views of their own oral health and experiences of received dental care within the chosen system.The analysis was performed according to basic principles of qualitative content analysis. The results revealed two themes expressing the latent content. In the theme "The individual's relation to the PDS", expectations of the care, feelings of safety and aspects of responsibility emerged.The theme"Health-related attitudes and perceptions" revealed that views on health and self-assessment of oral health influenced the patients' considerations. Moreover, the perceived influence on oral health and risk thinking emerged as important factors in this theme. The conclusion was that the individual's relation to the PDS together with his/her health-related attitudes and perceptions were the main factors impacting the choice of payment system in the PDS. A health promotion perspective should be applied, empowering the patients to develop their risk awareness and their own resources.

  19. Internet use, online information seeking and knowledge among third molar patients attending public dental services.

    Science.gov (United States)

    Hanna, K; Sambrook, P; Armfield, J M; Brennan, D S

    2017-09-01

    While Australians are searching the internet for third molar (TM) information, the usefulness of online sources may be questioned due to quality variation. This study explored: (i) internet use, online information-seeking behaviour among TM patients attending public dental services; and (ii) whether patients' TM knowledge scores are associated with the level of internet use and eHealth Literacy Scale (eHEALS) scores. Baseline survey data from the 'Engaging Patients in Decision-Making' study were used. Variables included: sociodemographics, internet access status, online information-seeking behaviour, eHEALS, the Control Preferences Scale (CPS) and TM knowledge. Participants (N = 165) were mainly female (73.8%), aged 19-25 years (42.4%) and had 'secondary school or less' education (58.4%). A majority (N = 79, 52.7%) had sought online dental information which was associated with active decisional control preference (odds ratio = 3.1, P = 0.034) and higher educational attainment (odds ratio = 2.7, P = 0.040). TM knowledge scores were not associated with either the level of internet use (F(2,152) = 2.1, P = 0.094, χ(2) = 0.0310) or the eHEALS scores (r = 0.147, P = 0.335). 'The internet-prepared patient' phenomena exists among public TM patients and was explained by preference for involvement in decision-making. However, internet use was not associated with better TM knowledge. Providing TM patients with internet guidance may be an opportunity to improve TM knowledge. © 2017 Australian Dental Association.

  20. 42 CFR 483.55 - Dental services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Dental services. 483.55 Section 483.55 Public... Care Facilities § 483.55 Dental services. The facility must assist residents in obtaining routine and 24-hour emergency dental care. (a) Skilled nursing facilities. A facility (1) Must provide or obtain...

  1. Required qualifications in the Swedish Public Dental Health Service as indicators of organizational ideology.

    Science.gov (United States)

    Franzén, C; Söderfeldt, B

    2001-12-01

    The manifestly required qualifications in job advertisements in the Journal of the Swedish Dental Association were analyzed as indicators of the organizational ideology in the Swedish Public Dental Health Service from the employers' viewpoint. All job advertisements that concerned dentists and managers on different hierarchical levels in general dentistry from January 1990 to December 1998 were included (n = 1152). The number of vacancies was 1856. The textual material was analyzed by content analysis, permitting quantitative descriptions of the text and analysis of the latent characteristics. Words and phrases were classified into categories on different levels of abstraction developed from the theoretical background and the purpose of the study. Altogether 5705 required qualifications were categorized. The inter-coder reliability of the first-level categorization resulted in 81% correspondence of the classification, and lambda = 0.90. Qualifications were more frequently required with higher hierarchical job positions, and personality characteristics were more frequent than technical competence and knowledge. Qualifications interpreted as related to economic goals occurred more frequently than those related to odontological goals. The qualification demands reflected the language of human resource management (HRM), emphasizing the 'soft' people-centered approach and was interpreted as an 'ideal' model of HRM. Dentists were regarded as a profitable organizational asset rather than participants in relations with patients. In conclusion, the results indicate an organizational ideology primarily of economic character.

  2. Management structures and beliefs in a professional organisation. an example from Swedish Public Dental Health Services.

    Science.gov (United States)

    Ordell, Sven; Söderfeldt, Björn

    2010-01-01

    Work as a dentist is stressful and demanding. In the Public Dental Health Service (PDHS) the heads of clinics' have a great influence on the work environment. In turn the heads have to adapt to the overarching policies on management in each County, which create the environment for the clinics. The aims of this paper were to describe the management structure of the PDHS as described by their Chief Dental Officers (CDOs), and to test hypotheses that the management systems had "a logical administrative structure". A postal questionnaire was mailed to all 21 CDOs,who all responded. Context analysis and bivariate correlations were used. The PDHS employed on average 60% of all dentists in a county. The numbers of clinics for general dentistry in Sweden was 698, and for specialist care 144. The heads of clinics were dentists in 92%. Four hypotheses were tested. 1. separate political board did not lead to closer governance of the PDHS. 2. There was more emphasis on measurable than on qualitative objectives and followup. 3. There was only partial correlation between a larger county and a more formalized management. 4. There was no correlation between size of county and beliefs on advantages of scale. There was a widespread belief in advantages with larger clinics both from administrative, and rather surprisingly, from clinical aspects. Two of the four hypotheses could not be corroborated which indicates that the management structures were more formed by county specific principles. The four hypotheses on administrative behaviour were only partially corroborated. The implications for delivery of care to sparsely populated areas need to be monitored in view of the beliefs in larger clinics. The limits for decisions by management and for professional discretion must be monitored closely considering their effects on work environment and on the quality of care the professionals are able to deliver.

  3. What patients think of dental services.

    Science.gov (United States)

    Land, T

    2000-07-08

    In 1998, research on 'What the general public wants from the general dental service' was carried out by the Centre for Dental Services Studies (CDSS) at the University of York and was commissioned by the British Dental Association (BDA). The research culminated in the report: 'User Priorities for General Dental Services'. This article outlines the main message from the research and contains the researcher's personal observations.

  4. Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

    DEFF Research Database (Denmark)

    Hänsel Petersson, Gunnel; Ericson, Ewa; Isberg, Per-Erik

    2012-01-01

    Abstract Objectives. To investigate the caries risk profiles in young adults and to compare the risk classification using the Public Dental Service (PDS) guidelines with a risk assessment program, the Cariogram. Materials and methods. All 19-year-old patients registered at eight public dental...... classification was predominantly based on past caries and/or present caries activity. The majority was classified as 'some risk', while 16.7% were assessed as being of 'high' or 'very high risk'. The corresponding value for the two highest risk groups in the Cariogram model was 17.4%. The agreement between...... clinics were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects representing 10% of all 19 year-olds attending dental care at the PDS in Skåne, Sweden. A risk classification of each patient was made by the patient's regular team according...

  5. Adverse events in Public Dental Service in a Swedish county--a survey of reported cases over two years.

    Science.gov (United States)

    Jonsson, Lena; Gabre, Pia

    2014-01-01

    Adverse events cause suffering and increased costs in health care. The main way of registering adverse event is through dental personnel's reports, but reports from patients can also contribute to the knowledge of such occurrences. This study aimed to analyse the adverse events reported by dental personnel and patients in public dental service (PDS) in a Swedish county. The PDS has an electronic system for reporting and processing adverse events and, in addition, patients can report shortcomings, as regards to reception and treatment, to a patient committee or to an insurance company. The study material consisted of all adverse events reported in 2010 and 2011, including 273 events reported by dental personnel, 53 events reported by patients to the insurance company and 53 events reported by patients to the patient committee. Data concerning patients' age and gender, the nature, severity and cause of the event and the dental personnel's age gender and profession were collected and analysed. Furthermore the records describing the dental personnel's reports from 2011 were studied to investigate if the event had been documented and the patient informed. Age groups 0 to 9 and 20 to 39 years were underrepresented while those between the ages 10 to 19 and 60 to 69 years were overrepresented in dental personnel's reports. Among young patients delayed diagnosis and therapy dominated and among patients over 20 years the most frequent reports dealt with inadequate treatments, especially endodontic treatments. In 29% of the events there was no documentation of the adverse event in the records and 49% of cases had no report about patient information. The majority of the reports from dental personnel were made by dentists (69%). Reporting adverse events can be seen as a reactive way of working with patient safety, but knowledge about frequencies and causes of incidents is the basis of proactive patient safety work.

  6. Is prosthodontic treatment age-dependent in patients 60 years and older in Public Dental Services?

    Science.gov (United States)

    Hiltunen, K; Vehkalahti, M M; Mäntylä, P

    2015-06-01

    Prosthodontic treatment is a common procedure for the elderly as tooth loss is a reality in old age. Dentists take care of increasingly older patients with physiological age manifesting as cognitive impairment, frailty or multiple chronic diseases or who have side effects of medicines. We evaluated how patients' age affects prosthodontic treatment choice and whether we could identify the age when a change in practice occurs. In addition, we determined how common the treatment method of fixed prostheses is among patients aged 60 years or over in Public Dental Services (PDS) and how common rehabilitation of dentition with new dentures is compared with repair of existing dentures. Our data cover all patients aged 60 years and older (n = 130,060) treated in Helsinki PDS in 2007-2012. Data were aggregated into seven groups: 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, and 90 years and over. During the 6-year period, the mean annual number of the population was about 114,000 and the mean annual number of patients treated with prosthodontics 1700. Prosthodontic treatment choices (repair, removable prosthodontics, fixed prostheses, fibre-reinforced composite fixed prostheses) vary by age; the older the patient, the rarer fixed or fibre-reinforced composite fixed prostheses and removable prostheses and the more frequent repairs (P < 0.001). Denture repair was virtually the only treatment that patients over 90 years received. Based on our results, the age at which prosthodontic treatment practices in PDS change is around 70 years. Beyond this age, fixed prosthodontic treatment modalities are very rare and repairs are more common.

  7. Factors Associated with No Dental Treatment in Preschoolers with Toothache: A Cross-Sectional Study in Outpatient Public Emergency Services

    Directory of Open Access Journals (Sweden)

    Geovanna C. M. Machado

    2014-08-01

    Full Text Available Many parents rely on emergency services to deal with their children’s dental problems, mostly pain and infection associated with dental caries. This cross-sectional study analyzed the factors associated with not doing an oral procedure in preschoolers with toothache attending public dental emergency services. Data were obtained from the clinical files of preschoolers treated at all nine dental emergency centers in Goiania, Brazil, in 2011. Data were children’s age and sex, involved teeth, oral procedures, radiography request, medications prescribed and referrals. A total of 531 files of children under 6 years old with toothache out of 1,108 examined were selected. Children’s mean age was 4.1 (SD 1.0 years (range 1–5 years and 51.6% were girls. No oral procedures were performed in 49.2% of cases; in the other 50.8%, most of the oral procedures reported were endodontic intervention and temporary restorations. Primary molars were involved in 48.4% of cases. With the exception of “sex”, the independent variables tested in the regression analysis significantly associated with non-performance of oral procedures: age (OR 0.7; 95% CI 0.5–0.8, radiography request (OR 3.8; 95% CI 1.7–8.2, medication prescribed (OR 7.5; 95% CI 4.9–11.5 and patient referred to another service (OR 5.7; 3.0–10.9. Many children with toothache received no oral procedure for pain relief.

  8. 42 CFR 410.24 - Limitations on services of a doctor of dental surgery or dental medicine.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Limitations on services of a doctor of dental surgery or dental medicine. 410.24 Section 410.24 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Medical and Other Health Services § 410.24 Limitations on services of a doctor of dental surgery or dental...

  9. Education About Dental Hygienists' Roles in Public Dental Prevention Programs: Dental and Dental Hygiene Students' and Faculty Members' and Dental Hygienists' Perspectives.

    Science.gov (United States)

    Pervez, Anushey; Kinney, Janet S; Gwozdek, Anne; Farrell, Christine M; Inglehart, Marita R

    2016-09-01

    In 2005, Public Act No. 161 (PA 161) was passed in Michigan, allowing dental hygienists to practice in approved public dental prevention programs to provide services for underserved populations while utilizing a collaborative agreement with a supervising dentist. The aims of this study were to assess how well dental and dental hygiene students and faculty members and practicing dental hygienists have been educated about PA 161, what attitudes and knowledge about the act they have, and how interested they are in additional education about it. University of Michigan dental and dental hygiene students and faculty members, students in other Michigan dental hygiene programs, and dental hygienists in the state were surveyed. Respondents (response rate) were 160 dental students (50%), 63 dental hygiene students (82%), 30 dental faculty members (26%), and 12 dental hygiene faculty members (52%) at the University of Michigan; 143 dental hygiene students in other programs (20%); and 95 members of the Michigan Dental Hygienists' Association (10%). The results showed that the dental students were less educated about PA 161 than the dental hygiene students, and the dental faculty members were less informed than the dental hygiene faculty members and dental hygienists. Responding dental hygiene faculty members and dental hygienists had more positive attitudes about PA 161 than did the students and dental faculty members. Most of the dental hygiene faculty members and dental hygienists knew a person providing services in a PA 161 program. Most dental hygiene students, faculty members, and dental hygienists wanted more education about PA 161. Overall, the better educated about the program the respondents were, the more positive their attitudes, and the more interested they were in learning more.

  10. Infection control practices in public dental care services: findings from one South African Province.

    Science.gov (United States)

    Mehtar, S; Shisana, O; Mosala, T; Dunbar, R

    2007-05-01

    Infection control practices which increase the risk of blood-borne virus transmission with associated dental practice in one South African province were studied. All 24 state dental clinics were observed for adequate provision to carry out good infection prevention and control (IPC) practice, 75 staff including dentists, nurses and dental assistants were interviewed to assess IPC knowledge and 23 dental procedures were observed. Significant findings were the difference between knowledge and practice, despite adequate provisions for safe infection control practice. The lack of protective eye wear during a dental procedure, not washing hands between patients, not disassembling an item prior to disinfection or sterilization, and not using a sterile drill for each patient were identified. A rapid method for detection of occult blood was used as a marker for inadequate IPC practice. Contaminated dental items of equipment just prior to patient use in 25% of equipment tested and 37% of surfaces and surrounding areas in the dental clinics and units were recorded. This study concludes that, despite provision for safe dental practice available in state dental clinics, there was a lack of knowledge application in clinical practice. The risk of blood-borne virus transmission in a population with high human immunodeficiency virus (HIV) prevalence cannot be ignored.

  11. Prevention and dental health services.

    Science.gov (United States)

    Widström, Eeva

    2004-01-01

    There has been, and still is a firm belief that regular use of dental services is beneficial for all. Thus governments in most European countries have shown some interest in training oral health care professionals, distributing the dental workforce and cost sharing. Constantly evolving treatment options and the introduction of new methods make dental clinicians feel uncertain as to which treatments are most useful, who would benefit from them, and which treatments will achieve cost-effective health gain. Although there is a considerable quantity of scientific literature showing that most available preventive measures are effective, and the number of sensible best-practice guidelines in prevention is growing, there are few studies on cost-efficiency of different methods and, secondly, the prevention and treatment guidelines are poorly known among general practitioners. In the eyes of the public, it is obvious that preventive methods practised by patients at home have been eclipsed by clinical procedures performed in dental clinics. Reliance on an increasingly individualistic approach to health care leads to the medicalisation of issues that are not originally health or medical problems. It is important to move general oral disease prevention back to the people who must integrate this in their daily routines. Prevention primarily based on healthy lifestyles, highlighted in the new public health strategy of the European Union (EU), is the key to future health policy.

  12. Public and private dental services in NSW: a geographic information system analysis of access to care for 7 million Australians.

    Science.gov (United States)

    Willie-Stephens, Jenny; Kruger, Estie; Tennant, Marc

    2014-06-01

    To investigate the distribution of public and private dental practices in NSW in relation to population distribution and socioeconomic status. Dental practices (public and private) were mapped and overlayed with Census data on Collection District population and Socio-Economic Indexes for Areas (SEIFA). Overall, there was an uneven geographic distribution of public and private dental practices across NSW. When the geographic distribution was compared to population socioeconomics it was found that in rural NSW, 12% of the most disadvantaged residents lived further than 50km from a public dental practice, compared to 0% of the least disadvantaged. In Sydney, 9% of the three most disadvantaged groups lived greater than 7.5km from a public dental practice, compared to 21% of the three least disadvantaged groups. The findings of this study can contribute to informing decisions to determine future areas for focus of dental resource development (infrastructure and workforce) and identifying subgroups in the population (who are geographically isolated from accessing care) where public health initiatives focused on amelioration of disease consequences should be a focus.

  13. Competition and dental services.

    Science.gov (United States)

    Grytten, J; Sørensen, R

    2000-07-01

    Dental services for adults are different from all other Norwegian health services in that they are provided by private producers (dentists) who have full freedom to establish a practice. They have had this freedom since the end of World War II. A further liberalization of the market for dental services occurred in November 1995, when the so-called normal tariff was repealed. The system changed from a fixed fee system to a deregulated fee system. In principle, the market for dental services for adults operates as a free competitive market, in which dentists must compete for a market share. The aim of this study was to study the short-term effects of competition. A comprehensive set of data on fees, practice characteristics, treatment profiles and factors that dentists take into account when determining fees was analysed. The main finding was that competition has a weak effect. No support was found for the theory that the level of fees is the result of monopolistic competition or monopoly. The results also provided some evidence against the inducement hypothesis. At this stage, it is interesting to notice that dentists do not seem to exploit the power they have to control the market. One explanation, which is consistent with the more recent literature, is that physicians' behaviour to a large extent is influenced by professional norms and caring concerns about their patients. Financial incentives are important, but these incentives are constrained by norms other than self-interest. The interpretation of the results should also take into account that the deregulation has operated for a short time and that dentists and patients may not yet have adjusted to changes in the characteristics of the market.

  14. A prospective 8-year follow-up of posterior resin composite restorations in permanent teeth of children and adolescents in Public Dental Health Service: reasons for replacement

    DEFF Research Database (Denmark)

    Pallesen, Ulla; van Dijken, Jan W.V.; Halken, Jette

    2014-01-01

    Objectives: the aim of the study was to investigate reasons for replacement and repair of posterior resin composite (RC) restorations placed in permanent teeth of children and adolescents attending Public Dental Health Service in Denmark. Material and method: all posterior RC placed consecutively...

  15. Longevity of posterior resin composite restorations in permanent teeth in Public Dental Health Service: a prospective 8 years follow up.

    Science.gov (United States)

    Pallesen, Ulla; van Dijken, Jan W V; Halken, Jette; Hallonsten, Anna-Lena; Höigaard, Ruth

    2013-04-01

    To investigate in a prospective follow up the longevity of posterior resin composites (RC) placed in permanent teeth of children and adolescents attending Public Dental Health Service. All posterior RC placed, in the PDHS clinics in the cities of Copenhagen and Frederiksberg in Denmark between November 1998 and December 2002, in permanent teeth of children and adolescents up to 18 years, were evaluated in an up to 8 years follow up. The endpoint of each restoration was defined, when repair or replacement was performed. Survival analyses were performed between subgroups with Kaplan-Meier analysis. The individual contribution of different cofactors to predict the outcome was performed with Cox regression analysis. Totally 2881 children with a mean age of 13.7 years (5-18) received 4355 RC restorations placed by 115 dentists. Eighty percent were placed in molars and 49% were Class I. Two percent of restorations with base material and 1% of the restorations without base material showed postoperative sensitivity (n.s.). Replacements were made in 406 and repairs in 125 restorations. Kaplan-Meier analysis showed a cumulative survival at 8 years of 84.3%, resulting in an annual failure rate of 2%. Lower patient age, more than one restoration per patient, placement of a base material and placement of RC: in molars, in cavities with high number of surfaces, in lower jaw teeth, showed all significant higher failure rates. Five variables had significant importance for the end point, replacement/repair of the resin composite restorations: age of patient, age of operator, jaw, tooth type and cavity size. Posterior RC restorations placed in children and adolescents in Public Dental Health clinics showed an acceptable durability with annual failure rates comparable with those of randomized controlled RC studies in adults. Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Dental fear and satisfaction with dental services in Switzerland.

    Science.gov (United States)

    Armfield, Jason M; Enkling, Norbert; Wolf, Christian A; Ramseier, Christoph A

    2014-01-01

    Dental satisfaction is associated with continuity of dental care, compliance with dentist advice, and positive health outcomes. It is expected that people with higher dental fear might have less dental satisfaction because of more negative dental experiences. The objective of this study was to examine satisfaction and reasons for satisfaction with dental practitioners in Switzerland and variations by dental fear. A national sample of 1,129 Swiss residents aged 15-74 (mean = 43.2 years) completed a personal interview at their home with questions assessing dental fear, dental service use, general satisfaction with their dentist, and reasons for satisfaction or dissatisfaction. Overall, 47.9 percent of participants responded that they were satisfied with their dentist and 47.6 percent that they were very satisfied. Satisfaction differed significantly by gender, language spoken, region of residence, and educational attainment. Greater dental fear was significantly associated with greater dissatisfaction with the dentist. The percentage of people who were very satisfied with the dentist ranged from 56.0 percent among people with no fear to 30.5 percent for participants with "quite a lot" of fear but was higher (44.4 percent) for people who stated that they were "very much" afraid of the dentist. The most common reasons attributed for satisfaction with dentists were interpersonal characteristics of the dentist and staff. People with "quite a lot" of fear were found to endorse these sentiments least. Although higher dental fear was associated with more dissatisfaction with the dentist, the level of satisfaction among fearful individuals in Switzerland is still high. © 2012 American Association of Public Health Dentistry.

  17. Community Dental Health Promotion for Children: Integrating Applied Behavior Analysis and Public Health.

    Science.gov (United States)

    Kramer, Kathryn D.; Geller, E. Scott

    1987-01-01

    The article examines community dental health promotion for children in terms of factors impacting children's dental health (water fluoridation, dental health education, behavior change strategies, use of dental services, and dental phobias). Proposed is a large scale behavior change approach to public dental health which integrates applied…

  18. Relationship between Primary and Secondary Dental Care in Public Health Services in Brazil

    Science.gov (United States)

    dos Reis, Clarice Magalhães Rodrigues; da Matta Machado, Antonio Thomaz Gonzaga; do Amaral, João Henrique Lara

    2016-01-01

    This cross-sectional study evaluated the relationship between primary and secondary oral health care in Brazil. For this purpose, data from the National Program for Improving Access and Quality of Primary Care were used. Dentists from 12,403 oral health teams (OHTs) answered a structured questionnaire in 2012. The data were analyzed descriptively and by cluster analysis. Of the 12,387 (99.9%) OHTs that answered all the questions, 62.2% reported the existence of Dental Specialties Centers (DSCs) to which they could refer patients. The specialties with the highest frequencies were endodontics (68.4%), minor oral surgery (65.8%), periodontics (63.0%), radiology (46.8%), oral medicine (40.2%), orthodontics (20.5%) and implantology (6.2%). In all percentiles, the shortest wait time for secondary care was for radiology, followed by oral medicine and the other specialties. In the 50th percentile, the wait for endodontics, periodontics, minor oral surgery and orthodontics was 30 days, while for implantology, the wait was 60 days. Finally, in the 75th percentile, the wait for endodontics, orthodontics and implantology was 90 days or more. Two clusters, with different frequencies of OHT access to specialties, were identified. Cluster 1 (n = 7,913) included the OHTs with lower frequencies in all specialties except orthodontics and implantology compared with Cluster 2 (n = 4,474). Of the Brazilian regions, the South and Southeast regions had the highest frequencies for Cluster 2, with better rates for the relationship between primary and secondary care. This study suggests certain difficulties in the relationship between primary and secondary care in specific specialties in oral health, with a great number of OHTs with limited access to DSCs, in addition to different performance in terms of OHT access to DSCs across Brazilian regions. PMID:27755603

  19. Dental Services Among Medicare Beneficiaries

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medicare Current Beneficiary Survey (MCBS) has a data highlight based on the 2012 Cost and Use Research Files. This work highlights dental information collected...

  20. Factors affecting dental service quality.

    Science.gov (United States)

    Bahadori, Mohammadkarim; Raadabadi, Mehdi; Ravangard, Ramin; Baldacchino, Donia

    2015-01-01

    Measuring dental clinic service quality is the first and most important factor in improving care. The quality provided plays an important role in patient satisfaction. The purpose of this paper is to identify factors affecting dental service quality from the patients' viewpoint. This cross-sectional, descriptive-analytical study was conducted in a dental clinic in Tehran between January and June 2014. A sample of 385 patients was selected from two work shifts using stratified sampling proportional to size and simple random sampling methods. The data were collected, a self-administered questionnaire designed for the purpose of the study, based on the Parasuraman and Zeithaml's model of service quality which consisted of two parts: the patients' demographic characteristics and a 30-item questionnaire to measure the five dimensions of the service quality. The collected data were analysed using SPSS 21.0 and Amos 18.0 through some descriptive statistics such as mean, standard deviation, as well as analytical methods, including confirmatory factor. Results showed that the correlation coefficients for all dimensions were higher than 0.5. In this model, assurance (regression weight=0.99) and tangibility (regression weight=0.86) had, respectively, the highest and lowest effects on dental service quality. The Parasuraman and Zeithaml's model is suitable to measure quality in dental services. The variables related to dental services quality have been made according to the model. This is a pioneering study that uses Parasuraman and Zeithaml's model and CFA in a dental setting. This study provides useful insights and guidance for dental service quality assurance.

  1. Library service to dental practitioners.

    Science.gov (United States)

    Ashin, E R

    1983-01-01

    Dental school libraries offer resources of value to dental practitioners, but do not always consider practitioners to be primary clientele. A survey was conducted among the sixty U.S. dental school libraries to examine policies and attitudes toward service to practitioners. Although library use by dentists is estimated to be low, most libraries are willing to serve them as long as it does not reduce the libraries' ability to assist students and faculty. Of the respondents, 57% replied that they do not use promotional methods to inform dentists of available services. Greater involvement in marketing activities may benefit both libraries and dentists. PMID:6652300

  2. CDBG Public Services Activity

    Data.gov (United States)

    Department of Housing and Urban Development — CDBG activity related to public services, including senior services, legal services, youth services, employment training, health services, homebuyer counseling, food...

  3. 38 CFR 51.170 - Dental services.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Dental services. 51.170... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.170 Dental services. (a) A facility... and emergency dental services to meet the needs of each resident; (b) A facility may charge a resident...

  4. 38 CFR 52.170 - Dental services.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Dental services. 52.170... FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.170 Dental services. (a) Program... (2) By arranging for transportation to and from the dental services. (b) Program management must...

  5. Patterns of dental services and factors that influence dental services among 64-65 year-old regular users of dental care in Denmark

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Rosing, Kasper; Merete Lempert, Susanne

    2016-01-01

    OBJECTIVES: To describe the pattern of dental services provided to 64-65-year-old Danes who are regular users of dental care over a 5-year period, to analyse whether this pattern is associated with socio-demographic and/or socioeconomic factors, and if different uses of dental services are related......-sectional study of all aged 64-65 (n = 37 234) who received a dental examination in 2009 was conducted. Clinical data comprised dental services received under the National Health Insurance reimbursement scheme, dental status and DMFT. Geographical, socio-demographic and socioeconomic data derived from public...... and social area-based factors and to some degree gender, income, and education must be taken into consideration as all these factors seem to influence the future demand for dental services....

  6. Specialization and competition in dental health services.

    Science.gov (United States)

    Grytten, Jostein; Skau, Irene

    2009-04-01

    The number of specialists within dental health services has increased over the last few years. This raises the issue of how the services should be organized and funded. We describe the effect of one way of organizing the services, which is by relying on competition. In Norway, some oral specialists face real competition with general dental practitioners for the same patients (prosthetists, periodontists and endodontists), while other specialists do not (orthodontists and oral surgeons). The latter specialists have skills that give them exclusive possibilities to practice their profession. We find that competition can be effective for the specialists who experience real competition with general dental practitioners for patients. In situations where real competition does not exist, specialists can obtain market power and raise their fees. Our results are based on an analysis of a representative set of data from general dental practitioners and specialists in Norway. The specialities in which practitioners can exercise market power raise challenges related to the type of public policy that can reduce this market power in an appropriate way, and without involving too large costs for the authorities.

  7. Public opinion on public services

    NARCIS (Netherlands)

    Evelien Eggink; Debbie Verbeek-Oudijk; Evert Pommer

    2013-01-01

    Original titel: Burgers over de kwaliteit van publieke diensten Most citizens come into contact with public services, for example as a patient, as a student or pupil, as a passenger on public transport or as a museum visitor. More and more importance is being attached to the quality of those service

  8. Service-learning in dental education: meeting needs and challenges.

    Science.gov (United States)

    Hood, Janet Grobe

    2009-04-01

    Community-based service-learning is increasingly common in dental education. By definition, service-learning combines educational goals with service to the community, and the community and school are equal partners. The three main goals of service-learning are improving learning, promoting civic engagement, and strengthening communities. There have been calls from many groups to reform dental education to better serve the public, and service-learning is one of the most often recommended methods to help meet this goal. One of the key attributes of service-learning is its potential to promote civic engagement and social responsibility during the student's education. The social responsibility of dentists and aspects of professionalism can be learned by students through participation in well-structured service-learning programs. Community-based service-learning programs can also address societal needs by improving the public's access to oral health care through partnerships among dental schools, oral health providers, and communities. This article describes service-learning programs at several dental schools to illustrate application of this educational strategy in predoctoral dental education. This article also describes challenges that confront schools desiring to implement and sustain service-learning programs, including academic quality, faculty development and training, interprofessionalism, making time in the curriculum, budget, faculty shortages and time, student credit, quality control, and remote sites away from the dental school.

  9. Deep carious lesions and other consequences of caries among 18-year-olds at Public Dental Health Service in Northern Norway: A cross-sectional age cohort study.

    Science.gov (United States)

    Stangvaltaite, Lina; Kundzina, Rita; Bolstad, Napat Limchaichana; Eriksen, Harald M; Kerosuo, Eero

    2015-08-01

    To document deep carious lesions and other consequences of caries (DCL-CC) in molars of 18-year olds leaving the free-of-charge Public Dental Health Service (PDHS). To explore the association between background factors and DCL-CC. The final study sample (n=1876) comprised 95% of individuals born in 1993 and registered in the PDHS in Troms County, Northern Norway. The most recent digital bitewing radiographs of each subject were examined for DCL-CC (deep untreated carious lesions, deep restorations, root canal obturations or extractions due to caries). Inter- and intra-observer kappa scores were 0.62 and 0.87, respectively. Information on background factors (gender, clinic location, history of medical problems, bitewing examination interval, DMFT score and planned recalls) were retrieved from dental records. About one-quarter of subjects (488) had at least one molar with DCL-CC. There were 848 molars in total with DCL-CC; the majority were deep restorations (70%), but 4% were deep untreated carious lesions. More than a quarter of DCL-CC were either root canal obturations (14%) or extractions (12%). Multivariable logistic regression analyses showed that a 1-unit increase in DMFT score was associated with deep untreated carious lesions and extractions due to caries. There was no association between urban/rural clinic location, which indicated socio-economic status, and either DMFT score or DCL-CC. Despite the existence of a free-of-charge dental service, more than one-quarter of the subjects in the present study had at least one molar with DCL-CC.

  10. Dental public health in India: An insight

    Science.gov (United States)

    Gambhir, Ramandeep Singh; Kaur, Amanpreet; Singh, Arshdeep; Sandhu, Anmol Rattan Singh; Dhaliwal, Angad Prakash Singh

    2016-01-01

    Oral diseases are a major public health problem, and their burden is on increase in many low- and middle-income countries. Dental public health (DPH) aims to improve the oral health of the population through preventive and curative services. However, its achievements in India are being questioned probably because of lack of proficiency and skill among DPH personnel. The literature search for the present study was conducted utilizing various search engines and electronic databases such as PubMed and MEDLINE. Documents related to the Central and State Governments of India were also considered. Finally, 26 articles were selected for the present study from which relevant information can be extracted. The present study focuses on some of the important aspects relating to DPH in India such as priority for oral health, DPH workforce and curriculum, utilization of DPH personnel in providing primary oral health care, role of mobile dental vans, and research in DPH. It was concluded that more attention should be given toward preventive oral health care by employing more number of public health dentists in public sector, strengthening DPH education and research, and combining oral health programs with general health-care programs.

  11. Ethnic classification in primary dental care and dental health services research: time to pause for thought.

    Science.gov (United States)

    Buck, D J; Malik, S; Murphy, N; Patel, V; Singh, S; Syed, B; Vora, N

    2001-04-01

    'Ethnicity' is an important concept in dental health services research and in enabling general dental practitioners to gain insight into their patients values and expectations. Since more health services research is being undertaken in primary dental care settings it is becoming an important issue for dental professionals and researchers in primary care to be aware of. Ethnicity is thought to be related to dental health inequalities and access and is often used as a stratifying variable in many dental studies. The meaning and use of the term however differs among researchers and among the public. It is clear that researchers and professionals need to pause for thought when considering what this often bandied about term actually means and the impact of different definitions. This is illustrated using examples from the authors' own research and published papers in the medical and dental literature. There is also much debate about whether ethnicity--however defined--is an important predictor of differences in dental health in itself or is merely a marker for other factors such as social deprivation or the impact of 'place' on dental health. While the jury on this debate is out we suggest guidelines on the reporting of ethnicity should be outlined in the dental literature--perhaps updating those published in 1996 in the British Medical Journal.

  12. Dental responsibility loadings and the relative value of dental services.

    Science.gov (United States)

    Teusner, D N; Ju, X; Brennan, D S

    2017-09-01

    To estimate responsibility loadings for a comprehensive list of dental services, providing a standardized unit of clinical work effort. Dentists (n = 2500) randomly sampled from the Australian Dental Association membership (2011) were randomly assigned to one of 25 panels. Panels were surveyed by questionnaires eliciting responsibility loadings for eight common dental services (core items) and approximately 12 other items unique to that questionnaire. In total, loadings were elicited for 299 items listed in the Australian Dental Schedule 9th Edition. Data were weighted to reflect the age and sex distribution of the workforce. To assess reliability, regression models assessed differences in core item loadings by panel assignment. Estimated loadings were described by reporting the median and mean. Response rate was 37%. Panel composition did not vary by practitioner characteristics. Core item loadings did not vary by panel assignment. Oral surgery and endodontic service areas had the highest proportion (91%) of services with median loadings ≥1.5, followed by prosthodontics (78%), periodontics (76%), orthodontics (63%), restorative (62%) and diagnostic services (31%). Preventive services had median loadings ≤1.25. Dental responsibility loadings estimated by this study can be applied in the development of relative value scales. © 2017 Australian Dental Association.

  13. NAIP Public Image Services

    Data.gov (United States)

    Farm Service Agency, Department of Agriculture — This map provides a preview and information about the National Agriculture Imagery Program (NAIP) image services available on the APFO public image server. Click on...

  14. Dental traumas during the military service.

    Science.gov (United States)

    Immonen, Matti; Anttonen, Vuokko; Patinen, Pertti; Kainulainen, Marco-Juhan; Päkkilä, Jari; Tjäderhane, Leo; Oikarinen, Kyösti

    2014-06-01

    Dental traumas are most frequent during the first three decades of life and more frequent among males than females. Approximately 80% (n = 28 000) of the male age cohort performs military service annually in Finland. As little is known of dental, head, and neck traumas during the military service, our aim was to study the etiology, number and occurrence of traumas of the Finnish conscripts during one calendar year. Our hypothesis was that above-mentioned traumas comprise a remarkable proportion of military accidents. The data comprised of all the Finnish conscripts' trauma cases in the year 2009 (mean age 20.1 years, SD 1.1). The frequency, mechanism, and time of the incidences were analyzed. Of the total 1432 trauma cases, 303 (23%) involved head, neck, or dentition. The occurrence rate of dental traumas was 6.5 cases/1000 persons/year. Dental traumas comprised 14.3% of all traumas. The most common mechanism for dental traumas was a blow-type force. First 4 months of the service and winter time were periods of increased risk of dental traumas. Two-thirds of the dental traumas, one-third of the body traumas and a quarter of the head and neck traumas occurred during military field exercises. Most dental traumas required a visit to a military dental clinic and also needed follow-up care. Head, neck, and dental injuries are common during the military service in Finland. Prevention of dental traumas and need for first aid dental skills of the personnel should be emphasized. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Public Service Motivation

    Directory of Open Access Journals (Sweden)

    Raluca-Marilena Mihalcioiu

    2011-05-01

    Full Text Available Public Service Motivation concept was developed in North America and focuses on specific motivations of public servants, such as employee satisfaction, organizational commitment, reward preferences, organizational and individual performance. Other types of motivation, as financial consideration, are relevant but have less important influences with regard to this kind of work outcomes. This strengthen the assertion for a diversified motivational strategy, which affect various types of motivation, while not losing sight of the public value that one organization shows and therefore valuing public service motivation as a specific contribution to work outcomes. The concept has been increasingly applied in European public administration. This paper presents Status Quo of international Public Service Motivation research and locates in them empirical evidences from contries that are already working with this concept, like Austria. It also analyses implications for central questions of public management. The main focus of this article is general appropriateness and possible applications for Romanian public management research.

  16. Public services, personal benefits

    NARCIS (Netherlands)

    Bob Kuhry; Evert Pommer; Jedid-Jah Jonker; John Stevens

    2006-01-01

    Original title: Publieke productie & persoonlijk profijt. This report looks in detail at the costs of public services (such as care, education, public administration and safety) and the benefits that citizens derive from the government expenditure involved in delivering those services. In

  17. Public services, personal benefits

    NARCIS (Netherlands)

    Bob Kuhry; Evert Pommer; Jedid-Jah Jonker; John Stevens

    2006-01-01

    Original title: Publieke productie & persoonlijk profijt. This report looks in detail at the costs of public services (such as care, education, public administration and safety) and the benefits that citizens derive from the government expenditure involved in delivering those services. In 2003,

  18. The supply and utilization of dental services

    NARCIS (Netherlands)

    Groenewegen, P.P.; Postma, J.H.M.

    1984-01-01

    In this article the question is addressed whether regional differences in the supply of dental manpower influences the utilization of dental services. The percentage of the population that visits the dentist, is indeed higher in regions with a higher density of dentists. The number of people that vi

  19. Desenvolvimento de indicadores para avaliação de serviço público de odontologia Development of indicators for evaluating public dental healthcare services

    Directory of Open Access Journals (Sweden)

    Vera Lucia Ribeiro de Carvalho Bueno

    2011-07-01

    Full Text Available O objetivo do presente artigo é descrever e analisar o desenvolvimento dos indicadores utilizados para se identificar fortalezas e deficiências de serviço público de odontologia no município de Cambé, Paraná. A metodologia usada foi o estudo de caso histórico-organizacional. Para o planejamento da avaliação foi desenvolvido o modelo-lógico do serviço. Para tanto, foram coletadas informações a partir da triangulação de métodos (entrevistas, análise documental e observação. Na sequência, foi desenvolvida uma matriz que apresenta dimensões de análise, critérios, indicadores, pontuações, parâmetros e fontes de informações. Três oficinas de trabalho foram realizadas com profissionais do serviço local visando melhor adequação do modelo-lógico e da matriz à realidade do serviço. O período de coleta de dados foi novembro de 2006 a julho de 2007. Como resultado, obteve-se um fluxograma da organização do serviço de odontologia e uma matriz com duas dimensões de análise, doze critérios e vinte e quatro indicadores. O desenvolvimento dos indicadores, privilegiando a participação dos sujeitos envolvidos com a prática, proporcionou o planejamento de uma avaliação abrangente e realista.The objective of this article is to describe and analyze the development of indicators used to identify strengths and deficiencies in public dental healthcare services in the municipality of Cambé, Paraná. The methodology employed was a historical-organizational case study. A theoretical model of the service was developed for evaluation planning. To achieve this, information was collected from triangulation of methods (interviews, document analysis and observation. A matrix was then developed which presents analysis dimensions, criteria, indicators, punctuation, parameters and sources of information. Three workshops were staged during the process with local service professionals in order to verify whether both the logical model

  20. Costing dental restorations in public sector dental clinics.

    Science.gov (United States)

    Khairiyah, Abdul Muttalib; Razak, Ishak Abdul; Raja-Latifah, Raja Jalludin; Tan, Bee Siew; Norain, Abu Talib; Noor-Aliyah, Ismail; Natifah, Che Salleh; Rauzi, Ismail

    2009-04-01

    The objective of this study is to share cost analysis methodology and to obtain cost estimates for posterior restorations in public sector dental clinics. Two urban and 2 rural dental clinics in Selangor state were selected. Only cases of 1 posterior restoration per visit by dental officers were included over 6 months. One capsulated amalgam type, 1 capsulated tooth-colored, and 1 non-capsulated tooth-colored material were selected. A clinical pathway form was formulated to collect data per patient. Annual capital and recurrent expenditures were collected per clinic. The mean cost of an amalgam restoration was RM 30.96 (sdRM 7.86); and tooth-colored restorations ranged from RM 33.00 (sdRM 8.43) to RM 41.10 (sdRM 10.61). Wherein 1 USD = RM 2.8. Restoration costs were 35% to 55% higher in clinics in rural areas than in urban areas. The findings demonstrate economy of scale for clinic operation and restoration costs with higher patient load. Costs per restoration were higher in rural than in urban dental clinics. More studies are recommended to address the dearth of dental costs data in Malaysia.

  1. 76 FR 72003 - Calendar Year 2011 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by...

    Science.gov (United States)

    2011-11-21

    ... BUDGET Calendar Year 2011 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by... the cost of outpatient medical, dental, and cosmetic surgery services furnished by military treatment... outpatient medical, dental, and cosmetic surgery services rates referenced are effective upon publication...

  2. Developing core dental public health competencies for predoctoral dental and dental hygiene students.

    Science.gov (United States)

    Mascarenhas, Ana Karina; Atchison, Kathryn Ann

    2015-01-01

    Dental professionals are an "underutilized" workforce, when it comes to advocating for prevention and wellness in populations. The goal of this HRSA-funded project is to develop dental public health (DPH) competencies and curriculum for US predoctoral dental and dental hygiene programs. These competencies and accompanying curriculum are designed to better prepare the oral health workforce to meet the needs of the entire population, including the chronically underserved, those challenged by poor health literacy, or communities encountering barriers to accessing oral health care. By increasing the DPH competency of all graduating dental providers, in population-based approaches to preventing oral diseases rather than the existing exclusive focus on treatment, the number of providers who can respond to a population or the public's unmet needs and challenges, both in private practices and publicly supported clinics, will increase. This paper describes the competency development process and the eight competencies that were identified.

  3. A marketing strategy for the dental public health profession: what is it? Why is it needed?

    Science.gov (United States)

    Simon-Rusinowitz, L

    1988-01-01

    A personnel management problem exists within dental public health that interferes with its mission of improving the nation's oral health. A major cause of this problem may be that many administrators who write position descriptions and hire professional staff are unaware of differences between clinical and public health dental practitioners. A marketing plan has been developed to address this lack of awareness about proper use of dental public health professionals. Its main goal is to establish more appropriate personnel and employment practices within dental public health. The expected outcomes of this plan could assist both recipients of dental public health services and members of the profession. The purpose of this article is to introduce the marketing strategy to dental public health professionals.

  4. Using public relations for a dental practice.

    Science.gov (United States)

    Richards, D

    1998-07-01

    Public relations is a way of marketing a dental practice through the media and directly to potential patients without purchasing advertising time or space. Well-written press releases and follow-up phone calls targeted to the specific audience of various media outlets can result in stories that are worth more than purchased advertising. One key to successfully communicating to others through public relations is straightforward writing. The following article not only covers the variety of opportunities available to a dental practice through PR, it also serves as an excellent example of the style of writing that should be used for PR communications.

  5. Dynamic public service mediation

    NARCIS (Netherlands)

    Hofman, W.; Staalduinen, M. van

    2010-01-01

    This paper presents an approach to dynamic public service mediation. It is based on a conceptual model and the use of search and ranking algorithms. The conceptual model is based on Abstract State Machine theory. Requirements for dynamic service mediation were derived from a real-world case. The con

  6. Medical Virtual Public Services

    Directory of Open Access Journals (Sweden)

    Iulia SURUGIU

    2008-01-01

    Full Text Available The healthcare enterprises are very disconnected. This paper intends to propose a solution that will provide citizens, businesses and medical enterprises with improved access to medical virtual public services. Referred medical services are based on existing national medical Web services and which support medically required services provided by physicians and supplementary health care practitioners, laboratory services and diagnostic procedures, clinics and hospitals’ services. Requirements and specific rules of these medical services are considered, and personalization of user preferences will to be supported. The architecture is based on adaptable process management technologies, allowing for virtual services which are dynamically combined from existing national medical services. In this way, a comprehensive workflow process is set up, allowing for service-level agreements, an audit trail and explanation of the process to the end user. The process engine operates on top of a virtual repository, providing a high-level semantic view of information retrieved from heterogeneous information sources, such as national sources of medical services. The system relies on a security framework to ensure all high-level security requirements are met. System’s architecture is business oriented: it focuses on Service Oriented Architecture - SOA concepts, asynchronously combining Web services, Business Process Management – BPM rules and BPEL standards.

  7. Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia.

    Science.gov (United States)

    Kruger, Estie; Perera, Irosha; Tennant, Marc

    2010-01-01

    Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.

  8. 78 FR 62709 - Calendar Year 2013 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by...

    Science.gov (United States)

    2013-10-22

    ... BUDGET Calendar Year 2013 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by... the cost of outpatient medical, dental and cosmetic surgery services furnished by military treatment... Outpatient Medical, Dental, and Cosmetic Surgery rates referenced are effective upon publication of...

  9. Qualitative research and dental public health

    Directory of Open Access Journals (Sweden)

    Roslind Preethi George

    2012-01-01

    Full Text Available The use of Qualitative Research (QR methods are now getting common in various aspects of health and healthcare research and they can be used to interpret, explore, or obtain a deeper understanding of certain aspects of human beliefs, attitudes, or behavior through personal experiences and perspectives. The potential scope of QR in the field of dental public health is immense, but unfortunately, it has remained underutilized. However, there are a number of studies which have used this type of research to probe into some unanswered questions in the field of public health dentistry ranging from workforce issues to attitudes of patients. In recent health research, evidence gathered through QR methods provide understanding to the social, cultural, and economic factors affecting the health status and healthcare of an individual and the population as a whole. This study will provide an overview of what QR is and discuss its contributions to dental public health research.

  10. A scoping review of qualitative research in peer-reviewed dental publications.

    Science.gov (United States)

    Gussy, M; Dickson-Swift, V; Adams, J

    2013-08-01

    Qualitative research designs are being used increasingly in dental research. This paper describes the extent and range of dental research in which qualitative methods have been employed as well as the techniques of data collection and analysis preferred by dental researchers. A scoping review was conducted to locate studies published in dental journals, which reported the use of qualitative methods. Data concerning the focus of the research and the reported qualitative techniques were extracted. Studies included in the review totalled 197. The majority of qualitative research captured in this scoping study focussed on three main areas: dental education, professional dental and dental educators' activities and experiences and the patient/public perceptions. Interviews and focus group discussions were the most commonly selected techniques for data collection. The majority of the studies included in the scoping review had a focus on education of dental professionals the activities of dental professionals or the reported perceptions of or experiences with dental services by patients or members of the public. Little research was located, which explored peoples' personal experience of dental conditions. Research reported in dental publications has a heavy bias towards the use of focus groups and interview data collection techniques. © 2012 John Wiley & Sons A/S.

  11. Use of dental services among Danish youths

    DEFF Research Database (Denmark)

    Lissau, I; Holst, D; Friis-Hasché, E

    1989-01-01

    The purpose of the present study was to analyze the separate effect and the total effect of the social environment, the individual and the delivery system on frequency of use of dental services among youths. The variables of use were divided into the three main groups according to Coleman (12......). Information concerning use of dental services, individual and structural variables was obtained by a self-administered questionnaire to 756 Danes 20-21 yr old in 1984-85. Information concerning social environmental variables was obtained by a postal questionnaire to the mothers of the individuals in 1974 (16......). Information from 552 mothers was available. Firstly, the variables concerning the social environment were inserted into a multiple dummy regression analysis as independent variables, and it was found that the following characteristics of the mothers were significant predictors: regularity of dental visits...

  12. Prevalence of dental caries in 5-year-old Greek children and the use of dental services: evaluation of socioeconomic, behavioural factors and living conditions.

    Science.gov (United States)

    Mantonanaki, Magdalini; Koletsi-Kounari, Haroula; Mamai-Homata, Eleni; Papaioannou, William

    2013-04-01

    To assess dental caries and use of dental services experience in 5-year-old children attending public kindergartens in Attica, Greece and to examine the influence of certain socioeconomic factors and living conditions as well as dental behaviours and attitudes. In this cross-sectional study, a random and stratified sample of 605 Greek children was examined using decayed, missing, filled tooth surfaces and simplified debris indices. The use of dental services was measured by children's dental visits (any dental visit up to the age of 5 years). Care Index was also calculated. Risk indicators were assessed by a questionnaire. Zero-inflated Poisson and Logistic Regression Analysis were generated to test statistical significant associations. The prevalence of dental caries was 16.5%. Care Index was 32% and dental visits were reported for the 84% of the children. Medium Socio-Economic Level (SEL) was associated with no detectable caries. High SEL was related to decreased decayed, missing, filled teeth values, while female gender and rented houses had the opposite effect. The age of the mother (35-39 years) and the higher SEL were related to higher levels of dental services use. It is suggested that there are differences in the experience of dental caries and use of dental services among preschool children in Attica, which are related to demographic, socioeconomic factors and living conditions. Dental public polices should focus on groups with specific characteristics in order to improve oral health levels of disease-susceptible populations. © 2013 FDI World Dental Federation.

  13. Institutional Change in Delivery of Dental Services: A Marketing Perspective

    Science.gov (United States)

    Capon, Noel

    1982-01-01

    The recent appearance and growth of new delivery systems for dental services is examined from a marketing perspective. Analysis reveals that the growth of low priced, high throughput operations is consistent not only with marketing principles, but with the development of American retail institutions in general. Options for independent dentists in the face of this new competitive environment are discussed. (Am J Public Health 1982; 72:679-683.) PMID:7091457

  14. Public dental health care program for persons with disability

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Hede, Børge; Petersen, Poul Erik

    2005-01-01

    The objectives of the study were (1) to describe the organization and content of the Danish public oral health care program for persons with disability, and (2) to analyse possible variations in relation to the goals and requirements set by the health authorities. Data were collected by means...... of knowledge of oral health and oral health care for persons with disability were barriers to equal access to the program. Preventive dental services were the most frequent services delivered, although relatively few oral hygienists were involved in the program. Special training was most frequent in large...... municipalities. To secure equal access for persons with disability, it is recommended that joint collaboration between smaller municipalities should be made regarding procedures of such programs. Special training of dental personnel and of the staff responsible for selecting persons for the program should...

  15. Adult heavy and low users of dental services: treatment provided.

    Science.gov (United States)

    Nihtilä, Annamari; Widström, Eeva; Elonheimo, Outi

    2016-01-01

    The aim of this study was to compare treatment provided to adult heavy and low users of dental services in the Finnish Public Dental Service (PDS) and to analyse changes in patients' oral health status. We assigned all adults who attended the PDS in Espoo in 2004 to a group of heavy users (n = 3,173) if they had made six or more dental visits and to a comparison group of low users (n = 22,820), if they had made three or fewer dental visits. Data were obtained from the patient register of the PDS. A sample of 320 patients was randomly selected from each group. Baseline information (year 2004) on age, sex, number and types of visits, oral health status and treatment provided was collected from treatment records. Both groups were followed-up for five years. Restorative treatment measures dominated the heavy and low users'treatments; 88.8% of heavy users and 79.6% low users had received restorations during the five-year period. Fixed prosthetic treatments were provided to just 2% of the heavy users and 0.8% of the low users. Emergency visits were more common for heavy users (74.8%) than for low users (21.6%) (p therapy was seldom used. Immediately after the major dental care reform in Finland, the PDS in Espoo had problems providing good quality dental care for the new adult patients. Older patients with lower social class background were not accustomed to regular dental care and the PDS did not actively propose proper comprehensive regular care for adults.

  16. Strategies for service-learning assessment in dental hygiene education.

    Science.gov (United States)

    Burch, Sharlee

    2013-10-01

    A large body of literature exists on the instructional pedagogy known as service-learning. Service-learning is a teaching and learning approach characterized by the dental hygiene student's practical application of academic studies and occurs within a community setting, to the benefit of both the student and community. Dental hygiene educators use service-learning to enhance student knowledge and application of oral health curriculum. This manuscript reports on the importance of service-learning assessment to the National Dental Hygiene Research Agenda as well as the future of the profession of dental hygiene and the successful strategies in service-learning evaluation available for utilization by dental hygiene educators.

  17. Description of comprehensive dental services supported by the Medicare Chronic Disease Dental Scheme in the first 23 months of operation.

    Science.gov (United States)

    Palfreeman, Vera; Zoellner, Hans

    2012-02-01

    Australia's Medicare universal insurance system has supported comprehensive dental service through the Chronic Disease Dental Scheme (CDDS) since November 2007. Public debate opposing CDDS includes claims of over-servicing, calls for expansion to universal eligibility, and government threat of closure. Here we examine CDDS services over the first 23 months of operation. CDDS statistics on patient age, gender and item numbers claimed from November 2007 to December 2009 from Medicare were subjected to analysis. The distribution of 404,768 total CDDS patients varied across Australia from 3.6% of the population in NSW to 0.07% in NT, while uptake increased over time. The average patient had 7.58 dental treatments, and the most common were: direct restorations (2.27), preventive and periodontal services (1.46), diagnostic services (1.43), extractions (0.77), and new dentures (0.53). Crown and bridgework appeared over-represented (0.48). Although data do suggest over-servicing in crown and bridgework, there also appears to be significant community need for the CDDS. Clear guidelines for dental clinical diagnosis and treatment planning, as well as a pre-approval process for crown and bridgework is suggested to improve the CDDS, and this could form the basis for expansion to universal eligibility for dental Medicare. © 2012 The Authors. ANZJPH © 2012 Public Health Association of Australia.

  18. Dental attendance patterns among older people: a retrospective review of records in public and private dental care in Sweden.

    Science.gov (United States)

    Derblom, C; Hagman-Gustafsson, M-L; Gabre, P

    2016-11-20

    Nowadays, older people retain their natural teeth more frequently and so are at increased risk of oral disease. At the same time, discontinued contacts with dental services prevent access to preventive care and increase the risk of undetected disease. This study aims to evaluate how often older people discontinue regular dental visits and to establish the reasons. This study is a retrospective review of records of patients aged ≥75 years from seven Swedish clinics, three in the public dental service (PuDS) and four in the private (PrDS). All patients were examined in 2010, and their dental attendance records from 2010 to 2014 studied. Data included gender, dental insurance system, last performed planned examination, emergency visits, registrations in the recall system, cause of discontinued care and number of teeth and implants. In total, 993 records were studied, 303 in PuDS and 690 in PrDS. In both groups, 10% of patients had no complete dental examinations between 2010 and 2014 after baseline examination in 2010. One-quarter were not registered in the recall system after their last examinations, and this was more common in PrDS than PuDS. In many cases, no reason for discontinued regular visits were described in the records. The mean number of natural teeth was 19.0 in both groups, but there were more implants in the PrDS group. A large proportion of the participants risked losing regular contact with dental services. Dental services appeared to lack strategies for maintaining regular dental care for elderly patients. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. Income inequality, disinvestment in health care and use of dental services.

    Science.gov (United States)

    Bhandari, Bishal; Newton, Jonathan T; Bernabé, Eduardo

    2015-01-01

    To explore the interrelationships between income inequality, disinvestment in health care, and use of dental services at country level. This study pooled national estimates for use of dental services among adults aged 18 years or older from the 70 countries that participated in the World Health Survey from 2002 to 2004, together with aggregate data on national income (GDP per capita), income inequality (Gini coefficient), and disinvestment in health care (total health expenditure and dentist-to-population ratio) from various international sources. Use of dental services was defined as having had dental problems in the last 12 months and having received any treatment to address those needs. Associations between variables were explored using Pearson correlation coefficients and linear regression. Data from 63 countries representing the six WHO regions were analyzed. Use of dental services was negatively correlated with Gini coefficient (Pearson correlation coefficient -0.48, P dental services was attenuated but remained significant after adjustments for GDP per capita, total health expenditure, and dentist-to-population ratio (regression coefficient -0.36; 95% CI -0.57, -0.15). This study shows an inverse relationship between income inequality and use of dental services. Of the two indicators of disinvestment in health care assessed, only dentist-to-population ratio was associated with income inequality and use of dental services. © 2014 American Association of Public Health Dentistry.

  20. Public knowledge of prevention of dental disease.

    Science.gov (United States)

    Gift, H C; Corbin, S B; Nowjack-Raymer, R E

    1994-01-01

    The authors present data describing the level and extent of the general public's knowledge of oral diseases and their prevention. They discuss data from the 1990 National Health Interview Survey's Health Promotion and Disease Prevention Supplement in the context of national oral health objectives. They focus on demographic and socioeconomic differences seen in the public's knowledge of the preventive purposes of fluorides and dental sealants for dental caries and of symptoms of gum disease. Reported low levels of knowledge regarding oral disease symptoms and their prevention show the continuing trend reported during the past decade. Racial and ethnic minorities and groups with low levels of formal education demonstrate the least knowledge of prevention of oral diseases. For example, 76 percent of those with more than 12 years of schooling know the preventive purpose of water fluoridation, compared with 61 percent of those with 12 years, and 36 percent of those with less than 12 years of school. Efforts to increase levels of knowledge about oral disease prevention are required to achieve national objectives for oral health.

  1. Balancing dental service requirements and supplies: the economic evidence.

    Science.gov (United States)

    Furino, A; Douglass, C W

    1990-12-01

    A conceptual model of the market for dental services is described. The model is based on principles of demand and production theory and the applications of those principles to the dental industry. The model highlights the significance of relevant economic indicators which are discussed to create an awareness of and, when possible, explain the challenges awaiting dentistry in the decades to come. It is concluded that, while dental service expenditures per dentist are likely to increase, larger portions of the population may not be able to afford dental care if prices of dental services continue to increase faster than individual budgets.

  2. Socioeconomic inequalities in dental health services in Sao Paulo, Brazil, 2003-2008.

    Science.gov (United States)

    Monteiro, Camila Nascimento; Beenackers, Mariëlle A; Goldbaum, Moisés; de Azevedo Barros, Marilisa Berti; Gianini, Reinaldo José; Cesar, Chester Luiz Galvão; Mackenbach, Johan P

    2016-12-07

    Access to, and use of, dental health services in Brazil have improved since 2003. The increase of private health care plans and the implementation of the "Smiling Brazil" Program, the largest public oral health care program in the world, could have influenced this increase in access. However, we do not yet know if inequalities in the use of dental health services persist after the improvement in access. The aims of this study are to analyze socioeconomic differences for dental health service use between 2003 and 2008 in São Paulo and to examine changes in these associations since the implementation of the Smiling Brazil program in 2003. Data was obtained via two household health surveys (ISA-Capital 2003 and ISA-Capital 2008) which investigated living conditions, lifestyle, health status and use of health care services. Logistic regression was used to analyze associations between socioeconomic factors and dental services use. Additionally, trends from 2003 to 2008 regarding socioeconomic characteristics and dental health service use were explored. Overall, dental health service use increased between 2003 and 2008 and was at both time points more common among those who had higher income, better education, better housing conditions, private health care plans and were Caucasian. Inequalities in use of dental health care did not decrease over time. Among the reasons for not seeking dental care, not having teeth and financial difficulty were more common in lower socioeconomic groups, while thinking it was unnecessary was more common in higher socioeconomic groups. The Brazilian oral health policy is still in a period of expansion and seems to have contributed slightly to increased dental health service use, but has not influenced socioeconomic inequalities in the use of these services. Acquiring deeper knowledge about inequalities in dental health service use will contribute to better understanding of potential barriers to reducing them.

  3. Consumer versus dentist attitudes toward dental services advertising.

    Science.gov (United States)

    Hite, R E; Bellizzi, J A; Andrus, D M

    1988-03-01

    The authors report the findings of a consumer survey and a dentist survey that were used to examine attitudes toward the advertising of dental services. The results clearly indicate positive consumer attitudes and negative dentist attitudes toward such advertising. Relatively few consumer demographic differences are noted, though younger dentists appear to have more positive attitudes toward dental services advertising than their older colleagues. The results suggest significant opportunities for dentists in dental services advertising.

  4. Public perceptions of dental implants: a qualitative study.

    Science.gov (United States)

    Wang, Guihua; Gao, Xiaoli; Lo, Edward C M

    2015-07-01

    Dental implants have become a popular option for treating partially dentate or edentulous patients. Information on dental implants is widely available in the public domain and is disseminated through industries and dental practitioners at various levels/disciplines. This qualitative study aimed to evaluate the public's information acquisition and their perceptions of dental implants and the effects of these on their care-seeking and decision making. A purposive sample of 28 adults were recruited to join six focus groups. To be eligible, one must be 35-64 years of age, had never been engaged in dentally related jobs, had at least one missing tooth, and had heard about dental implant but never received dental implant or entered into any dental consultation regarding dental implants. All of the focus groups discussions were transcribed verbatim and subjected to thematic content analysis following a grounded theory approach. Participants acquired information on dental implants through various means, such as patient information boards, printed advertisements, social media, and personal connections. They expected dental implants to restore the patients' appearance, functions, and quality of life to absolute normality. They regarded dental implants as a panacea for all cases of missing teeth, overestimated their functions and longevity, and underestimated the expertise needed to carry out the clinical procedures. They were deterred from seeking dental implant treatment by the high price, invasive procedures, risks, and complications. Members of the public were exposed to information of varying quality and had some unrealistic expectations regarding dental implants. Such perceptions may shape their care-seeking behaviours and decision-making processes in one way or another. The views and experiences gathered in this qualitative study could assist clinicians to better understand the public's perspectives, facilitate constructive patient-dentist communication, and contribute

  5. Depository Libraries and Public Services.

    Science.gov (United States)

    Kessler, Ridley

    1998-01-01

    Discusses the Wright State University (Ohio) Library policy directive on customer service, and suggests this document as a model to follow in setting up service standards or guidelines for depository-library services. Draft-depository library public-service guidelines for government information in electronic format are appended. (JAK)

  6. A review of the literature: the economic impact of preventive dental hygiene services.

    Science.gov (United States)

    Sharon, Stull C; Connolly, Irene M; Murphree, Kellie R

    2005-01-01

    The contributions of dental hygiene as a discipline of prevention, the inception of systemic fluoride in community water systems, the continual research conducted by the National Institute of Dental and Craniofacial Research (NIDCR), and the success of dental sealants have all contributed to the decrease in incidences of dental diseases. The prevalence of employer-based dental insurance must also be recognized as contributing to a substantial paradigm shift on the utilization of oral health preventive services. This review of the economic impact of oral health preventive services on the consumer and the private dental practice suggests that these services have had a significant impact. Dentistry's challenge remains to extend these considerable gains in oral health status to the 150 million U.S. citizens who do not have access to oral health care services identified in the 2000 Oral Health in America: A Report of the Surgeon General. Utilizing preventive, therapeutic, and educational aspects of dental hygiene services, reaching communities without fluoridation of the public water supply, and incorporating mass pediatric dental sealant programs analogous to immunization programs would improve the oral health status of underserved populations.

  7. The demand for preventive and restorative dental services.

    Science.gov (United States)

    Meyerhoefer, Chad D; Zuvekas, Samuel H; Manski, Richard

    2014-01-01

    Chronic tooth decay is the most common chronic condition in the United States among children ages 5-17 and also affects a large percentage of adults. Oral health conditions are preventable, but less than half of the US population uses dental services annually. We seek to examine the extent to which limited dental coverage and high out-of-pocket costs reduce dental service use by the nonelderly privately insured and uninsured. Using data from the 2001-2006 Medical Expenditure Panel Survey and an American Dental Association survey of dental procedure prices, we jointly estimate the probability of using preventive and both basic and major restorative services through a correlated random effects specification that controls for endogeneity. We found that dental coverage increased the probability of preventive care use by 19% and the use of restorative services 11% to 16%. Both conditional and unconditional on dental coverage, the use of dental services was not sensitive to out-of-pocket costs. We conclude that dental coverage is an important determinant of preventive dental service use, but other nonprice factors related to consumer preferences, especially education, are equal if not stronger determinants. Copyright © 2013 John Wiley & Sons, Ltd.

  8. The use of dental services for children: implications of the 2010 dental reform in Israel.

    Science.gov (United States)

    Shahrabani, Shosh; Benzion, Uri; Machnes, Yaffa; Gal, Assaf

    2015-02-01

    Routine dental examinations for children are important for early diagnosis and treatment of dental problems. The level of dental morbidity among Israeli children is higher than the global average. A July 2010 reform of Israel's National Health Insurance Law gradually offers free dental services for children up to age 12. The study examines the use of dental services for children and the factors affecting mothers' decision to take their children for routine checkups. In addition, the study examines the impact of the reform on dental checkups for children in various populations groups. A national representative sample comprising 618 mothers of children aged 5-18 was surveyed by telephone. The survey integrated the principles of the health beliefs model and socio-demographic characteristics. The results show that mothers' decision to take their children for dental checkups is affected by their socio-demographic status and by their health beliefs with respect to dental health. After the reform, the frequency of children's dental checkups significantly increased among vulnerable populations. Therefore, the reform has helped reduce gaps in Israeli society regarding children's dental health. Raising families' awareness of the reform and of the importance of dental health care together with expanding national distribution of approved dental clinics can increase the frequency of dental checkups among children in Israel.

  9. The Ukrainian Dental Market: Characteristics of Demand for Services in the Segment of Dental Implantation

    Directory of Open Access Journals (Sweden)

    Slipchenko Tetiana O.

    2017-05-01

    Full Text Available The article is aimed at analyzing the market for dental services in Ukraine in the implantology segment, studying the demand factors for these services and developing a system of measures to manage the demand for dental implantation services. It has been proven that the market for dental services according to a complex of its attributes is more in line with the type of market of monopolistic competition. One of the promising ways of developing the dental market is to transform producers of dental services into the vertically integrated holdings. As one of the specific features of the dental services market is allocated the asymmetry of information, which leads to a conflict between the medical and economic interests of dentists. The price and non-price factors of demand for dental implantation services were determined, the prime cost structure of a dental service was analyzed. The characteristic attributes of a medical service have been defined as consistently defined actions or a complex of actions by medical personnel aimed at prevention, diagnosis, treatment, and rehabilitation, which have a self-contained complete meaning and a certain price.

  10. Assessing the need for anesthesia and sedation services in Kuwaiti dental practice.

    Science.gov (United States)

    Abdulwahab, Mohammad; Al-Sayegh, Fatima; Boynes, Sean G; Abdulwahab, Hawra; Zovko, Jayme; Close, John

    2010-01-01

    The objective of this study was to examine the public health relevance of the prevalence of dental fear in Kuwait and the resultant barrier that it creates regarding access to dental care. The study analysis demonstrated a high prevalence of dental fear and anxiety in the Kuwaiti population and a perceived need for anesthesia services by dental care providers. The telephone survey of the general population showed nearly 35% of respondents reported being somewhat nervous, very nervous, or terrified about going to the dentist. In addition, about 36% of the population postponed their dental treatment because of fear. Respondents showed a preference to receive sedation and anesthesia services as a means of anxiety relief, and they were willing to go to the dentist more often when such services were available. People with high fear and anxiety preferred to receive some type of medication to relieve their anxiety. In conclusion, the significance and importance of the need for anesthesia services to enhance the public health of dental patients in Kuwait has been demonstrated, and improvements are needed in anesthesia and sedation training of Kuwaiti dental care providers.

  11. Qualitative assessment of the dental health services provided at a dental school in Kerman, Iran.

    Science.gov (United States)

    Rad, Maryam; Haghani, Jahangir; Shahravan, Arash; Khosravifar, Ali

    2009-01-01

    Increasing the quality of the services provided in a Dental School can raise the satisfaction level of patients and consequently increase the level of their oral health. This study was conducted to evaluate the quality of dental care and services provided to patients referred to a Dental School in Kerman, Iran. In this qualitative study, face-to-face, in-depth interviews were conducted with 41 participants [25 patients (P), 5 nurses (N), 6 dental academic staff (AS), and 5 dental students (S)]. Then, the interviews were transcribed and analyzed, using content analysis of data. Data analysis in qualitative research involves breaking down the data and searching for codes and categories that are then reassembled to form themes. Both positive and negative themes emerged. Positive themes included: good infection control, service accessibility, patient appointments and visits were not assigned on merit, precise examinations, and comprehensive treatment plans. Negative themes included: long wait time, lack of options to pass waiting time, such as newspapers and television, an insufficient number of nurses, and not enough professors for supervision. In addition, the results of this study show that the patients and dental staff have high expectations in relation to dental services, and that implementation of these expectations would increase the overall satisfaction with and the quality of the level of services. Finally, some recommendations for improving services in the Kerman Dental School were given to the managing team of the Dental School.

  12. Dental insurance and dental service use by U.S. women of childbearing age.

    Science.gov (United States)

    Kaylor, Mary Beth; Polivka, Barbara J; Chaudry, Rosemary; Salsberry, Pamela; Wee, Alvin G

    2011-01-01

    Oral health has a significant effect on health, and for women, poor oral health can lead to poor birth outcomes and can affect their child's health. Nursing interventions to improve the oral health of at-risk women have the potential to increase maternal and child systemic and oral health. The identification of women at a high risk for poor oral health is a necessary to develop and evaluate these interventions. This study examined the factors related to dental insurance and dental service use for women of childbearing age in the United States. A secondary analysis of the 2003-2004 National Health and Nutrition Examination Survey was completed to examine the predisposing, enabling, and need variables associated with dental insurance status and dental service use in a representative random sample of 1,071 women. The results showed that over 40% of women had no dental insurance. Women with less education, lower income, and dental need were significantly less likely to have dental insurance. Dental utilization by the uninsured was low and a racial/ethnic disparity was noted. A lack of dental insurance and dental service utilization is a significant concern. Nurses working with low-income women should educate the population about oral health and advocate for policies to increase dental insurance coverage. © 2011 Wiley Periodicals, Inc.

  13. Increased Use of Dental Services by Children in Medicaid

    Data.gov (United States)

    U.S. Department of Health & Human Services — This report analyzes the use of dental services by children enrolled in Medicaid from federal fiscal years (FFY) 2000 to 2010. The number and percent of children...

  14. Increased Use of Dental Services by Children in Medicaid

    Data.gov (United States)

    U.S. Department of Health & Human Services — This report analyzes the use of dental services by children enrolled in Medicaid from federal fiscal years (FFY) 2000 to 2010. The number and percent of children...

  15. Public Foundations of Service Design

    DEFF Research Database (Denmark)

    Junginger, Sabine

    2012-01-01

    , where services do not affect a select target market but thousands, if not millions of people. This chapter looks into the role and challenges of the Australian Service Delivery Reform in re-envisioning the ways in which the Australian government goes about developing products and services for Australian......This chapter looks into the developments of service design in the public sector. It shows how Service Design emerged and continues to evolve in Australia, where the practices involving the design of services are deeply rooted in human-centred design principles and where these practices have begun...... to influence many areas of government, ranging from public management to social policies. For researchers of Service Design, the Australian efforts present an opportunity to situate the design of services theoretically and practically in an area, where the development of services is not an option but a mandate...

  16. Who uses independent dental services? Findings from a national survey.

    Science.gov (United States)

    McGrath, C; Moles, D; Bedi, R

    1999-10-01

    This study was designed to determine private dental services use in the UK and to determine if those who use an independent dental service attend more regularly, in addition to identifying factors associated with the use of private dental care. A random probability sample of 2668 addresses was selected from the British Postcode Address File (PAF) and 1865 adults aged 16 years or older took part in this study (70%). Respondents were interviewed in their homes about their use of dental services and socio-demographic information was collected. The data were analysed using the statistical package CHAID. A total of 23% (424) reported to be seen on a private basis the last time they visited the dentist. Of those, 54% (230) reported to have attended the dentist within the last six months compared to 46% (629) of those who used NHS services (P dental services.

  17. Public Values and Public Service Motivation

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh; Beck Jørgensen, Torben; Kjeldsen, Anne Mette

    2013-01-01

    The literatures on public values (PV) and public service motivation (PSM) both address whether public service delivery is driven by something more than self-interest. They have developed separately, although they can benefit from insights developed by the other, and this article discusses...... conceptual and empirical relationships between them. Based on a survey of 501 public managers, we find that PSM and PV are associated empirically, but not in a manner allowing total integration. The conceptual discussion reveals how the two concepts cannot be totally separated, as values can be motivating...... and motivation is often oriented toward something desirable (e.g., values). This suggests that neither total separation nor integration is a fruitful strategy. Given that the concepts are related, the literatures may benefit from more awareness of the conceptual overlaps and differences....

  18. Dental caries experience and use of dental services among Brazilian prisoners.

    Science.gov (United States)

    Cavalcanti, Alessandro Leite; Rodrigues, Iris Sant Anna Araujo; de Melo Silveira, Ingrid Thays; de Oliveira, Thaliny Batista Sarmento; de Almeida Pinto, Magaly Suenya; Xavier, Alidianne Fabia Cabral; de Castro, Ricardo Dias; Padilha, Wilton Wilney Nascimento

    2014-11-25

    This ross-sectional study involving 127 male prisoners evaluates the use of dental services and dental caries among Brazilian inmates. Data were collected by interview and clinical examination. Sociodemographic and sentencing information as well as use of dental services, self-reported dental morbidity, self-perception, and oral health impacts were investigated. The mean DMFT index value was 19.72. Of the components, the decayed component showed the highest mean value (11.06 ± 5.37). Statistically significant association was found between DMFTs with values from 22 to 32 and oral health satisfaction (p = 0.002), difficulty speaking (p = 0.024), shame of talking (p = 0.004) and smiling (p dental services, 80% had their last dental appointment less than one year ago, with most visits occurring in prison (80%), with restorative treatment (32%), followed by dental pain (26.4%), being the main reasons for such appointments. Most prisoners used dental services provided by the prison. Although restorative treatment has been the main reason for the use of dental services, "decayed" and "missing" components contributed to the high mean DMFT index.

  19. Projeto Bambuí: avaliação de serviços odontológicos privados, públicos e de sindicato Bambuí Project: an evaluation of private, public and unionized dental services

    Directory of Open Access Journals (Sweden)

    Divane Leite Matos

    2002-04-01

    inequality on dental health, it was assessed whether there are inequalities among those seeking dental care from private, public and unionized services. METHODS: The study population consisted of adults aged 18 years or more living in the city of Bambuí, Brazil. Participants were interviewed using a structured questionnaire. Data analysis was carried out using Pearson's chi-square test, odds ratio and 95% confidence intervals (Woolf's method. RESULTS: There were included 656 subjects who met the study's inclusion criteria. Adjusted results using multiple logistic regression showed that those using private services were more likely to be satisfied with their teeth's looks (OR=3.03; 95%CI =1.70-5.39 and chewing ability (OR=2.27; 95%CI=1.17-4.40 compared to those using public services. Also, they were less likely to perceive their need for dental treatment (OR=0.39; 95%CI=0.18-0.86 and were more likely to have had restorative (OR=9.57; 95%CI=4.72--19.43 and/or preventive (OR=5.57; 95%CI=2.31--13.40 treatment in their last visit to the dentist's. Those using unionized services were more likely to have had restorative (OR=8.51; 95%CI=2.80--25.92 and/or preventive treatment (OR=11.42; 95%CI=3.49--37.43 in their last visit to the dentist's when compared to those using public services. However, there were no differences regarding satisfaction with their teeth's looks, chewing ability, and perceived treatment needs. CONCLUSION: Public dental care services have not been able to reduce social inequalities related to oral health care.

  20. Models of Public Service Provision

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh; Kristensen, Nicolai; Pedersen, Lene Holm

    2013-01-01

    This article extends the framework of Le Grand (2003, 2010) to encompass responsiveness, and the main argument is that the combination of employee motivation, user capacity, and models of public service provision potentially has serious implications for responsiveness across service areas. Although...... research on employee motivation thrives, especially in the public service motivation (PSM) literature, few studies have investigated user capacity empirically, and we know little about the combination of PSM, user capacity and models of service provision. Analyzing four central service areas (day care......, schools, hospitals, and universities), we find variations in both user capacity and PSM. Taking this variation as a point of departure we discuss what implications different combinations of employee motivation, user capacity, and models of public service provision may have for responsiveness....

  1. Efficiency of mobile dental unit in public health programs

    Directory of Open Access Journals (Sweden)

    Nitin Gupta

    2016-07-01

    Full Text Available Almost all dental Colleges run a mobile dental operation for people living in far inaccessible areas who are not able to avail dental care. Mobile dental clinics provide a mode of reaching the unreached by delivering dental care in areas where alternative i.e. private practitioners and fixed clinics are unavailable or inaccessible. Oral diseases account for high morbidity in the community which is compounded by the gross mal-distribution of provision of oral health services in India. In order to ensure accessibility to basic oral health services innovative models of service delivery are being explored. In this context the health economics of mobile oral health care is critically evaluated in this paper. Thus a cost analysis was undertaken to determine the operating expenses for the existing mobile dental unit. Requisite permission of Head of institution was obtained and data was extracted from the records of the mobile dental unit for the year 2014-15.Information on the operating expenses was collected. Costing was done using step down accounting method. Total operating cost of the unit for the year 2014-15 was Rs. 184888/-.Unit cost for each camp was Rs.3625/- and for each patient Rs.76/-. Mobile dental programs can play a vital role in providing access to care to underserved populations and ensuring their mission requires long-term planning. Careful cost analysis based on sound assumptions is of utmost importance.

  2. Public Foundations of Service Design

    DEFF Research Database (Denmark)

    Junginger, Sabine

    2012-01-01

    This chapter looks into the developments of service design in the public sector. It shows how Service Design emerged and continues to evolve in Australia, where the practices involving the design of services are deeply rooted in human-centred design principles and where these practices have begun...... citizens and residents. It points to the need for Service Design to position itself in the public contexts of policy-making and policy implementation and to understand its role in contributing to social justice, social inclusion and social coherence....

  3. Service, Public Work, and Respectful Public Citizens

    Science.gov (United States)

    Youniss, James

    2011-01-01

    Encouragement of service as public work is one strategy higher education can use in fulfilling its civic mission to socialize society's future leaders. The diversity of American higher education includes large land grant state universities, small liberal arts colleges, religiously sponsored institutions, and local community colleges. This array…

  4. The service of public services performance measurement

    DEFF Research Database (Denmark)

    Lystbæk, Christian Tang

    2014-01-01

    Nowadays, states spend more attention, time and money on performance measurement and evaluation in the public sector than ever before (OECD, 1996; Power, 1997; van Thiel et al., 2002). Result-based management is the talk of the day at all levels of the public sector; at local, regional, national...... explosion” and “the audit society” to describe this development.  Some criticize this development. Thus, a number of critiques which suggest that public service performance measurement may in fact have no significant impact or even lead to negative effects on performance. Powers (1997, 2003) have argued...... middle- and upper-level officials, create massive paperwork, and produce major unintended effects.” Critics also argue that performance measures stifles innovation by rewarding conformity rather than risk-taking (fx. van Thiel et al., 2002). Thus, the scholarly discourse on public services performance...

  5. The service of public services performance measurement

    DEFF Research Database (Denmark)

    Lystbæk, Christian Tang

    2014-01-01

    that performance measurement serves as “rituals of verification” which promotes the interests of political masters and their mistresses rather than public service. Another area of concern is the cost of performance measurement. Hood & Peters (2004:278) note that performance measurement is likely to “distract...... the actual impact, the costs and unintended consequences associated with performance measurement. This paper identifies the main rationales and rationalities in the scholarly discourse on public services performance measurement. It concludes with some suggestions on how to deal with the many rationales......Nowadays, states spend more attention, time and money on performance measurement and evaluation in the public sector than ever before (OECD, 1996; Power, 1997; van Thiel et al., 2002). Result-based management is the talk of the day at all levels of the public sector; at local, regional, national...

  6. Demand for Dental Services in Shiraz, Iran, 2013.

    Science.gov (United States)

    Jahromi, Negin Nassaji; Jafari, Abdosaleh; Kavosi, Zahra; Shokrpour, Nasrin; Sajjadnia, Zahra; Ravangard, Ramin

    This cross-sectional and descriptive-analytic study aimed to estimate the demands for the use of dental services by Shirazi inhabitants in Iran from June 2013 to October 2013. Six hundred eighty subjects older than 18 years were selected from among the people living in Shiraz, using a multistage sampling method. The collected data were analyzed using SPSS 16.0 and Stata 11.0. The results showed that the factors affecting the number of referrals to the dental services centers and the use of these services included the age groups of 28 to 37 and 38 to 47 years, household expenses per month, and having supplementary health insurance coverage (P dental services and increase the probability of utilizing such services by people in need, the researchers recommend that the authorities should design and develop basic and supplementary health insurance plans to cover different types of dental services, allocate subsidies to dental health services, and increase the knowledge of all the people in different age groups about adherence to dental health principles and prevention of oral and dental diseases.

  7. Utilization of dental health care services in context of the HIV epidemic- a cross-sectional study of dental patients in the Sudan

    Directory of Open Access Journals (Sweden)

    Åstrøm Anne

    2009-11-01

    Full Text Available Abstract Background HIV infected patients should be expected in the Sudanese dental health care services with an increasing frequency. Dental care utilization in the context of the HIV epidemic is generally poorly understood. Focusing on Sudanese dental patients with reported unknown HIV status, this study assessed the extent to which Andersen's model in terms of predisposing (socio-demographics, enabling (knowledge, attitudes and perceived risk related to HIV and need related factors (oral health status predict dental care utilization. It was hypothesized that enabling factors would add to the explanation of dental care utilization beyond that of predisposing and need related factors. Methods Dental patients were recruited from Khartoum Dental Teaching Hospital (KDTH and University of Science and Technology (UST during March-July 2008. A total of 1262 patients (mean age 30.7, 56.5% females and 61% from KDTH were examined clinically (DMFT and participated in an interview. Results A total of 53.9% confirmed having attended a dental clinic for treatment at least once in the past 2 years. Logistic regression analysis revealed that predisposing factors; travelling inside Sudan (OR = 0.5 were associated with lower odds and females were associated with higher odds (OR = 2.0 for dental service utilization. Enabling factors; higher knowledge of HIV transmission (OR = 0.6 and higher HIV related experience (OR = 0.7 were associated with lower odds, whereas positive attitudes towards infected people and high perceived risk of contagion (OR = 1.3 were associated with higher odds for dental care utilization. Among need related factors dental caries experience was strongly associated with dental care utilization (OR = 4.8. Conclusion Disparity in the history of dental care utilization goes beyond socio-demographic position and need for dental care. Public awareness of HIV infection control and confidence on the competence of dentists should be improved to

  8. Le Contrat de service public.

    OpenAIRE

    2009-01-01

    La Banque de France est concernée par le développement et la compétitivité des territoires, par l’amélioration de l’accès et de la qualité des services offerts aux publics, thèmes au coeur du Contrat de service public conclu, depuis 2003, avec l’État.

  9. Public Goods and State Services

    Directory of Open Access Journals (Sweden)

    Ignatova T.V.

    2015-09-01

    Full Text Available The article argues that state services are classified into two groups depending on the level of market mechanism use: public services and private services. These services have different characteristics: individual choice of consumption, type and quality of goods, financing, institutional regulation, decision-making subject, external effects, opportunity of effects control. The mechanism of public state services regulation is based on the influence on formal institutes, while the mechanism of private state services regulation is based on informal institutes. Joint mechanism of both types of state services provision includes the procedures of standartization and regulatory activity implying the provision of services by “one stop” principle and minimization of consumer - agent contacts. The optimization of services rendering process and their quality improvement are ensured by administrative regulations which establish strict standards of public service provided by the bodies of executive power and subordinate organizations The means of institutional regulation allow inclusion of market elements but on the condition of state control that ensures stimulation of public institutes. During the process of market institutes initialization in the sphere of state services rendering to government bodies, it is necessary to consider their dependence on marginal profits of one or another institute. In the long-term prospect those institutes got a foothold in the market that strengthen and encompass marginal effect for all individuals under the growth of individuals who observe the rules and restrictions. The activities organized by these institutes deserve positive response on behalf of the majority of individuals and, therefore there is no need in enforcement and violence in order to keep rules and restrictions. In the sphere of state and municipal services we can find the example of services provided in the scope of free contraction, in particular the

  10. Inefficiencies in public environmental services

    NARCIS (Netherlands)

    de Jong, R.; Nentjes, A.; Wiersma, D.

    The paper discusses efficiency issues in the public provision of environmental services, in particular waste water treatment. It is shown that in the face of increasing, respectively decreasing returns to scale the zero profit constraint of a cost minimizing public firm induces underinvestment,

  11. Inefficiencies in public environmental services

    NARCIS (Netherlands)

    de Jong, R.; Nentjes, A.; Wiersma, D.

    2000-01-01

    The paper discusses efficiency issues in the public provision of environmental services, in particular waste water treatment. It is shown that in the face of increasing, respectively decreasing returns to scale the zero profit constraint of a cost minimizing public firm induces underinvestment, resp

  12. Is the negative evaluation of dental services among the Brazilian elderly population associated with the type of service?

    Science.gov (United States)

    Martins, Andréa Maria Eleutério de Barros Lima; Jardim, Lorena Amaral; Souza, João Gabriel Silva; Rodrigues, Carlos Alberto Quintão; Ferreira, Raquel Conceição; Pordeus, Isabela Almeida

    2014-01-01

    This study aimed at identifying the prevalence of the negative evaluation of dental services among elderly Brazilians and at investigating whether the prevalence was higher among those using public or philanthropic provider services than among those paying privately or using private health plans. Additionally, factors associated with this negative assessment were identified. Interview and survey data were collected in the residences of participants by trained and calibrated examiners as part of a national epidemiological survey of oral health conditions of the Brazilian population in 2002/2003. The dependent variable was obtained in response to questions regarding whether the participant had ever used dental services, the frequency of use, and the quality of this service. Potential responses to the questions regarding the quality of service were very poor or poor, fair, and good or very good. The main independent variable was the system of health care used with potential responses being health plan or private, public, and philanthropic services. We conducted univariate (linear tendency χ2 test) and multiple descriptive analyses, and the partial proportional Odds model for ordinal logistic regression. Among the elderly, 196 (3.7%) evaluated the provided services negatively (very poor or poor). Participants with the following responses were more likely to evaluate the services negatively: those who had used public or philanthropic services, men, those with higher education, the ones who had not received information about preventing dental problems, those who perceived pain in their teeth and gums in the last six months, and those who self-reported their oral health and speech was poor. In conclusion, elderly Brazilian users of public and philanthropic services were more likely than users of private or insurance-based plans to evaluate their dental services negatively, regardless of the other investigated variables.

  13. The necessity of accountability and ethics in Dental Service Organizations

    Directory of Open Access Journals (Sweden)

    Joseph Everett

    2015-01-01

    Full Text Available Dental Service Organizations (DSOs are an up-and-coming platform for dental treatment, and are quickly becoming a lucrative business. In light of this, a closer look must be taken at the ethical foundation of these organizations to ensure that the pursuit of profit does not outweigh the best interests of the patient.

  14. Contracting for Public Services

    DEFF Research Database (Denmark)

    Greve, Carsten

    strategic purchasing understanding markets communicating the contracting decision designing and drafting the contract the role of the consumer the regulation of service provision Illustrated throughout with practitioner case-studies from a range of OECD countries, this book presents an important new......Insightful and comprehensive and covering new subjects like globalization and IT, this text, international in its approach, provides a thorough introduction to the key phases of the contracting process and the skills required by managers in its implementation. These include: policy for contracting...

  15. The Spirit of Public Service

    DEFF Research Database (Denmark)

    Hassall Thomsen, Line Hassall; Willig, Ida

    on cultural production and news work. Through fieldwork and interviews with Danish and British reporters/editors from DR 1, TV 2, BBC 1 and ITV we identify three components of a strong public service spirit present in the journalist’s understanding of the self: mass audience orientation, democratic......Research on public service broadcasting tends to highlight norms and values at the strategic level. This paper explores ‘public service’ as an institutional logic guiding the everyday practice of journalists. The theoretical framework draws on Pierre Bourdieus’ field theory and recent works...... responsibility and unbiased reporting. These three components can be found in both British and Danish newsrooms suggesting a trans-national, institutional spirit of public service. At the same time, the three components are interpreted differently from newsroom to newsroom suggesting different practices...

  16. When public service drama travels

    DEFF Research Database (Denmark)

    Jensen, Pia Majbritt; Nielsen, Jakob Isak; Waade, Anne Marit

    2016-01-01

    This article provides a detailed analysis of how the Danish public service broadcaster DR employs external funding for its drama productions. This investigation is carried out in order to discuss the schisms involved when a public service broadcaster – whose traditional obligations arguably pertain...... the last 15 years, our empirical data also show significant new patterns in production culture and international market orientation within DR. Interestingly, however, our study demonstrates the distinctive contribution that precisely DR’s public service remit has made to the quality of its drama...... assessed on the basis of existing theory and expert interviews conducted with significant industry professionals at DR’s Drama Division, DR Sales, German public broadcaster ZDF’s commercial sales arm ZDF Enterprises, and independent Danish production companies Nimbus Film and Miso Film. Specific cases...

  17. 38 CFR 17.166 - Dental services for hospital or nursing home patients and domiciled members.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Dental services for... Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.166 Dental services for... domiciliary care pursuant to the provisions of §§ 17.46 and 17.47, will be furnished such dental services...

  18. Patterns of dental service utilization following nontraumatic dental condition visits to the emergency department in Wisconsin Medicaid.

    Science.gov (United States)

    Pajewski, Nicholas M; Okunseri, Christopher

    2014-01-01

    To examine patterns of dental service utilization for adult Medicaid enrollees in Wisconsin following nontraumatic dental condition (NTDC) visits to the emergency department (ED). This is a retrospective, observational study of claims for NTDC visits to the ED and dental service encounters from the Wisconsin Medicaid Evaluation and Decision Support database (2001-2009). We used competing risk models to predict probabilities of returning to the ED versus obtaining follow-up care from a dentist. We observed a 43 percent increase in the rate of NTDC visits to the ED, with most of this increase occurring from 2001 to 2005. Within 30 days of an NTDC visit to the ED, ∼29.6 percent of enrollees will first visit a dentist office, while ∼9.9 percent will return to the ED. Young to middle-aged adults (18 to dental providers were more likely to return to the ED following a NTDC visit. Among the enrollees that first visited a dental office following an ED visit, 37.6 percent had an extraction performed at this visit. Almost one in five adult Medicaid enrollees will subsequently return to the ED following a previous NTDC visit. The provision of definitive care for these individuals appears to primarily consist of extractions. © 2012 American Association of Public Health Dentistry.

  19. ECONOMIC STRATIFICATION AS A FACTOR IN THE AVAILABILITY OF DENTAL SERVICES

    Directory of Open Access Journals (Sweden)

    Kudinova Nadezhda Alekseevna

    2013-02-01

    Full Text Available Purpose to study the medical and social factors of availability of dental services among economic stratificated persons in the modern medical-demographic and socio-economic realities. Methodology historical, sociological, statistical. Results: Dental services as a sector of social production are highly cost. The state takes a large part of these expenditures. However, it is not possible to get high quality dental care (DC without the direct financial cost of patients. Author investigated the involvement of patients in the process of joint payment, developed a methodology for quantifying affordability (QA of DC for representatives of various segments of the population, based on a representative sample determined the total motivational area and the size of the values as a space in groups of dental patients, and the main factors that increase the QA DC. Practical implications public health and health care.

  20. ECONOMIC STRATIFICATION AS A FACTOR IN THE AVAILABILITY OF DENTAL SERVICES

    Directory of Open Access Journals (Sweden)

    Надежда Алексеевна Кудинова

    2013-04-01

    Full Text Available Purpose to study the medical and social factors of availability of dental services among economic stratificated persons in the modern medical-demographic and socio-economic realities.Methodology historical, sociological, statistical. Results: Dental services as a sector of social production are highly cost. The state takes a large part of these expenditures. However, it is not possible to get high quality dental care (DC without the direct financial cost of patients. Author investigated the involvement of patients in the process of joint payment, developed a methodology for quantifying affordability (QA of DC for representatives of various segments of the population, based on a representative sample determined the total motivational area and the size of the values as a space in groups of dental patients, and the main factors that increase the QA DC.Practical implications public health and health care.DOI: http://dx.doi.org/10.12731/2218-7405-2013-2-23

  1. From public mental health to community oral health: the impact of dental anxiety and fear on dental status.

    OpenAIRE

    Antonio eCrego; María eCarrillo; Jason Mathew Armfield; Martin eRomero

    2014-01-01

    Dental fear is a widely experienced problem. Through a 'vicious cycle dynamic', fear of dental treatment, lower use of dental services, and oral health diseases reinforce each other. Research on the antecedents of dental anxiety could help to break this cycle, providing useful knowledge to design effective community programs aimed at preventing dental fear and its oral health-related consequences. In this regard, frameworks that analyse the interplay between cognitive and psychosocial determi...

  2. From Public Mental Health to Community Oral Health: The Impact of Dental Anxiety and Fear on Dental Status

    OpenAIRE

    Crego, Antonio; Carrillo-Díaz, María; Armfield, Jason M.; Romero, Martín

    2014-01-01

    Dental fear is a widely experienced problem. Through a “vicious cycle dynamic,” fear of dental treatment, lower use of dental services, and oral health diseases reinforce each other. Research on the antecedents of dental anxiety could help to break this cycle, providing useful knowledge to design effective community programs aimed at preventing dental fear and its oral health-related consequences. In this regard, frameworks that analyze the interplay between cognitive and psychosocial determi...

  3. The association between smoking and chronic periodontitis in users of the public dental services, “Sistema Único de Saúde”, Cuiabá, Mato Grosso, Brazil

    Directory of Open Access Journals (Sweden)

    Alba Regina Silva Medeiros

    2009-12-01

    Full Text Available Objective: To assess the association between smoking and chronic periodontitis in users of the public dental services, “Sistema Único de Saúde”, Cuiabá, Mato Grosso, Brazil. Methods: One hundred patients who answered a questionnaire, were submitted to a full periodontal exam for classification according to the type, extent and severity of chronic periodontitis. In these interviews, information was collected about the use of tobacco. Association tests were carried out (RP, X2, Fisher’s exact test, ANOVA and the Student’s-t, Mann-Whitney and Kruskal-Wallis tests at a significance level of 5% and with confidence intervals of 95%. Results: The prevalence of chronic periodontitis, classified as Severe, was higher in men (42.4%; those classified as Moderate or Light were more common in women (60.7%. As regards the number of cigarettes smoked in their lifetimes, the patients with Severe Chronic Periodontitis had a higher average (4831.5 cigarettes package than the patients classified as Moderate or Light (1397.6 cigarettes package. After an adjustment to take into account all the variables, it was strongly maintained that the severity of periodontitis was associated with the length of the smoking, even more so than the effect of the quantity of cigarettes smoked per day in the whole lifetime. Conclusion: Smoking was seen to be associated with periodontal disease and the degree of severity and extent of chronic periodontitis were significantly associated with the duration of smoking.

  4. Perception of Dental Public Health Competency among recent graduates

    Science.gov (United States)

    Gaunkar, Ridhima B.; Basavarajappa, Puttaswamy; Raheel, Syed A.; Kujan, Omar B.

    2016-01-01

    Aims and Objectives: This study aimed to assess how competent the recent dental graduates perceive themselves to be in Dental Public Health. Materials and Methods: A 21-item structured, close-ended questionnaire study was carried out at the KLEVK Institute of Dental Sciences, Belgaum, India. Students assessed their competencies using a three-point ordinal scale. One hundred and thirty-three students were asked to rate their proficiency on a 21-item matrix of the dental public health program. The responses were grouped using the Likert-type scale. Frequencies descriptive data were generated, and statistical analysis of examined variables was carried out using the Chi-square test. Mann–Whitney test was conducted to identify the correlation between variables. Results: The overall mean score was 22.61 ± 10.94, highlighting confidence of the graduates in managing the oral health problems at the community level. Females showed higher competencies in functions related “to develop activities to motivate the community development,” “to motivate health and oral health through health education,” and “to motivate health and oral health through the creation of healthy settings.” While males reported greater competency for the function “to adjust the dental practice to situations of restrictions that limits it.” Conclusion: Recent dental graduates at the Institute perceived themselves competent in managing oral and dental health problems at the public level. Additional countrywide evidence regarding teaching and learning of public health dentistry is essential to compare the current experiences of dental graduates and ultimately enhance patient care. PMID:27652246

  5. The service of public services performance management

    DEFF Research Database (Denmark)

    Lystbæk, Christian Tang

    . Performance measures are rational tools, part of the rational panoply of effective management and organizational functioning. Their recommendation lies in their rationality. The literature suggests three main theoretical perspectives on the purpose of performance measurement of public services. One...... as compensating for the absence of effective competition in supply markets. Thus, according to this view, because dissatisfied service users are unable to go elsewhere and taxpayers cannot act like shareholders to keep in efficient providers in check, the role of performance measurement is to manage supply...... the existence of significant concern about the actual impact, the costs and unintended consequences associated with performance measurement.  Performance measurement and management have been part of the political agenda within the public sphere since their adoption in the post-Second World War period...

  6. When public service drama travels

    DEFF Research Database (Denmark)

    Jensen, Pia Majbritt; Waade, Anne Marit

    This paper will investigate how and to what extent the Danish public service broadcaster DR employs external funding for its drama productions. This investigation is carried out in order to discuss the schisms involved when a public service broadcaster – whose traditional obligations arguably...... such as canned programme export revenues, co-productions, pre-sale and format sale. We therefore believe it is relevant to explore how and to what extent DR makes use of external funding for its drama productions in order to discuss potential advantages and disadvantages in doing so for a public service...... pertain to the national sphere – becomes a player in the international market for television content and, as a consequence, partly reliant on international funding through either co-productions, canned programming export revenues, pre-sale or format sale. DR’s drama productions such as The Killing...

  7. The effectiveness of SMS Reminders and the impact of patient characteristics on missed appointments in a public dental outpatient clinic

    OpenAIRE

    Emilia Bellucci; Lasitha Dharmasena; Lemai Nguyen; Hanny Calache

    2017-01-01

    This paper reports on the Failure To Attend (FTA) rate of appointments as well as patients following the implementation of SMS reminders in a public dental outpatient service.  Given the ineffectiveness of the intervention and a highly representative patient’s profile, this paper identifies the demographic characteristics of patients who miss all of their appointments.  Data on appointment attendance, patient demographics and dental service type was collected over a time period of 46 consecut...

  8. Government Public Service Advertising Design

    Directory of Open Access Journals (Sweden)

    Agus Ganjar Runtiko

    2013-07-01

    Full Text Available Public service advertising is one of the government strategies to promote the development program. At the national level, the government prefers television as a medium for advertising. As for the local level, the government usually tend to choose lower-cost ads. In Banyumas, many public service announcements using outdoor media such as billboards, banners, or posters. Characteristics of outdoor media that promotes design in attracting the attention of an audience became a challenge for designers. On the other hand, the messages also require the space in public service announcements. This study wants to know about how the execution of the design of outdoor advertising services in the community in efforts to combine the design with a message to be delivered. The study, sought to examine aspects of the design using the composition interpretation methods and verbal composition of outdoor advertising with discourse analysis methods.This research concludes that the government public service announcements desain still needs to be improved according to the rules of visual communication design.

  9. Dental health behavior in a migrant perspective: use of dental services of Pakistani immigrants in Norway.

    Science.gov (United States)

    Selikowitz, H S; Holst, D

    1986-12-01

    The purpose of the present study was to assess the utilization pattern of dental services in a group of Pakistani immigrants in Norway. Use was related to sociodemographic characteristics, level of urbanization in Pakistan, knowledge and belief about dental diseases and evaluated and perceived dental health. A total of 160 immigrants were clinically examined and interviewed by a structured questionnaire. The effect change analysis was performed, and separate analyses were performed for men and women. Altogether 60% had visited the dentist during the last 3 yr. While 69% coming from the cities had been to the dentist in Norway, this was the case for only 38% of those from the villages of Pakistan. Pain was given as the main reason for dental visits, and the data indicated insufficient ability to perform self-assessment of own dental health. The independent variables could explain more of the variance in use of dental services among the Pakistani men (R2 = 40%) than among the women (R2 = 21%). While number of decayed teeth and level of urbanization were among the strongest predictors among the men, dental behavior in Pakistan and number of years in Norway were of importance among the women. The latter variable indicated that the women in terms of dental behavior had a higher degree of acculturation than the men, leading to a change in traditional health behavior.

  10. PUBLIC FINANCING OF HEALTHCARE SERVICES

    Directory of Open Access Journals (Sweden)

    Agnieszka Bem

    2013-10-01

    Full Text Available Healthcare in Poland is mainly financed by public sector entities, among them the National Health Fund (NFZ, state budget and local government budgets. The task of the National Health Fund, as the main payer in the system, is chiefly currently financing the services. The state budget plays a complementary role in the system, and finances selected groups of services, health insurance premiums and investments in healthcare infrastructure. The basic role of the local governments is to ensure access to the services, mostly by performing ownership functions towards healthcare institutions.

  11. Growth Trends in Dental Service Organizations.

    Science.gov (United States)

    2016-04-01

    There are a number of factors fueling the growth of large group practices managed by corporations across the U.S., including California. These evolving trends are shaping the dental profession and practice models in a variety of ways.

  12. No Previous Public Services Required

    Science.gov (United States)

    Taylor, Kelley R.

    2009-01-01

    In 2007, the Supreme Court heard a case that involved the question of whether a school district could be required to reimburse parents who unilaterally placed their child in private school when the child had not previously received special education and related services in a public institution ("Board of Education v. Tom F."). The…

  13. Algorithms and Public Service Media

    DEFF Research Database (Denmark)

    Sørensen, Jannick Kirk; Hutchinson, Jonathon

    2017-01-01

    When Public Service Media (PSM) organisations introduce algorithmic recommender systems to suggest media content to users, fundamental values of PSM are challenged. Beyond being confronted with ubiquitous computer ethics problems of causality and transparency, also the identity of PSM as curator...

  14. [Characteristics associated with the use of dental services by the adult Brazilian population].

    Science.gov (United States)

    Pinto, Rafaela da Silveira; Matos, Divane Leite; de Loyola Filho, Antônio Ignácio

    2012-02-01

    The scope of this study was to investigate the factors related to the use of dental services by Brazilian adults. Data were collected from 13,356 adults (35 to 44 years of age), participating in a nationwide epidemiological survey of oral health (SB-BRASIL 2003 Project). Data analysis was based on Poisson regression, which produced estimates of Prevalence Ratios as a measure of association. Data analysis showed that the use of dental services by adults was associated with: female gender, low education and income, living in the Northeastern and Southern regions and in small cities, complaints of toothache or gum pain, need for partial/total prosthesis, a greater amount of permanent teeth requiring treatment, demand for service due to some dental problems and evaluation of dental care received on a regular basis. These results showed that the population attended by the public service was socio-economically less privileged and had greater need for treatment. This situation reflects an historical abandonment of the adult population by the dental healthcare system in Brazil and poses a major challenge to the Unified Health Service, in light of its intended role to reduce inequalities and provide universal access to comprehensive care.

  15. Differences Among Older Adults In The Types Of Dental Services Used In The United States

    Science.gov (United States)

    Manski, Richard J.; Hyde, Jody Schimmel; Chen, Haiyan; Moeller, John F.

    2016-01-01

    Objective The purpose of this article is to explore differences in the socioeconomic, demographic characteristics of older adults in the United States with respect to their use of different types of dental care services. Methods The 2008 Health and Retirement Study (HRS) collected information about patterns of dental care use and oral health from individuals in the U.S. aged 55 years and older. We analyze these data and explore patterns of service use by key characteristics before modeling the relationship between service use type and those characteristics. Results The most commonly used service category was fillings, inlays or bonding, reported by 43.6 percent of those with any utilization. Just over one-third of those with any utilization reported a visit for a crown, implant or prosthesis, and one-quarter reported a gum treatment or tooth extraction. The strongest consistent predictors of use type are denture, dentate, and oral health status along with dental insurance coverage and wealth. Conclusions Our results provide insight into the need for public policies to address inequalities in access to dental services among an older US population. Our findings that showed lower income, less wealthy elderly with poor oral health are more likely to not use any dental services rather than using only preventive dental care, and that cost prevents most non-users who say they need dental care from going to the dentist, suggest a serious access problem and one that ultimately produces even worse oral health and expensive major procedures for this population in the future. PMID:27284127

  16. [Users satisfaction with dental care services provided at IMSS].

    Science.gov (United States)

    Landa-Mora, Flora Evelia; Francisco-Méndez, Gustavo; Muñoz-Rodríguez, Mario

    2007-01-01

    To determine users' satisfaction with dental care services provided at Instituto Mexicano del Seguro Social in Veracruz. An epidemiological survey was conducted in 14 family medicine clinics located in the northern part of the state of Veracruz. The clinics were selected by stratified-random sampling. All users older than 20 years seeking medical or dental care services were interviewed; previously, their informed consent was obtained. We used the 6-items United Kingdom dental care satisfaction questionnaire (Spanish version) where question number four evaluates user satisfaction. From October to December 2005, 3601 users were interviewed. We excluded 279 questionnaires because the age of the interviewees was <20 years. The final analysis included 3322 interviews (92%); 73% were female with an average age of 45 +/- 16 years old. 82% were satisfied with dental care services and 91% never felt like making a complaint. Waiting time of less than 30 minutes and last visit to the dentist in the last year were the only variables related to satisfaction (p = 0.0001). There is a high level of satisfaction regarding dental care services among Mexican Institute of Social Security users. However, it would be possible to increase the level of satisfaction if the waiting time is reduced and the number of dental care users attending twice a year increases.

  17. Use of radiography in public dental care for children and adolescents in northern Sweden

    DEFF Research Database (Denmark)

    Falk Kieri, Catarina; Twetman, Svante; Stecksén-Blicks, Christina

    2009-01-01

    -oral radiographs with a mean number of 19+/-4 exposures. There was a statistically significant difference (pgender-related differences were displayed. During preschool ages, bitewing radiographs were taken in less than 10......The primary aims were to investigate the total number of radiographs and the reason for dental radiography in children and adolescents in the Public Dental Health Service. Secondary aims were to study the influence of caries experience and orthodontic treatment on the number of radiographs....... For this retrospective study, 544 adolescents regularly attending three Public Dental Health clinics in the county of Västerbotten, northern Sweden were selected. The number of radiographs exposed each year from 3 to 19 years of age was registered. Information on reason for the radiographic examination was extracted...

  18. Dental service mix among older adults aged 65 and over, United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Cohen, Leonard A; Brown, Erwin; Carper, Kelly V; Vargas, Clemencia; Macek, Mark D

    2014-01-01

    The oral health of older Americans will assume increasing importance because of their increasing numbers and the evolving connections between oral health and general health. To establish a baseline and provide data for oral health workforce models, this report describes the types of dental procedures received by US adults 65 years and older in 2009 and looks at trends since 1999. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Survey. The primary outcome variable represented the types of dental procedures that were received during a dental visit in the preceding year. Descriptive variables included dental insurance and poverty status. Analysis was restricted to adults aged 65 and over. In 2009, diagnostic and preventive procedures accounted for almost three-quarters of all services. Compared with services received by those with private insurance, there were significantly fewer diagnostic and endodontic procedures among those with public coverage. Between 1999 and 2009, the proportion of preventive services significantly increased, whereas the proportion of restorative and endodontic services significantly decreased. Also, the likelihood of receiving preventive procedures increased, whereas the probability of receiving restorative or endodontic services decreased. Findings point to a shift in the mix of dental services received by older adults during the two periods. The predominance of diagnostic and preventive procedures has important access and workforce implications. An expanded role for dental hygienists in helping to meet the oral health needs of older adults is possible given a hygienist's current scope of practice. Published 2014. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.

  19. Dental service mix among working-age adults in the United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Macek, Mark D; Brown, Erwin; Carper, Kelly V; Cohen, Leonard A; Vargas, Clemencia

    2014-01-01

    In the United States, health-care costs are increasing while state and federal budgets contract. In order to establish a baseline and provide data for alternative oral health workforce models, this report describes the types of dental procedures received by US working-age adults in 2009 and looks at trends since 1999. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Surveys. The primary outcome variable represented the types of dental procedures undergone during a dental visit in the preceding year. Descriptive variables included dental insurance coverage and income. Analysis was restricted to adults aged 21-64 years. In 2009, diagnostic and preventive procedures accounted for >75 percent of all dental services received by working-age adults. Those with public insurance and those who were uninsured, as well as those with lower income, were less likely to receive these services than their peers. Between 1999 and 2009, small but statistically significant increases in the proportion of preventive and diagnostic procedures received occurred in the nation. The likelihood that a preventive service would be received during a visit also increased during this period, while the probability that a restorative procedure would be undergone went down. Preventive-type procedures represented the vast majority of dental services received by working-age adults in 2009. Between 1999 and 2009, receipt of preventive-type procedures generally increased while receipt of surgical-type procedures decreased. These findings emphasize the health-promoting role of the dental team and provide a baseline for the measurement of future trends. Published 2013. This article has been contributed to by U.S. Government employees and their work is in the public domain in the US.

  20. Heavy consumption of dental services; a longitudinal cohort study among Finnish adults.

    Science.gov (United States)

    Nihtilä, Annamari; Widström, Eeva; Elonheimo, Outi

    2013-04-24

    A reform to Dental Care legislation in 2002 abolished age limits restricting adults' use of public dental services in Finland. In the Public Dental Service (PDS) unit of Espoo, the proportion of adult patients rose from 36% to 57%. The aim of this study was to investigate heavy use of dental services by adults and its determinants. A longitudinal cohort study was undertaken based on a PDS patient register. Of all adults who attended the PDS in Espoo in 2004, those who had six or more visits (n=3,173) were assigned to the heavy user group and a comparison group of low users (n=22,820) had three or fewer dental visits. A sample of 320 patients was randomly selected from each group. Baseline information (year 2004) on age, sex, number and type of visit, oral health status and treatment provided was collected from treatment records. Each group was followed-up for five years and information on the number and types of visit was recorded for each year from 2005 to 2009. Most heavy users (61.6%) became low users and only 11.2% remained chronic heavy users. Most low users (91.0%) remained low users. For heavy users, the mean number of dental visits per year (3.0) during the follow-up period was significantly lower than initially in 2004 (8.3) (pdental services. Treatment planning was inadequate, probably partly due to the many dentists involved and too many patients requesting care. Better local management and continuous education are needed to ensure good quality adult dental care and to reduce heavy consumption.

  1. Utilization of Preventive Dental Services Before and After Health Insurance Covered Dental Scaling in Korea.

    Science.gov (United States)

    Jang, Young-Eun; Kim, Chun-Bae; Kim, Nam-Hee

    2017-01-01

    Health insurance reduces the economic burden of diseases and enhances access to medical services. This study compared, among social classes, the utilization of preventive dental service before and after health insurance covered dental scaling. We analyzed time-series secondary data for 3  175  584 participants from 253 survey areas nationwide in the Community Health Survey (2009-2014) in Korea. The weighted proportion of participants who underwent dental scaling was defined as the scaling rate. Data regarding demographic and socioeconomic characteristics were collected. Scaling rates continuously increased over the 6-year period, particularly in 2014. College graduates had significantly higher scaling rates. Monthly income and scaling rate were positively related. Differences by education decreased over time. Differences by income were particularly high between 2012 and 2014. For women, the temporal rate was 2 times higher for professionals than for the unemployed. Despite increased dental scaling rates since the health coverage change in 2013, socioeconomic differences persist.

  2. Public Service Motivation and Paternalism

    DEFF Research Database (Denmark)

    Holm Pedersen, Lene; Qvistgaard, Lars

    holds a potential to improve public service provision (Belle, 2013, Andersen et al., 2014), it also has dark sides (Van Loon et al., 2015, forthcoming). The aim of this paper is to analyze and discuss how one type of public service motivated individuals (paternalistic knights) and constitute a problem...... of democratic accountability. The setting of this discussion is unusual for the PSM literature, and takes PSM into the analysis and discussion of motivation and paternalism in trade unions. This setting is relevant and interesting as the election of representatives is based on elections, and hence trade unions...... are democratic organizations, but they are also organizations which frequently are critiqued for paternalism. More specifically the research question is how the motivation of the elected representatives is associated to their paternalistic orientation in negotiations on performance pay? The central independent...

  3. [Factors associated with oral health habits and use of dental services by adolescents].

    Science.gov (United States)

    Davoglio, Rosane Silvia; Aerts, Denise Rangel Ganzo de Castro; Abegg, Claídes; Freddo, Silvia Letícia; Monteiro, Lisiane

    2009-03-01

    This was a cross-sectional study of 1,170 seventh-grade adolescents from the municipal public school system in Gravataí, Rio Grande do Sul State, Brazil, investigating the association between socio-demographic, psychosocial, and lifestyle factors and oral health habits and use of dental services. Data were analyzed by Cox regression, modified for cross-sectional studies. Females showed higher frequency of brushing, as did adolescents that reported not feeling alone or discriminated. Daily flossing was associated with higher socioeconomic status (SES), use of private dental services, parental understanding, and lack of feeling of loneliness. Frequency of annual dental visits was higher among individuals with higher SES. Preventive dental checkups were more frequent among individuals with higher SES, those who felt understood by their parents, and those who did not habitually eat candy. Oral health habits were associated with family SES and psychosocial factors except for frequency of annual dental visits. As for lifestyle, low candy consumption had a positive impact on reasons for use of dental appointments.

  4. Service-learning’s Impact on Dental Students’ Attitude toward Community Service

    Science.gov (United States)

    Coe, J. M.; Best, A. M.; Warren, J. J.; McQuistan, M. R.; Kolker, J. L.; Isringhausen, K. T.

    2014-01-01

    Introduction This study evaluated service-learning program’s impact on senior dental students’ attitude toward community service at Virginia Commonwealth University (VCU) School of Dentistry. Experience gained through service-learning in dental school may positively impact dental students’ attitude toward community service that will eventually lead into providing care to the underserved. Materials and methods Two surveys (pre and post-test) were administered to 105 senior dental students. For the first survey (post-test), seventy six students out of 105 responded and reported their attitude toward community service immediately after the service-learning program completion. Three weeks later, fifty six students out of the 76 responded to the second survey (retrospective pre-test) and reported their recalled attitude prior to the program retrospectively. Results A repeated-measure mixed-model analysis indicated that overall there was improvement between pre-test and post-test. Scales of connectedness, normative helping behavior, benefits1, career benefits, and intention showed a significant pre-test and post-test difference. An association between attitude toward community service and student characteristics such as age, gender, ethnicity, and volunteer activity was also examined. Only ethnicity showed an overall significant difference. White dental students appear to have a differing perception of the costs of community service. Conclusions The service-learning program at VCU School of Dentistry has positively impacted senior dental students’ attitude toward community service. PMID:25142286

  5. Service-learning's impact on dental students' attitude towards community service.

    Science.gov (United States)

    Coe, J M; Best, A M; Warren, J J; McQuistan, M R; Kolker, J L; Isringhausen, K T

    2015-08-01

    This study evaluated service-learning programme's impact on senior dental students' attitude towards community service at Virginia Commonwealth University (VCU) School of Dentistry. Experience gained through service-learning in dental school may positively impact dental students' attitude towards community service that will eventually lead into providing care to the underserved. Two surveys (pre- and post-test) were administered to 105 senior dental students. For the first survey (post-test), seventy-six students of 105 responded and reported their attitude towards community service immediately after the service-learning programme completion. Three weeks later, 56 students of the 76 responded to the second survey (retrospective pre-test) and reported their recalled attitude prior to the programme retrospectively. A repeated-measure mixed-model analysis indicated that overall there was improvement between pre-test and post-test. Scales of connectedness, normative helping behaviour, benefits, career benefits and intention showed a significant pre-test and post-test difference. An association between attitude towards community service and student characteristics such as age, gender, ethnicity and volunteer activity was also examined. Only ethnicity showed an overall significant difference. White dental students appear to have a differing perception of the costs of community service. The service-learning programme at VCU School of Dentistry has positively impacted senior dental students' attitude towards community service. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  6. Improving utilisation of dental services by understanding cultural difference.

    Science.gov (United States)

    Johnston, J A

    1993-10-01

    There is considerable health and medical research and anecdotal evidence showing that members of different cultural groups and people from lower socio-economic status and/or disadvantaged ethnic minority groups are prone to increased morbidity and early mortality. It is also clear that similar patterns are found in terms of dental health status and dental health morbidity. New Zealand data from the Second International Collaborative Study (ICSII) clearly illustrate that poorer health status overall and poorer dental health status are experienced by certain sections and groups within the population. Data from these studies suggest that members of lower socio-economic status groups, different ethnic groups and those with different cultural affiliations experience different health status and use the health services at differential rates. Some of the factors that appear to influence this are clearly related to cultural beliefs and attitudes. Future efforts by the New Zealand health services and in particular by the New Zealand dental health services to redress the situation need to be based on a clear understanding of the many factors that limit the availability and uptake of preventive and dental health care services by high risk groups. Understanding cultural difference is a key requirement.

  7. A national analysis of dental waiting lists and point-in-time geographic access to subsidised dental care: can geographic access be improved by offering public dental care through private dental clinics?

    Science.gov (United States)

    Dudko, Yevgeni; Kruger, Estie; Tennant, Marc

    2017-01-01

    Australia is one of the least densely populated countries in the world, with a population concentrated on or around coastal areas. Up to 33% of the Australian population are likely to have untreated dental decay, while people with inadequate dentition (fewer than 21 teeth) account for up to 34% of Australian adults. Historically, inadequate access to public dental care has resulted in long waiting lists, received much media coverage and been the subject of a new federal and state initiative. The objective of this research was to gauge the potential for reducing the national dental waiting list through geographical advantage, which could arise from subcontracting the delivery of subsidised dental care to the existing network of private dental clinics across Australia. Eligible population data were collected from the Australian Bureau of Statistics website. Waiting list data from across Australia were collected from publicly available sources and confirmed through direct communication with each individual state or territory dental health body. Quantum geographic information system software was used to map distribution of the eligible population across Australia by statistical area, and to plot locations of government and private dental clinics. Catchment areas of 5 km for metropolitan clinics and 5 km and 50 km for rural clinics were defined. The number of people on the waiting list and those eligible for subsidised dental care covered by each of the catchment areas was calculated. Percentage of the eligible population and those on the waiting list that could benefit from the potential improvement in geographic access was ascertained for metropolitan and rural residents. Fifty three percent of people on the waiting list resided within metropolitan areas. Rural and remote residents made up 47% of the population waiting to receive care. The utilisation of both government and private dental clinics for the delivery of subsidised dental care to the eligible population

  8. [Gerodontology--a challenge also for public health services].

    Science.gov (United States)

    Nitschke, I; Reiber, T

    2007-10-01

    The dental services of the public health service (OGD) should not confine themselves to dental screening in kindergartens and schools but also turn their attention to the advancement of oral health in the special risk groups of the senior citizens. Although government resources are limited, new capacities could be gained by restructuring. Is it really prudent, in a lifetime perspective, for the OGD to solely focus on the oral health of youths while oral neglect in long-term care carries on unabated? A stronger support by the OGD of gerodontology should be instituted on its boards, publicised in health reports, and implemented in supervisory bodies for quality management of the long-term care facilities. An endorsement of the structures of long-term care insurance and training facilities would be desirable. The OGD could assist the fitter seniors through specific education to participate in dental prevention programmes and motivate physicians to inspect the oral cavity. Furthermore, recommendations regarding the structuring of geriatric dental care by the OGD would be helpful. The OGD is a vital partner to gerodontology. Therefore, further projects should be conducted in cooperation with dental organisations.

  9. The Motivational Bases of Public Service.

    Science.gov (United States)

    Perry, James L.; Wise, Lois Recascino

    1990-01-01

    Suggests that, although a crisis in government service is widely recognized, understanding the motives of public servants and the way to stimulate public service motivation are at a preliminary stage. (Author)

  10. Effects of Physician-Based Preventive Oral Health Services on Dental Caries.

    Science.gov (United States)

    Kranz, Ashley M; Preisser, John S; Rozier, R Gary

    2015-07-01

    Most Medicaid programs reimburse nondental providers for preventive dental services. We estimate the impact of comprehensive preventive oral health services (POHS) on dental caries among kindergarten students, hypothesizing improved oral health among students with medical visits with POHS. We conducted a retrospective study in 29,173 kindergarten students by linking Medicaid claims (1999-2006) with public health surveillance data (2005-2006). Zero-inflated regression models estimated the association between number of visits with POHS and (1) decayed, missing, and filled primary teeth (dmft) and (2) untreated decayed teeth while adjusting for confounding. Kindergarten students with ≥4 POHS visits averaged an adjusted 1.82 dmft (95% confidence interval: 1.55 to 2.09), which was significantly less than students with 0 visits (2.21 dmft; 95% confidence interval: 2.16 to 2.25). The mean number of untreated decayed teeth was not reduced for students with ≥4 POHS visits compared with those with 0 visits. POHS provided by nondental providers in medical settings were associated with a reduction in caries experience in young children but were not associated with improvement in subsequent use of treatment services in dental settings. Efforts to promote oral health in medical settings should continue. Strategies to promote physician-dentist collaborations are needed to improve continuity of care for children receiving dental services in medical settings. Copyright © 2015 by the American Academy of Pediatrics.

  11. Changes in employers' image of ideal dentists and managers in the Swedish public dental sector.

    Science.gov (United States)

    Franzén, Cecilia; Söderfeldt, Björn

    2002-10-01

    Earlier studies have shown that employers are keen to have employees whose attitudinal and behavioral traits are consistent with the employers' ideology. One way of ascertaining the image of ideal individuals is to analyze the required qualifications in job advertisements. The aim of this study was to explore possible changes in the employers' view of the ideal manager and dentist in the Swedish Public Dental Health Service (PDHS). The study investigated the kinds and frequencies of manifestly required qualifications concerning vacancies in the PDHS from January 1990 to December 1998. All job advertisements intended for dentists and managers on different hierarchical levels in general dentistry were included (n = 1152); 5705 qualification demands were analyzed by content analysis permitting quantitative descriptions of the textual material as well as an analysis of the underlying characteristics over time. The study indicates that, for dentists, dental professional qualifications or qualifications in accordance with the official objective of dental care were insufficient. While requests for qualifications relating to the economic organizational goals of the PDHS increased during the latter part of the period under study, requests relating to the dental profession decreased. For managers, too, the demands for dental professional qualifications had decreased at the end of the studied period compared to the demands for managerial qualifications and non-professional qualifications, which had increased. In conclusion, the job advertisement portrays the ideal dentist and manager primarily as an economic organizational asset.

  12. The dental public health implications of cosmetic dentistry: a scoping review of the literature.

    Science.gov (United States)

    Doughty, J; Lala, R; Marshman, Z

    2016-09-01

    The popularity of cosmetic surgery has seen a rapid increase recently, with the trend mirrored in dentistry. The Department of Health expressed concerns about the potential for biological and psychosocial harm of these cosmetic procedures. Furthermore, the dental public health implications (DPH) of the growing uptake of cosmetic dental procedures have not been explored. Conduct a scoping review to explore the DPH implications of cosmetic dentistry and identify gaps for future research. A fivestage scoping review was conducted of studies identified using the search terms cosmetic AND dentistry. Data from the studies meeting the inclusion criteria were extracted, collated and summarised into themes. Fifty-seven papers met the inclusion criteria (11 cross-sectional studies, 10 literature reviews and 36 opinion pieces). The DPH implications were summarised into five emergent themes: dento-legal and ethical, marketing, psychosocial, biological and workforce. These themes revealed patients' increased expectations, expanding commercialisation of the profession, psychological risks to vulnerable patients, the iatrogenic consequences of invasive cosmetic dental procedures and workforce implications of the current trends. The scoping review found that existing literature on cosmetic dentistry is predominately anecdotal - professional opinions and discussions. Despite this, our findings demonstrated workforce training and governance implications due to increased demand for cosmetic dentistry. Further empirical research is needed to understand the DPH implications of the increasing demand and uptake of cosmetic dental procedures to guide evidence-based policy to safeguard patients and improve the quality of dental services.

  13. Responsibility loadings for dental services by general dentists

    Directory of Open Access Journals (Sweden)

    Spencer A John

    2010-06-01

    Full Text Available Abstract Background Responsibility loadings determine relative value units of dental services that translate services into a common scale of work effort. The aims of this paper were to elicit responsibility loadings for a subset of dental services and to relate responsibility loadings to ratings of importance of the components of responsibility. Methods Responsibility loadings and ratings of components of responsibility were collected using mailed questionnaires from a random sample of Australian private general practice dentists in 2007 (response rate = 77%. Results Median responsibility loadings were 1.25 for an initial oral examination and for a 3+-surface amalgam restoration, 1.50 for a simple extraction and for root canal obturation (single canal, and 1.75 for subgingival curettage (per quadrant. Across the five services coefficients from a multivariate logit model showed that ratings of importance of knowledge (0.34, dexterity (0.24, physical effort (0.28 and mental effort (0.48 were associated with responsibility loadings (P Conclusions The elicited median responsibility loadings showed agreement with previous estimates indicating convergent validity. Components of responsibility were associated with loadings indicating that components can explain and predict responsibility aspects of dental service provision.

  14. Patient satisfaction with the dental services offered by a dental Hospital in India

    Directory of Open Access Journals (Sweden)

    N Nagappan

    2014-01-01

    Full Text Available Introduction: A major component of quality of health care is patient satisfaction. Patient satisfaction is multifaceted and a very challenging outcome to define. Patient expectations of care and attitudes greatly contribute to the satisfaction; other psychosocial factors, including facilities and treatments services are also known to contribute to patient satisfaction scores. Aim: To measure patient satisfaction about facilities, services and treatments offered by a dental hospital in India. Materials and Methods: Self administrated questionnaire was distributed to outpatients reporting to the dental hospital for treatment. The questionnaire consisted of 30 items that included information about personal data of the patients and their satisfaction with the facilities, services and treatment received in the hospital. Results: About 89.9% of patients felt that the cost of dental hygiene services were reasonable, 57.6% of patients felt that drinking water facilities were enough in the hospital, 31.9% of patients felt that they have problem with scheduling appointments, 86% of patients felt that they had problem in contacting student dentist. Conclusion: The majority of the patients were satisfied with the facilities, services and treatment received at hospital except for facilities such as water supply and scheduling appointments with patient convenience.

  15. Measuring quality of dental care: Caries prevention services for children.

    Science.gov (United States)

    Herndon, Jill Boylston; Tomar, Scott L; Catalanotto, Frank A; Rudner, Nancy; Huang, I-Chan; Aravamudhan, Krishna; Shenkman, Elizabeth A; Crall, James J

    2015-08-01

    The authors conducted a study to validate the following 3 evidence-based, process-of-care quality measures focused on dental caries prevention for children with an elevated risk of experiencing caries: sealants for 6- to 9-year-olds, sealants for 10- to 14-year-olds, and topical fluoride. Using evidence-based guidelines, the Dental Quality Alliance developed measures for implementation with administrative data at the plan and program levels. To validate the measures, the authors used data from the Florida and Texas Medicaid programs and Children's Health Insurance Programs and from national commercial dental benefit plans. Data were extracted from 414 randomly selected dental office records to validate the use of administrative data to accurately calculate the measures. The authors also assessed statistically significant variations in overall measure performance. Agreement between administrative data and dental records was 95% for sealants (κ = 0.82) and 90% for topical fluoride (κ = 0.78). Sensitivity and specificity were 90.7% and 88.5% for topical fluoride and 77.8% and 98.8% for sealants, respectively. Variation in overall measure performance was greatest for topical fluoride (χ(2) = 5,887.1; P caries received at least 2 topical fluoride applications during the reporting year. Although there was greater variation in performance for sealants for 6- to 9-year-olds (range, 21.0-31.3%; χ(2) = 548.6; P caries prevention process-of-care quality measures can be implemented feasibly and validly using administrative claims data. The measures can be used to assess, monitor, and improve the proportion of children with an elevated risk of experiencing dental caries who receive evidence-based caries prevention services. Copyright © 2015 American Dental Association. Published by Elsevier Inc. All rights reserved.

  16. Strategic management of Public Hospitals' medical services.

    Science.gov (United States)

    Hao, Aimin; Yi, Tao; Li, Xia; Wei, Lei; Huang, Pei; Xu, Xinzhou; Yi, Lihua

    2016-01-01

    Purpose: The quality of medical services provided by competing public hospitals is the primary consideration of the public in determining the selection of a specific hospital for treatment. The main objective of strategic planning is to improve the quality of public hospital medical services. This paper provides an introduction to the history, significance, principles and practices of public hospital medical service strategy, as well as advancing the opinion that public hospital service strategy must not merely aim to produce but actually result in the highest possible level of quality, convenience, efficiency and patient satisfaction.

  17. The Effect of Teaching Experience on Service-Learning Beliefs of Dental Hygiene Educators

    Science.gov (United States)

    Burch, Sharlee Shirley

    2013-01-01

    The purpose of this non-experimental causal-comparative study was to determine if service-learning teaching experience affects dental hygiene faculty perceptions of service-learning benefits and barriers in the United States. Dental hygiene educators from entry-level dental hygiene education programs in the United States completed the Web-based…

  18. The Effect of Teaching Experience on Service-Learning Beliefs of Dental Hygiene Educators

    Science.gov (United States)

    Burch, Sharlee Shirley

    2013-01-01

    The purpose of this non-experimental causal-comparative study was to determine if service-learning teaching experience affects dental hygiene faculty perceptions of service-learning benefits and barriers in the United States. Dental hygiene educators from entry-level dental hygiene education programs in the United States completed the Web-based…

  19. Associação entre procedimentos preventivos no serviço público de odontologia e a prevalência de cárie dentária Association between preventive care provided in public dental services and caries prevalence

    Directory of Open Access Journals (Sweden)

    Roger Keller Celeste

    2007-10-01

    Full Text Available OBJETIVO: Avaliar a associação entre as atividades odontológicas preventivas do serviço público de odontologia e a saúde bucal de jovens. MÉTODOS: Foram utilizados dados de 4.033 jovens de 15 a 19 anos, de 85 municípios do estado do Rio Grande do Sul, obtidos no inquérito epidemiológico Saúde Bucal Brasil, realizado no período de 2002-2003. As variáveis estudadas foram: idade, sexo renda, escolaridade, tempo desde a última visita ao dentista, motivo da visita, e presença de flúor na água de abastecimento. Dados sobre as atividades odontológicas foram extraídos da base de dados do Sistema de Informações Ambulatoriais do Sistema Único de Saúde. Para análise estatística foi utilizada a regressão logística multinível. RESULTADOS: Os indivíduos dos 21 municípios com menores taxas de procedimentos (por 100 habitantes de procedimentos individuais preventivos (limpeza + flúor + selante tiveram 2,27 (IC 95%: 1,45;3,56 vezes mais chance de ter uma cárie não restaurada do que residentes dos 21 municípios com maiores taxas. Essa chance permaneceu mesmo depois de ajustada por fatores individuais e contextuais, mas decresceu para 1,76 (IC 95%: 1,13;2,72. A proporção da variabilidade atribuível aos municípios foi de 14,1% para o modelo vazio e 10,5% para o modelo cheio. CONCLUSÕES: O serviço público de odontologia no Rio Grande do Sul pode ter contribuído para a redução no número de cáries não restauradas em jovens. Porém, não foi possível detectar influência desse serviço na experiência total da cárie .OBJECTIVE: To assess the association between preventive care provided in public dental services and young people's oral health. METHODS: Oral health data on 4,033 young people aged 15 to 19 years living in 85 municipalities of the state of Rio Grande do Sul, Southern Brazil, were obtained from the national oral health survey "Saúde Bucal Brasil 2003" for the period 2002-2003. The following variables were

  20. 77 FR 67657 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service (IHS...

    Science.gov (United States)

    2012-11-13

    ... divisions (i.e., Behavioral Health, Health Promotion/Disease Prevention, Nursing, and Dental) have developed... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed Information Collection...

  1. Water Service Areas - Public Water Supplier's (PWS) Service Areas

    Data.gov (United States)

    NSGIC Education | GIS Inventory — Boundaries of current public water supplier's (PWS) service areas. This data set contains the present service area boundary of the water system and does not contain...

  2. Water Service Areas - Public Water Supplier's (PWS) Service Areas

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Boundaries of current public water supplier's (PWS) service areas. This data set contains the present service area boundary of the water system and does not contain...

  3. [The transformation of the dental services market and the battle over a monopoly in 19th century dental practice].

    Science.gov (United States)

    Carvalho, Cristiana Leite

    2006-01-01

    The article analyzes the process by which dentistry acquired the status of a profession. The setting is the mid-nineteenth-century United States, where the West's first professional dental organizations were founded, and the focus is on some aspects of the development of a dental market and on the professional disputes among practitioners of the dental trade, who wanted a monopoly within this field of knowledge. Certain outside factors played a major role in the emergence of the profession, including changes in patterns of sugar consumption (which spread dental caries disease throughout society) as well as the expansion of the dental service market. The subsequent proliferation of distinct groups of dental practitioners--both qualified and unqualified to practice dentistry--and their competition for a place in the dental market reflect the battle waged to establish jurisdiction in this field and the emergence of dentistry as a 'modern profession'.

  4. [Determinants of dental services utilization by adults: a population-based study in Florianópolis, Santa Catarina State, Brazil].

    Science.gov (United States)

    Miranda, Camila Dal-Bó Coradini; Peres, Marco Aurélio

    2013-11-01

    This study aimed to estimate the prevalence of dental services utilization by adults and to identify associated socioeconomic, demographic, behavioral, and self-awareness factors. A cross-sectional population-based study was conducted with adults living in the urban area of Florianópolis, Santa Catarina State, Brazil, in 2009. Associations were tested between use of dental services and predisposing, enabling, and needs-based variables. Multivariate analysis was conducted using Poisson regression with estimates of prevalence ratios and was stratified by place of last dental appointment. Prevalence of dental services utilization was 66% (95%CI: 62.9-70.7). Dental visits were 20% more frequent among women and 72% more frequent among individuals with more schooling (the latter in both public and private dental services). Individuals with private dental plans used dental services 13% more than those without. Schooling was the most important variable in predicting utilization. The study's results show the importance of monitoring associated factors in order to promote more equitable use of dental services.

  5. New challenges for public services social dialogue

    DEFF Research Database (Denmark)

    Hansen, Nana Wesley; Mailand, Mikkel

    2015-01-01

    This is the national report on Denmark to the country comparative project New Challenges for Public Services: Integrating Service User and Workforce In-volvement to Support Responsive Public Services in Tough Times. The project examines service user involvement and how it is related to tradi......-tional forms of social dialogue in five European countries. Furthermore, the project examines how employers and trade unions are responding to recent de-velopments in the countries....

  6. CONSUMER’S ORIENTED DENTAL SERVICE QUALITY ASSESSMENT USING THE SERVQUAL MODEL

    OpenAIRE

    2015-01-01

    Consumers oriented quality in dental health services has become more important in the era of free competition. Perceived quality by the community has been closely related with their previous experience level of satisfaction on the quality of services they received. The information on the perceived quality of dental services in Indonesia has been scarce. One of the reasons is lack of standardized method in measuring the consumer’s perspective on dental quality. Using the Service Quality (Servq...

  7. METHODOLOGY OF PUBLIC TRANSPORT SERVICE QUALITY

    Directory of Open Access Journals (Sweden)

    Olga Saginova

    2016-01-01

    Full Text Available The paper analysis approaches to establishing a system of indicators for public transport service quality in Moscow using customers’ expectations and current characteristics of transportation service. The topic is relevant due to using a new model of transportation service in Moscow involving private transportation companies, which requires establishing uniform service quality standards. Object of research. Public transport service quality Objectives. Using modern marketing concepts and customer oriented approach to service quality assessment develop a comprehensive methodology of managing public transport service quality. Methods. The paper uses Russian and foreign research publications in service quality assessment as well as results of research project by a team of scientists from Plekhanov Russian University of Economics. Methods of comparative research, netnography and marketing research (focus groups and survey methods were used. Results. After analyzing the public transportation problems in the megapolis, current transportation policy and survey of foreign experience, transportation service standards of EC, USA and CIS, a structure and method of establishing a self-regulated system of improving transportation service quality was developed basing on a marketing approach. Conclusions/relevance. The developed methodology of establishing a self-regulating system of improving the transportation service quality is based on a marketing approach, and the structure of a system of indicators to assess the service quality, basic indicators of expected and perceived quality of transportation service.

  8. Access to dental care-parents' and caregivers' views on dental treatment services for people with disabilities.

    LENUS (Irish Health Repository)

    Prabhu, Neeta T

    2010-03-01

    The goal of this study was to elicit the views of patients or parents\\/caregivers of patients with disabilities regarding access to dental care. A questionnaire was generated both from interviews with patients\\/parents\\/caregivers already treated under sedation or general anesthesia as well as by use of the Delphi technique with other stakeholders. One hundred thirteen patients from across six community dental clinics and one dental hospital were included. Approximately, 38% of the subjects used a general dental practitioner and 35% used the community dental service for their dental care, with only 27% using the hospital dental services. Overall waiting time for an appointment at the secondary care setting was longer than for the primary care clinics. There was a high rate of parent\\/caregiver satisfaction with dental services and only five patients reported any difficulty with travel and access to clinics. This study highlights the need for a greater investment in education and training to improve skills in the primary dental care sector.

  9. Access to dental care-parents' and caregivers' views on dental treatment services for people with disabilities.

    Science.gov (United States)

    Prabhu, Neeta T; Nunn, June H; Evans, D J; Girdler, N M

    2010-01-01

    The goal of this study was to elicit the views of patients or parents/caregivers of patients with disabilities regarding access to dental care. A questionnaire was generated both from interviews with patients/parents/caregivers already treated under sedation or general anesthesia as well as by use of the Delphi technique with other stakeholders. One hundred thirteen patients from across six community dental clinics and one dental hospital were included. Approximately, 38% of the subjects used a general dental practitioner and 35% used the community dental service for their dental care, with only 27% using the hospital dental services. Overall waiting time for an appointment at the secondary care setting was longer than for the primary care clinics. There was a high rate of parent/caregiver satisfaction with dental services and only five patients reported any difficulty with travel and access to clinics. This study highlights the need for a greater investment in education and training to improve skills in the primary dental care sector.

  10. Effect of implementing dental services in Israeli psychiatric hospitals on the oral and dental health of inpatients.

    Science.gov (United States)

    Ponizovsky, Alexander M; Zusman, Shlomo P; Dekel, Dan; Masarwa, Abd-el-Samia; Ramon, Tirza; Natapov, Lena; Yoffe, Rinat; Weizman, Abraham; Grinshpoon, Alexander

    2009-06-01

    Psychiatric disorders (schizophrenia, mood disorders, and organic brain disorders) and their treatment may lead to oral diseases, but assessment of dental status and oral care needs among patients with these disorders is lacking. This study reports changes in dental health and oral care needs of psychiatric inpatients after 1998, when psychiatric hospitals in Israel were required to provide regular dental examinations and treatment for every inpatient hospitalized longer than a year. Two epidemiological cohorts from 1997 and 2006 representing long-term psychiatric inpatients before (N=431) and after (N=254) the reform of dental services were compared on the standardized criteria of the Decayed, Missing, and Filled Teeth (DMFT) index scores and DMFT component scores, as well as on the use of and need for dentures. Compared with the prereform cohort, the postreform cohort had fewer decayed teeth and lower DMFT index scores. These differences were independent of gender and clinical diagnosis. No between-cohort differences were found in the use of and need for dentures. On-site dental services were more effective than outsourced services in improving dental health. The results suggest a substantial improvement in the dental health of this at-risk population after the dental reform in psychiatric hospitals. However, oral health needs are still not fully met, and therefore, additional organizational efforts for further prevention and treatment of dental diseases are required.

  11. Oral health need and access to dental services: evidence from the National Survey of Children's Health, 2007.

    Science.gov (United States)

    Bell, Janice F; Huebner, Colleen E; Reed, Sarah C

    2012-04-01

    This study examines associations between parents' report of their children's oral health and receipt of a dental visit for preventive care. We conducted a cross-sectional analysis of oral health status and receipt of a preventive dental visit among US children and youth, ages 1-17 years, using data from the 2007 National Survey of Children's Health (n = 86,764). Survey-weighted logistic regression was used to estimate associations between perceived oral health status and receipt of a preventive dental health visit in the prior 12 months. Overall, 78 % of children and youth received at least one preventive dental health visit in the prior year. Among the youngest children, lower oral health status was associated with higher odds of receiving a preventive dental visit; among older children, lower oral health status was associated with lower odds of receiving a dental visit for preventive care. Use of preventive dental health care is below national target goals. Younger children in worse oral health are more likely, and older youth less likely, to receive preventive dental care. Public health efforts to educate parents to seek early and ongoing preventive oral health care, rather than services in response to problems, may yield oral health benefits later in childhood and over the life course.

  12. Public service improvement with user-centric service composition

    NARCIS (Netherlands)

    Hoppen dos Santos, Joni; Ferreira Pires, Luis; Goncalves da Silva, Eduardo; Iacob, Maria Eugenia; Janssen, M.; Macintosh, A.; Scholl, H.J.; Tambouris, E.; Wimmer, M.A.; de Bruijn, H.; Tan, Y.H

    2011-01-01

    In recent years, public organisations have been challenged to offer electronic services. This has caused a proliferation of disconnected web sites or web portals, often reflecting the internal structures (departments or sections) of these organizations. This paper shows that electronic public servic

  13. Management Methods of Decentralized Public Services

    Directory of Open Access Journals (Sweden)

    BILOUSEAC Irina Adriana

    2013-05-01

    Full Text Available The purpose of the article, having as theme the typology of public services management and the implications on decentralization, is the foundation of theoretical concepts, but also the analysis from a practical point of view of both types of management applied in the management of public services in Romania and of the effects they cause on the Romanian public administration capacity to provide efficient public services. Although the users of decentralized public services don’t have the possibility of choosing the service provider, the analysis of the management methods is important, because depending on the type of management chosen there are advantages and disadvantages for the local community. It has to be analyzed for each particularly case which type of management leads to a greater satisfaction of a social need appeared.

  14. Dental caries, parents educational level, family income and dental service attendance among children in Italy.

    Science.gov (United States)

    Cianetti, S; Lombardo, G; Lupatelli, E; Rossi, G; Abraha, I; Pagano, S; Paglia, L

    2017-03-01

    The aim of this study was to verify whether socioeconomic determinants, such as parents' educational level, family income and dental service attendance by children, are associated with the presence of caries among an Italian population of children. An observational retrospective study was carried out in a population of children aged 4-14 years who visited the Paediatric Dentistry Department of the University of Perugia, Italy. Children were stratified according to familial socioeconomic level (father's and mother's educational level, family income) and dental service attendance of children. Age- and sex- adjusted odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated by means of multivariate logistic regression models. A sample of 231 children (mean age 8.1 yrs, SD 2.6; 127 males, 104 females) was recruited. One hundred and sixty three (70.46%) children in the study had caries. Caries presence in children was higher in children where the mothers' educational level was lower (OR =6.1; 95% CI = 3.1 to 12.7), in children where the fathers' educational level was lower (OR =2.9; 95% CI =1.6 to 5.5) and in children with lower family income (OR = 9.9; 95% 95% CI = 5.1 to 20.1). No statistically significant difference were observed in terms of caries presence between the children who were visited at least once by a dentist and children who were not previously seen by a dental practitioner (OR = 0.8; 95% CI = 0.4 to 1.6). Socioeconomic level was an important predictor of caries presence among children. Both low income and low parental educational level were related to an increased presence of caries, whereas previous dental visits experience did not affect caries presence in children.

  15. Quality and public transport service contracts

    OpenAIRE

    Gatta, Valerio; Marcucci, Edoardo

    2007-01-01

    Public authorities and transport operators are both involved in the provision of public transport services. There is a contrast between the social goals of the former and the private ones of the latter. Regulation plays an important role especially failing competition. Service contracts are the natural method to set bilateral After a brief description of the most important regulatory procedures, we focus our attention on the quality framework in service contracts. In recent years the inclusio...

  16. Características do acesso e utilização de serviços odontológicos em municípios de médio porte Characteristics of the access and utilization of public dental services in medium-sized cities

    Directory of Open Access Journals (Sweden)

    Sônia Cristina Lima Chaves

    2012-11-01

    Full Text Available Este estudo de corte transversal descreve as principais características de acesso e utilização de serviços odontológicos básicos e especializados em dois municípios de médio porte da Bahia com 100% de cobertura da Estratégia de Saúde da Família. Realizou-se um inquérito com 2.539 indivíduos de idade acima de 15 anos em 952 domicílios. As principais variáveis analisadas foram a necessidade de saúde bucal percebida, a procura pelo serviço, a barreira de acesso organizacional e o tipo de serviço e o procedimento utilizado. A utilização de serviços públicos odontológicos especializados foi de 11,7% e básicos de 26%. No município com maior utilização de serviços públicos odontológicos, foi menor o uso de serviços privados. A principal barreira de acesso situou-se na AP (Atenção Primária, entre 5,0% e 15,2%. Observou-se pouca interface da atenção secundária com a AP já que apenas 16,6% dos usuários retornaram a esse nível de atenção. Pode-se concluir que a principal barreira de acesso, em municípios com realidades organizacionais e geográficas específicas parece se situar na AP. Ações preventivas individuais foram pouco relatadas. Recomenda-se a redução de barreiras de acesso na AP, bem como a instituição de um protocolo que estimule a longitudinalidade do cuidado nesse nível.This cross-sectional study sought to describe the main characteristics of access and utilization of primary and specialized public dental services in two medium-sized cities in Bahia with 100% coverage of the Family Health Program. A survey of 952 households and 2.539 individuals aged over 15 years was conducted. The main variables analyzed were: perceived oral health needs, demand for the service, barriers of organizational access and the type of service and procedure utilized. The use of specialized public dental services was of 11.7% and primary care was 26%. In the city where there was greater use of public dental services

  17. Users’ expectations of public library services

    Directory of Open Access Journals (Sweden)

    Tanja Borko

    2006-01-01

    Full Text Available Public libraries are used by a wide range of users. Therefore they should offer as many different services as possible. The proper introduction of library services to the users can be monitored by measuring their expectations. The article represents the services, which public libraries should offer to their users, definition of the expectation and which factors influence forming the expectations. 60 users were interviewed in two public libraries. The purpose of research was to find out how expectation differs from public library service offer. The results show that most users expect traditional library services such as free access to books, loaning books, giving information over the phone, reading rooms and inter-library loan; furthermore, most users expect library consultancy and advisory services, access to the Internet, public library website, on-line library catalog and services for the youngest members of the library. Fewer users expect guided tour of the library and information on cultural events in the city. Very few users expect modern services, such as provision of electronic publications, courses or lectures for using the Internet and other electronic sources, special courses, such as how to write a scientific research, and services for leisure and recreation, such as organized trips, and fun activities, such as arranging flowers, painting, sawing, etc.

  18. 42 CFR 93.220 - Public Health Service or PHS.

    Science.gov (United States)

    2010-10-01

    ... RESEARCH MISCONDUCT Definitions § 93.220 Public Health Service or PHS. Public Health Service or PHS means... 42 Public Health 1 2010-10-01 2010-10-01 false Public Health Service or PHS. 93.220 Section 93.220 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS...

  19. Arm's length delegation of public services

    DEFF Research Database (Denmark)

    Bennedsen, Morten; Schultz, Christian

    2011-01-01

    Delegation is a key feature of political decision making: Mayors or prime ministers delegate to subordinates, voters delegate to elected representatives. We analyze the effect of political delegation on public service provision and the choice between private or public providers when contracts are...... position vis a vis a private firm with market power. In general, these effects imply that delegation improves public service provision.......Delegation is a key feature of political decision making: Mayors or prime ministers delegate to subordinates, voters delegate to elected representatives. We analyze the effect of political delegation on public service provision and the choice between private or public providers when contracts...... are incomplete and incentives therefore distorted. We identify two important effects: The incentive effect increases the incentive part of service providers' remuneration and delegation may therefore be a substitute for an explicit complete incentive contract. The bargaining effect improves the bargaining...

  20. Public policy alienation of public service workers: A conceptual framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars); V.J.J.M. Bekkers (Victor); A.J. Steijn (Bram)

    2007-01-01

    textabstractThis paper theoretically examines identification problems with the implementation of public policies. When these identification problems occur, they might have significant impacts. For instance, the quality of the interaction between service workers and clients influence the effectivenes

  1. Can midlevel dental providers be a benefit to the American public?

    Science.gov (United States)

    Rodriguez, Tobias E; Galka, Audrey L; Lacy, Ernestine S; Pellegrini, August D; Sweier, Domenica G; Romito, Laura M

    2013-05-01

    The use of midlevel dental providers (MLDPs) is being debated as a means of reducing oral health disparities and increasing access to care among underserved populations. Midlevel dental providers include the advanced dental hygiene practitioner, community dental health coordinator, dental health aide therapist, and dental therapist. While midlevel providers are new to the U.S. dental profession, medicine has utilized these positions for years. Medical literature has shown mixed results as to whether midlevel providers improve access to care and increased practice efficiency, however, it has demonstrated clearly that the quality of care outcomes of these providers have been comparable to those of physicians. Studies of MLDPs suggest potential practice and public health benefits. With appropriate training, licensure, supervision, and deployment to geographical areas of significant need, we believe MLDPs could increase access to care to underserved populations and help in the prevention of deaths attributable to untreated dental disease.

  2. Adults with Learning Disabilities Experiences of Using Community Dental Services: Service User and Carer Perspectives

    Science.gov (United States)

    Lees, Carolyn; Poole, Helen; Brennan, Michelle; Irvine, Fiona

    2017-01-01

    Background: The government alongside other health and social care organisation have identified the need to improve the care provided for people with learning disabilities. Materials and Methods: This service evaluation aimed to explore the experiences of people with learning disabilities and their carers who accessed community dental services…

  3. A register-based study of variations in services received among dental care attenders

    DEFF Research Database (Denmark)

    Rosing, Kasper; Hede, Børge; Christensen, Lisa Bøge

    2016-01-01

    . Materials and methods . This retrospective register-based study followed two Danish cohorts, aged 25 and 40, with a dental examination in 2009 (n = 32,351). The dental service data were registered during 2005–2009. The number of dental examinations, individual preventive services (IPS), tooth extractions......Objectives . To investigate whether receipt of dental services, among attenders, reflects variations in dental health or whether and to what degree it is associated with socioeconomic status, with irregular or regular dental attendance and with the availability of dentists in residential areas......, root fillings and composite fillings were analyzed in relation to socioeconomic status, irregular/regular dental attendance, inhabitant/dentist ratio and to DMFT at age 15 (DMFT15) and change in DMFT (ΔDMFT) from age 15 to age 25 and age 40, respectively. Poisson regression and negative binomial...

  4. Half-century of Dental Public Health research: bibliometric analysis of world scientific trends.

    Science.gov (United States)

    Celeste, Roger Keller; Broadbent, Jonathan M; Moyses, Samuel Jorge

    2016-12-01

    To describe the characteristics of Dental Public Health (DPH) scientific publications within core DPH journals over time and to compare DPH journals with DPH content from other journal types. The Scopus database was used to identify DPH-relevant articles published from 1965 to 2014 in three core DPH journals (DPHJs) and from 2005 to 2014 in Dental Journals (DJs), Public Health (PHJs) and General Journals (GJs). To identify DPH-relevant articles, a search strategy with words about oral health and public health was applied to each group of journals. Research themes were created by grouping similar keywords to report changes in the focus of articles over time. The most productive journals, countries, institutions and authors were also estimated for each set of journals. In 2005-2014, 60 297 articles were identified, of which 2.7% in DPHJs, 10.4% from PHJs, 38.2% from GJs and 48.7% from DJs. DPH-relevant articles published in the core DPHJs, DJs and PHJs tended to share a strong emphasis on dental caries, healthcare/services research on children and adolescents. Over time, the focus in the DPHJs has increased towards health behaviour/promotion/education, quality of life and socioeconomic factors. In the last decade, those themes were more frequent in DPH journals than in the other groups. DPH research published in DPHJs had some unique features and greater focus on the themes of quality of life, socioeconomic factors and health behaviour/education/promotion than other groups of journals. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. The provision of dental implants in the National Health Service Hospital dental services--a national questionnaire.

    Science.gov (United States)

    Butterworth, C J; Baxter, A M; Shaw, M J; Bradnock, G

    2001-01-27

    To assess the activity of consultants in restorative dentistry in the United Kingdom in the provision of osseointegrated dental implants within the National Health Service Hospital service and to evaluate their attitudes concerning the relevant medical and oral factors considered in patient selection for implant treatment. Anonymous postal questionnaire in the United Kingdom. Consultants in restorative dentistry. Out of the sample of 145, 109 consultants (75%) completed the questionnaire in 1999. 54 of the 109 consultants (49.5%) are involved in the provision of osseointegrated implant treatment, treating an average of 29 cases/year (range 2-150). However, over one third of the respondents treated 10 or less cases/year. 89% worked with oral surgeons as an implant team. 68% used Branemark (Nobel Biocare) implants as their main system. The majority of consultants felt that smoking, psychoses and previous irradiation were the most important medical factors that contra-indicated implant retained restorations whilst untreated periodontitis, poor oral hygiene and uncontrolled caries were the most important oral contra-indications. Many centres were experiencing significant problems with the funding of implant treatment with one centre receiving no funding. The implications for patient care and specialist training are discussed. There is a marked variation in the number of patients treated with endosseous dental implants within the United Kingdom National Health Service hospitals. Many consultants treat 10 or fewer patients each year. In the main, there is agreement about the factors that contra-indicate implant treatment; these are in line with national guidelines.

  6. Participation & Co-Design in Public Services

    DEFF Research Database (Denmark)

    Giordano, Fanny Barbara

    administrations are unable to provide valid answers to emerging everyday problems. Theses opportunities and challenges are related to the role designers could take to help generating new kinds of public services. Services that are sustainable, that take into account the technological innovations but most...... importantly that are informed by the real needs of their users (citizens). How design may contribute to build capacity and bridge relations between citizens and public service providers?......This poster is part of an early investigation of a PhD-study in Service Design that started in February 2017. The poster identifies challenges and opportunities emerging from a gap between citizen’s needs and public offering to address such needs. Citizens often organize themselves when public...

  7. Identifying service quality strengths and weaknesses using SERVQUAL: a study of dental services.

    Science.gov (United States)

    Kaldenberg, D; Becker, B W; Browne, B A; Browne, W G

    1997-01-01

    The goal of this study was to examine responses among dental patients to the most recent version of SERVQUAL, and to evaluate that instrument as a tool for measuring satisfaction in a dental practice. Items on the reliability and responsiveness dimensions produced the lowest satisfaction ratings, while improvements in providing services as promised and instilling confidence have the greatest potential for producing higher satisfaction among patients. Finally, using open-ended questions, we identified a number of patient events or experiences which caused either high or low scores on individual SERVQUAL items.

  8. Public service i netværkssamfundet

    DEFF Research Database (Denmark)

    Mortensen, Frands

    Analyser af digitaliseringens betydning for radio, TV og Internet, og især for konsekvenserne for levering af Public Service Broadcasting. En særlig del omhandler EU's betydning for udviklingen af statsstøtte til PSB.......Analyser af digitaliseringens betydning for radio, TV og Internet, og især for konsekvenserne for levering af Public Service Broadcasting. En særlig del omhandler EU's betydning for udviklingen af statsstøtte til PSB....

  9. 42 CFR Appendix G to Part 75 - Standards for Licensing Dental Hygienists and Dental Assistants in Dental Radiography

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Standards for Licensing Dental Hygienists and Dental Assistants in Dental Radiography G Appendix G to Part 75 Public Health PUBLIC HEALTH SERVICE... EDUCATIONAL PROGRAMS FOR AND THE CREDENTIALING OF RADIOLOGIC PERSONNEL Pt. 75, App. G Appendix G to Part...

  10. Arm's Length Provision of Public Services

    DEFF Research Database (Denmark)

    Bennedsen, Morten; Schultz, Christian

    We analyze the economic consequences of strategic delegation of the right to decide between public or private provision of governmental service and/or the authority to negotiate and renegotiate with the chosen service provider. Our model encompass both bureaucratic delegation from a government...

  11. Public Service Guidelines in an Electronic Environment.

    Science.gov (United States)

    Barkley, Daniel C.

    1998-01-01

    In today's electronic environment, government information librarians face new challenges, especially in the arena of quality public-service provision. Given the lack of clear guidelines that Federal Depository Library Program participants follow, and based upon suggested guidelines of reference-oriented literature, a new set of public services…

  12. The cost minimization analysis of an outreach dental service: a pilot ...

    African Journals Online (AJOL)

    The cost minimization analysis of an outreach dental service: a pilot study at Akinyele local government area in Nigeria. ... in the treatment of patients at an outreach dental service of the University College Hospital, Ibadan was done versus the ...

  13. Psychology in the public service.

    Science.gov (United States)

    Zimbardo, Philip G

    2002-01-01

    Philip G. Zimbardo outlines the challenges and opportunities he faces as the American Psychological Association's (APA's) 110th president. This article expands on remarks made in his introduction to Patrick H. DeLeon's presidential address at the APA's 2001 annual convention in San Francisco, California. Appearing now, mid-term in his presidency, that vision is a working blueprint of his activities and what he hopes to accomplish in his remaining tenure: enhancing psychologists' pride in psychology; developing more productive relationships with all media as gatekeepers to the public; publishing the standard high school psychology textbook; developing a compendium of all psychological research that illustrates how psychologists have made a significant difference in improving various aspects of the quality of life of individuals, groups, communities, and the United States; and encouraging greater unity of purpose and respect among psychologists across their many diverse domains and specialties.

  14. Performance Management Compared across Public Services

    DEFF Research Database (Denmark)

    Bjørnholt, Bente; Agger Nielsen, Jeppe; Lindholst, Christian

    on extent literature we expect performance management systems to be operationalized more tightly, freed from definitional conflicts and with more rigorous and quantitative measures in areas with low governance complexity (technical services) while performance management systems will appear with opposite...... service areas and draw lessons from these differences. On this backdrop this paper investigates theoretical assumptions on performance management systems through a cross-comparison of two public service areas (technical and social services) which differ in theoretically important dimensions. Drawing...... characteristics in areas with high governance complexity (social service). We find that the performance management systems unexpectedly converged in characteristics across the two service areas, and even appeared with more rigid monitoring and control functions in social services compared to newer developments...

  15. Public Service In Service Soil Certificate In The Sorong City

    Directory of Open Access Journals (Sweden)

    Muhammad Ridha

    2015-03-01

    Full Text Available ABSTRACT One of the goals of decentralization in 2004 that the decentralization of Local Government authorities undergo a process of empowerment the ability of initiative creativity encouraged so that the capacity to address domestic problems getting stronger This opens opportunities made possible since the enactment and implementation of the Law on Local Government that Act No. 32 of 2004. The problem is formulated in this study is how the public service in the administration of land titles in Sorong city . This study used a qualitative approach that is descriptive analysis. This study seeks to describe and interpret what is can about the condition or existing relationship opinion growing ongoing process result or effect that occurs or emerging trend.Basic techniques of data collection used is interview observation and documentation. Interviews were used in the form of nonstandard or unstructured done without preparation of a list of questions that tight but based on the interview guide focused on research. Data analysis techniques in this study using a qualitative analysis of the interaction model proposed by Miles and Huberman. The results showed that public service obtaining certificates of land that occurred in Sorong city land office applied based counter system to provide services that are easy for the public applicants for all service activities through mechanisms that have been specified for ease of service. But it must be admitted that there are services that have not been fully optimized in accordance with the procedures of service. Counter parties in implementing the maintenance service is not in accordance with SOP according to the stages of eligibility has been determined. Service activities implemented by the land office by the applicant community feedback or service activities is not optimal because they are less efficient service activities tend to be economical because the service is not simple and not timely completion

  16. [Utilization of dental services for children: a review of the influencing factors and the possible improvements].

    Science.gov (United States)

    Cheng, M L; Si, Y

    2017-05-09

    It has been reported that children's oral health conditions are correlated with their attendance to dental health services. Evaluating the influencing factors of utilization of dental services for children may give ways to improve the services per se, and furtherly the children's oral health. The present review retrieved and summarized domestic and foreign studies on the utilization of oral health services for children based on the Andersen behavior model. It was concluded that the utilization of dental services for children was affected by demographic characteristics, social structure, health belief, family factors, community factors and perceived/evaluated needs. To improve the utilization of dental services for children, effort should be made by means of changing caregivers' health belief, developing oral health insurance system, setting up regular oral health resources and increasing the financial support for oral health services by government.

  17. [Terrorism, public health and health services].

    Science.gov (United States)

    Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

    2009-01-01

    Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response.

  18. Regulative Aspects of Public Services in Slovenia

    Directory of Open Access Journals (Sweden)

    Mik STRMECKI

    2006-06-01

    Full Text Available The main points tackled in this paper are the evolution of regulation of public services and the way in which they are provided in Slovenia from the advent of the so-called transition period up to the present. The importance of this sort of regulation is to create a level playing field between the private and public sectors to function to their utmost mutual advantage and at the same time safeguarding the public interest. The paper further addresses also the objectives of regulation in this field such as promoting healthy competition, the creation of a level playing field for competition to play itself out properly and in congruity with the law and also in such a way as to prevent unjustified profiteering, monopolistic abuses etc. The paper also touched upon the functional characteristics of the regulating authority, appointment procedures, funding and the regulatory process. The focus of the paper is on the public service delivery landscape in our country: the direct provision by the central government or local government and the indirect service delivery, which has numerous sub-forms such as public companies, concessionary public service and publicprivate partnerships.

  19. Pit and fissure sealants in dental public health – application criteria and general policy in Finland

    Directory of Open Access Journals (Sweden)

    Meurman Jukka H

    2009-02-01

    Full Text Available Abstract Background Pit and fissure sealants (sealants are widely used as a non-operative preventive method in public dental health in Finland. Most children under 19 years of age attend the community-organized dental health services free of charge. The aims of this study were to find out to what extent sealants were applied, what the attitudes of dental professionals towards sealant application were, and whether any existing sealant policies could be detected among the health centres or among the respondents in general. The study evaluated changes that had taken place in the policies used during a ten year period (1991–2001. Methods A questionnaire was mailed to each chief dental officer (CDO of the 265 public dental health centres in Finland, and to a group of general dentists (GDP applying sealants in these health centres, giving a total of 434 questionnaires with 22 questions. The response rate was 80% (N = 342. Results A majority of the respondents reported to application of sealants on a systematic basis for children with increased caries risk. The criteria for applying sealants and the actual strategies seemed to vary locally between the dentists within the health centres and between the health centres nationwide. The majority of respondents believed sealants had short- and long-term effects. The overall use of sealants decreased towards the end of the ten year period. The health centres (N = 28 choosing criteria to seal over detected or suspected enamel caries lesion had a DMFT value of 1.0 (SD ± 0.49 at age 12 (year 2000 compared to a value of 1.2 (SD ± 0.47 for those health centres (N = 177 applying sealants by alternative criteria (t-test, p Conclusion There seems to be a need for defined guidelines for sealant application criteria and policy both locally and nationwide. Occlusal caries management may be improved by shifting the sealant policy from the traditional approach of prevention to interception, i.e. applying the sealants

  20. Oral health services in primary care nursing centers: opportunities for dental hygiene and nursing collaboration.

    Science.gov (United States)

    Fellona, M O; DeVore, L R

    1999-01-01

    evaluating more effective and efficient methods for channeling basic oral health services to the public. The data provide support for the collaborative efforts by dental hygienists and nurses to expand oral health services beyond the confines of the current dental care delivery system.

  1. An Epidemiologic Analysis of the Use of Dental Services and of Attitudes of Students at a Major University

    Science.gov (United States)

    Blum, Steven; Tuthill, Robert W.

    1977-01-01

    Results are presented of an undergraduate and graduate student survey investigating (1) the state of oral pathology of the students, (2) utilization of dental services during the fifteen-months preceeding the study, (3) perceptions and utilization of local dental services, and (4) attitudes toward emergency and routine dental services at the…

  2. Utilization of dental health services among middle-aged people in Sweden and Denmark.

    Science.gov (United States)

    Kronström, Mats; Palmqvist, Sigvard; Söderfeldt, Björn; Vigild, Merete

    2002-10-01

    In 1999, questionnaires were sent to random samples of 1001 Swedish citizens aged 55-79 years and 1175 Danish citizens aged 45-69 years. Various questions were asked concerning dental conditions, dental visit frequency per year, and money spent annually on dental care, etc. The objectives were to assess differences in the utilization of dental services and to compare out-of-pocket costs for dental care in Sweden and Denmark with control for age, gender, dental conditions and income. More than 80% of the subjects reported that a dentist had examined them less than 1 year previously. However, 77% of the Danes reported dental visits twice a year or more compared to 28% of the Swedes. Although the Danes reported a more frequent use of dental services, they had poorer dental conditions compared to the Swedes. Even though the Swedes used dental services less often than the Danes did, more subjects reported high 12-month out-of-pocket costs. In the present study, separate models were constructed for the two countries because there could be different mechanisms at play, as indicated by the results. The different insurance systems along with different degrees of commercialization in the two countries might be the most decisive factors in this context.

  3. [Oral hygiene habits and use of dental services among teenage students in a city in southern Brazil].

    Science.gov (United States)

    Freddo, Silvia Letícia; Aerts, Denise Rangel Ganzo de Castro; Abegg, Claídes; Davoglio, Rosane; Vieira, Patrícia Conzatti; Monteiro, Lisiane

    2008-09-01

    This study evaluated oral hygiene habits and use of dental services among teenage students, and analyzed their association with sociodemographic factors and life styles. This cross-sectional study included a representative sample of 1,170 seventh-graders from municipal public schools of Gravataí, Rio Grande do Sul State, Brazil. The Cox regression model for univariate analysis, modified for cross-sectional studies, was used to analyze the association between variables. Of the adolescents included in the study, 77.8% brushed their teeth three or more times a day, 31.9% flossed daily, 68.9% visited the dentist regularly, and 50% visited the dentist for dental treatment. Tooth brushing was more frequent among female adolescents. Lower socioeconomic status was associated with a lower frequency of daily flossing, fewer annual dental visits, and a greater prevalence of dental treatment visits. Similar results were found for adolescents with a sedentary lifestyle or that had tried smoking. The consumption of candy was associated with lower frequency of annual dental visits, and the consumption of soft drinks, with greater frequency of treatment visits. A healthy life style was associated with better oral hygiene habits and more frequent dental visits.

  4. Expanding services in a shrinking economy: desktop document delivery in a dental school library.

    Science.gov (United States)

    Gushrowski, Barbara A

    2011-07-01

    How can library staff develop and promote a document delivery service and then expand the service to a wide audience? The setting is the library at the Indiana University School of Dentistry (IUSD), Indianapolis. A faculty survey and a citation analysis were conducted to determine potential use of the service. Volume of interlibrary loan transactions and staff and equipment capacity were also studied. IUSD Library staff created a desktop delivery service (DDSXpress) for faculty and then expanded the service to practicing dental professionals and graduate students. The number of faculty using DDSXpress remains consistent. The number of practicing dental professionals using the service is low. Graduate students have been quick to adopt the service. Through careful analysis of capacity and need for the service, staff successfully expanded document delivery service without incurring additional costs. Use of DDSXpress is continually monitored, and opportunities to market the service to practicing dental professionals are being investigated.

  5. Expanding services in a shrinking economy: desktop document delivery in a dental school library

    Science.gov (United States)

    Gushrowski, Barbara A

    2011-01-01

    Question: How can library staff develop and promote a document delivery service and then expand the service to a wide audience? Setting: The setting is the library at the Indiana University School of Dentistry (IUSD), Indianapolis. Method: A faculty survey and a citation analysis were conducted to determine potential use of the service. Volume of interlibrary loan transactions and staff and equipment capacity were also studied. Main results: IUSD Library staff created a desktop delivery service (DDSXpress) for faculty and then expanded the service to practicing dental professionals and graduate students. The number of faculty using DDSXpress remains consistent. The number of practicing dental professionals using the service is low. Graduate students have been quick to adopt the service. Conclusion: Through careful analysis of capacity and need for the service, staff successfully expanded document delivery service without incurring additional costs. Use of DDSXpress is continually monitored, and opportunities to market the service to practicing dental professionals are being investigated. PMID:21753911

  6. Guidance for commissioning NHS England dental conscious sedation services: a framework tool.

    Science.gov (United States)

    Howlett, Paul

    2014-01-01

    Conscious sedation is an integral part of modern day dental care and should be delivered through a high quality, effective and evidence-based approach. Commissioning of NHS dental services in England is currently under review by NHS England and the National Dental Commissioning Group. This group has identified the management of vulnerable people including anxious patients, as one of its priorities. The Society for the Advancement of Anaesthesia in Dentistry (SAAD) believes this provides an opportunity to influence the commissioning of NHS conscious sedation services. With this aim in mind,"Guidance for Commissioning NHS England Dental Conscious Sedation Services: A Framework Tool" was developed. This guidance proposes a common approach to the organisation of NHS dental conscious sedation services in England, advocating the provision of Tier 1 and Tier 2 services in all regions. Its ethos is a"hub and spoke" model of service delivery with patient assessment delivered by experienced and well trained dental sedationists at its core. In line with the recent Francis Report fundamental standards for all aspects of dental conscious sedation practice are outlined, supported by a robust and predictable quality assurance process. This work has been shared with key stakeholders in NHS England including the Chief Dental Officer and the Head of Primary Care Commissioning.

  7. User innovation in public service broadcasts

    DEFF Research Database (Denmark)

    Khajeheian, Datis; Tadayoni, Reza

    2016-01-01

    This research aims to understand how public service media can encourage media entrepreneurship in the society to enrich user innovations as a source of ideas, products, contents, talent and creativity. The assumption is that media entrepreneurs turn users into sources of external creativity...... and develop user innovations into professional content. This study follows a qualitative approach with a document study of Denmark's public service broadcast and two interviews. Findings indicate that the commitment to quality and professional content prevents managers of PSBs from outsourcing...... their production to media entrepreneurs, but they trust large media companies as external producers. This research contributes to the field by proposing that public service media can foster media entrepreneurship in a society indirectly and by creating demand for external sources of creativity. Large media...

  8. Comparing medical and dental providers of oral health services on early dental caries experience.

    Science.gov (United States)

    Kranz, Ashley M; Rozier, R Gary; Preisser, John S; Stearns, Sally C; Weinberger, Morris; Lee, Jessica Y

    2014-07-01

    Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. We linked North Carolina Medicaid claims (1999-2006) to oral health surveillance data (2005-2006). Regression models estimated oral health status (number of decayed, missing, and filled primary teeth) and untreated disease (proportion of untreated decayed teeth), with adjustment for relevant characteristics and by using inverse-probability-of-treatment weights to address confounding. We analyzed data for 5235 children with 2 or more oral health visits from a PCP, dentist, or both. Children with multiple PCP or dentist visits had a similar number of overall mean decayed, missing, and filled primary teeth in kindergarten, whereas children with only PCP visits had a higher proportion of untreated decayed teeth. The setting and provider type did not influence the effectiveness of preventive oral health services on children's overall oral health. However, children having only PCP visits may encounter barriers to obtaining dental treatment.

  9. Dental services utilization by women of childbearing age by socioeconomic status.

    Science.gov (United States)

    Kaylor, Mary B; Polivka, Barbara J; Chaudry, Rosemary; Salsberry, Pamela; Wee, Alvin G

    2010-04-01

    For women of childbearing age, oral health not only affects their physical and psychological well-being but also that of their children. This study used the 2003-2004 Ohio Family Health Survey (N = 9,819) to examine dental need and utilization by women in Ohio. Predisposing, enabling, and need variables were examined as they effect dental health service utilization by women of childbearing age at different socioeconomic status (SES) levels. The proportion of women in the low SES group self reporting a dental need (18%) was 3 times that of the proportion of women in the higher SES group with a self reported need (6%). Results of bivariate analysis showed that having a dental visit in the past year varied significantly by SES, race, insurance status, provider density, and need. A racial disparity in dental service utilization was noted in the bivariate analysis of the middle SES group. While dental need and type of dental coverage varied by SES, both were significantly associated with utilization of dental services within all 3 SES categories in the logistic regressions. These results suggest that measures need to be implemented to meet the goal of increasing access and utilization of dental health services by low-income populations.

  10. Dental pain, use of dental services and oral health-related quality of life in southern Brazil.

    Science.gov (United States)

    Cavalheiro, Charles Henrique; Abegg, Claides; Fontanive, Victor Nascimento; Davoglio, Rosane Silvia

    2016-08-18

    This study aimed at assessing the relationship between dental pain and the reason for using dental services and oral health quality of life in people aged 50 to 74 years in southern Brazil. A cross-sectional population-based study was conducted with 720 individuals aged 50 to 74 years, living in three health districts in the city of Porto Alegre. Dental impacts on daily life and sociodemographic data were assessed using structured interviews. The Oral Impacts on Daily Performance - OIDP instrument was used to measure oral impacts. The information was analyzed by Poisson regression with robust variance adjustment, taking into account cluster sampling. Dental pain was present in 32.5% of those reporting an oral impact on their daily activities. Dental pain most frequently affected talking (37.6%), cleaning teeth and gums (37.0%) and enjoying the companionship of people (36.5%). After adjustments to the multivariate analysis, the reason for dental visits due to dental pain was found to have a high impact on daily activities [RP 1.68 (1.11 - 2.54].

  11. Design Competences to Support Participatory Public Services

    DEFF Research Database (Denmark)

    Giordano, Fanny Barbara

    2017-01-01

    This paper is an early investigation of a PhD-study that started in February 2017. The paper identifies challenges emerging from a gap between citizens’ needs and public offering to address such needs. Citizens often organize themselves when public administrations are unable to provide valid...... answers to unsolved and shared everyday problems. In this context designers should support and facilitate bottom up approaches that could address these challenges by the creation of new public services that are informed by the real needs of their users (the citizens). How can designers support...... the spontaneous creations of services by citizens? How might designers build platforms that could support interactions between citizens and public organizations on a large scale? In this paper I will refer to the Open4Citizens (O4C) research project as an exemplary playground to build co-design tools...

  12. Secure Electronic Cards in Public Services

    Directory of Open Access Journals (Sweden)

    Cristian TOMA

    2008-01-01

    Full Text Available The paper presents the electronic wallet solution implemented within a GSM SIM technology for accessing public services. The solution is implemented in the medical field to provide information on the patient’s medical history and payment for private medical services. The security issue is a very important one as the patient’s history is confidential and the payment has to be safe.

  13. Work engagement in the public service context

    DEFF Research Database (Denmark)

    Noesgaard, Mette Strange; Hansen, Jesper Rosenberg

    2016-01-01

    Work engagement has increasingly captured the attention of researchers and practitioners due to its positive impact on employee level outcomes and overall organizational performance (e.g. Bakker and Bal, 2010, Hallberg and Schaufeli, 2006). Therefore, several studies have been conducted in variou...... investigates the role of public service motivation (PSM) in relation to engagement and how it may be used to enhance engagement in a challenging public context characterized by high levels of emotional labor, control and increasing demands for efficiency....

  14. Can the development of new dental caries in Danish schoolchildren be predicted from surveillance data in the School Dental Service?

    DEFF Research Database (Denmark)

    Jeppesen, Berit Anna; Foldspang, Anders

    2006-01-01

    Background:  Dental screening programmes for Danish children generally target all children, irrespective of their individual caries risk. The standard screening interval is approximately 12 months. A valid systematic screening tool based on routine information sources is however indispensable......, if more selective screening strategies should be developed to target the children at highest risk. Objective:  To estimate the precision with which Danish schoolchildren at high risk for developing dental caries within 1 year can be identified based on information from routine registers. Methods:  Based...... on data from the Danish National Board of Health's Recording System for the Danish Child Dental Services and from the Central Office of Civil Registration, 3705 schoolchildren aged 7–12 years were followed through 1994–1996. Dental health information as of 1994 and changes 1994–1995 were applied...

  15. Profiling alumni of a Brazilian public dental school

    Directory of Open Access Journals (Sweden)

    Nunes Maria F

    2010-08-01

    Full Text Available Abstract Background Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. Methods A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-related information was retrieved from 14 closed questions, on subjects such as gender, occupational routine, training, profits, income status, and self-perception of professional career, generating an automatic database for analysis. The two-step cluster method was used for dividing dentists into groups on the basis of minimal within-group and maximal between-group variation, using job-related variables to represent attributes upon which the clustering was based. Results There were 322 respondents (50.9%, predominantly female (64.9% and the mean age was 34 years (SD = 6.0. The automatic selection of an optimal number of clusters included 289 cases (89.8% in 3 natural clusters. Clusters 1, 2 and 3 included 52.2%, 30.8% and 17.0% of the sample respectively. Interpretation of within-group rank of variable importance for cluster segmentation resulted in the following characterization of clusters: Cluster 1 - specialist dentists with higher profits and positive views of the profession; Cluster 2 - general dental practitioners in small cities; Cluster 3 - underpaid and less motivated dentists with negative views of the profession. Male dentists were predominant in cluster 1 and females in cluster 3. One-way Anova showed that age and time since graduation were significantly lower in Cluster 2 (P Conclusions Cluster analysis was a valuable method for identifying natural grouping with relatively homogeneous cases, providing potentially meaningful information for

  16. Governance and innovation in public sector services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2016-01-01

    This paper examines the co-evolution of public governance and innovation, and proposes an adaptation of Hartley's model to take into consideration such co-evolution. This model is then applied to a longitudinal case study of the digitalization of Roskilde University Library. The theoretical...... and empirical analysis yields four main results. First, it is shown that the transition from a New Public Management approach towards a Networked Governance mode implies a greater distribution of knowledge and innovation across different organisational levels within public administrations. Interactions between...... such organisational levels crucially affect the development of new public services. Second, a more articulated view of users in public sector innovation is developed. It is argued that: (i) users play distinct roles at different stages in innovation processes, with relatively greater involvement in minor incremental...

  17. Capitation and fee-for-service dental benefit plans: economic incentives, utilization, and service-mix.

    Science.gov (United States)

    Beazoglou, T J; Guay, A H; Heffley, D R

    1988-04-01

    Insurance carriers, corporations, and labor groups are actively developing and marketing dental capitation benefit plans. Incentives to both dentists and patients in these plans differ from those in the traditional fee-for-service system used with conventional benefit plans. This paper describes the likely effects of these incentive differences on utilization and service-mix patterns in both systems. Data for a large (approximately 10,000), homogenous group of subscribers are presented and discussed. Faced with a dual option, at no cost to the employee, 60% of the subscribers chose the fee-for-service plan, and 40% chose the capitation plan. Observed differences in the utilization and mix of services between the two plans cannot be explained solely in terms of dentists' responses. Employee response to altered economic incentives appears to be strong.

  18. 41 CFR 101-5.307 - Public Health Service.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Public Health Service... AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.307 Public Health Service. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the...

  19. Message Effects of Public Service Advertising.

    Science.gov (United States)

    Lynn, Jerry R.

    Public service advertisements, disseminated via the mass media, have been credited with "positive attitudinal effects" in past research, but only certain kinds of such advertisements are really effective. Of the types of appeals used in television commercials--informative, emotional, "establishment" (or status quo), and…

  20. Prosocial behavior and public service motivation

    NARCIS (Netherlands)

    Esteve, M.; Urbig, D.; van Witteloostuijn, Arjen; Boyne, George

    Although research on public service motivation (PSM) is vast, there is little evidence regarding the effects of PSM on observable behavior. This article contributes to our understanding of the behavioral implications of PSM by investigating whether PSM is associated with prosocial behavior.

  1. Managerial challenges in public service contracting

    DEFF Research Database (Denmark)

    Lindholst, Andrej Christian; Bogetoft, Peter

    2011-01-01

    , themes and questions for research in public service contracting. We identify and exemplify the framework by combining insights from different theoretical perspectives with empirical evidence through an iterative process. The evidence is educed as a set of observed and self-reported stories in a cross...

  2. Energy efficiency public service advertising campaign

    Energy Technology Data Exchange (ETDEWEB)

    Gibson-Grant, Amanda [Advertising Council, New York, NY (United States)

    2015-06-12

    The Advertising Council (“the Ad Council”) and The United States Department of Energy (DOE) created and launched a national public service advertising campaign designed to promote energy efficiency. The objective of the Energy Efficiency campaign was to redefine how consumers approach energy efficiency by showing that saving energy can save homeowners money.

  3. Communication Satellites: Experimental & Operational, Commercial & Public Service.

    Science.gov (United States)

    Development Communication Report, 1979

    1979-01-01

    The title reflects the first and major article in an issue of this newsletter devoted entirely to communication satellites. This series of articles on the potential and applications of communication satellites in development projects is concerned with their development for commercial and public service, development in the Pacific region, SPACECOM…

  4. Public Service Employment as Macroeconomic Policy.

    Science.gov (United States)

    Baily, Martin N.; Solow, Robert M.

    1979-01-01

    Authors assert that public service employment (PSE) is one form of macroeconomic policy and compare PSE to tax reduction, federal subsidies, and other forms. They propose a design for an ongoing federal employment program and conclude that a PSE program aimed at the structurally unemployed creates more jobs per GNP dollar than other policies. (SK)

  5. Prosocial behavior and public service motivation

    NARCIS (Netherlands)

    Esteve, M.; Urbig, D.; van Witteloostuijn, Arjen; Boyne, George

    2016-01-01

    Although research on public service motivation (PSM) is vast, there is little evidence regarding the effects of PSM on observable behavior. This article contributes to our understanding of the behavioral implications of PSM by investigating whether PSM is associated with prosocial behavior. Moreover

  6. Public Employment Services and European Law

    DEFF Research Database (Denmark)

    Freedland, Mark; Craig, Paul; Jacqueson, Catherine

    jobformidling i EU: institutioner, aktiviteter og regulering - økonomisk/social regulering, privat/offentlig aktivitet - EU-ret - komparativ ret: Danmark, Frankrig, England, Tyskland og Italien - EU kompetence, sociale anliggende og offentlige tjenesteydelser - "Public service" modeler i EU - reg...

  7. Effect of Managers on Public Service Performance

    DEFF Research Database (Denmark)

    Mikkelsen, Maria Falk

    This report provides an overview of the PhD dissertation “Effects of Managers on Public Service Performance” carried out at the Department of Political Science, Aarhus University and SFI – The Danish National Centre for Social Research. The dissertation is part of the research project “School...... Management, Teaching, and Student Performance” supported by the Danish Strategic Research Council (now Innovation Fund Denmark) and headed by professor Søren Winter. The dissertation explores the effects of managers on public service performance. By combining theoretical insights and research designs from......? The Interplay between Decentralized Authority and Managerial Factors.” Invited for revise and resubmit [referred to as “Decentralized authority”]. C. Mikkelsen, Maria Falk 2015, “Trade-offs or Superman(agers)? The Effect of Public Managers on Production and Process Performance.” Under review [referred...

  8. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Science.gov (United States)

    2010-07-01

    ... will be considered. Treatment during service, including filling or extraction of a tooth, or placement... dental conditions for treatment purposes. 3.381 Section 3.381 Pensions, Bonuses, and Veterans' Relief... treatment purposes. (a) Treatable carious teeth, replaceable missing teeth, dental or alveolar...

  9. Influence of Public Relations and Reference Services on Academic ...

    African Journals Online (AJOL)

    Keywords: Academic Library, library services, Public relations, Reference Services ... reference services as the direct personal help given by librarian to a ... helps make management aware of public opinion and .... information centre. If local ...

  10. Attitude of Indian dental professionals toward scientific publications: A questionnaire based study.

    Science.gov (United States)

    Verma, Pradhuman; Sachdeva, Suresh K; Verma, Kanika Gupta; Khosa, Rameen; Basavraju, Suman; Dutta, Sanjay

    2015-08-01

    Due to competitiveness and academic benefits, most dental professionals feel an urgent need to increase their publications. Hence, we explored the attitude of students and faculty members toward scientific publications through a questionnaire. A questionnaire consisting of 13 questions was sent by e-mails and posting the printed copies to dental postgraduate (PG) students (second and third year) and faculty members (n = 500 each). The returned completed questionnaires were analyzed. About 37% of dental PG faculty and 35.6% PG students responded to the questionnaire, with overall response of 72.6%. Among the PG faculty, professors (P) had more scientific publications, followed by senior lecturers (SL) and readers (R). The publications as first or corresponding author were less among both faculty and PG students while co-authorship was more among PG students compared to faculty members. Awareness about the term "plagiarism" was overall high and relatively highest among R, followed by SL, P and PG students. The percentage of publications in fee charging journals was more among PG students than faculty members and self-funding for publication was observed in 86.4% of PG students and 94-100% among faculty members. About 72.6% of dental professionals were involved in publishing of their research work and the number of publications increased steadily with an increase in their academic experience. All the dental professionals concurred publications as the criteria for academic excellence.

  11. Acquiring Critical Thinking and Decision-Making Skills: An Evaluation of a Serious Game Used by Undergraduate Dental Students in Dental Public Health

    Science.gov (United States)

    Sipiyaruk, K.; Gallagher, J. E.; Hatzipanagos, S.; Reynolds, P. A.

    2017-01-01

    Serious gaming claims to provide an interactive and motivational approach to learning; hence, it is being increasingly used in various disciplines, including dentistry. GRAPHIC (Games Research Applied to Public Health with Innovative Collaboration)-II, a serious game for dental public health, was used by dental undergraduates at King's College…

  12. John G.C. Adams: father of Dental Public Health in Canada.

    Science.gov (United States)

    Kenny, David J; Dale, Anne C; Wencer, David G

    2014-01-01

    John Gennings Curtis Adams (1839-1922), Canada's first resident dental missionary, was the father of Dental Public Health in Canada. He established, personally funded and operated the first free dental hospital in North America for poor children and their mothers in Toronto from 1872, three years before the founding of The Hospital for Sick Children; he later became their first dentist of record. He was a visionary zealot for prevention of decay, dental education, and treatment over extraction. Dr. Adams understood that neither parents (rich or poor) nor physicians were aware of the extent of pathosis present in children's mouths. He petitioned individuals, lobbied politicians and unions and pressured dental organizations on the importance of twice-annual school inspections to demonstrate disease so that parents would seek care for their children. He wanted government-funded dental hospitals like his own to treat those who could not afford care. He realized his objectives and his reforms to prevent suffering, as Toronto school inspections began in 1911 and Toronto's first publicly-funded free dental clinic opened in 1913. He was Canada's first dental philanthropist and a visionary for preventive dentistry.

  13. Mobile and portable dental services catering to the basic oral health needs of the underserved population in developing countries: a proposed model.

    Science.gov (United States)

    Ganavadiya, R; Chandrashekar, Br; Goel, P; Hongal, Sg; Jain, M

    2014-05-01

    India is the second most populous country in the world with an extensive rural population (68.8%). Children less than 18 years constitute about 40% of the population. Approximately, 23.5% of the urban population resides in urban slums. The extensive rural population, school children and the urban slum dwellers are denied of even the basic dental services though there is continuous advancement in the field of dentistry. The dentist to population ratio has dramatically improved in the last one to two decades with no significant improvement in the oral health status of the general population. The various studies have revealed an increasing trend in oral diseases in the recent times especially among this underserved population. Alternate strategies have to be thought about rather than the traditional oral health-care delivery through private dentists on fee for service basis. Mobile and portable dental services are a viable option to take the sophisticated oral health services to the doorsteps of the underserved population. The databases were searched for publications from 1900 to the present (2013) using terms such as Mobile dental services, Portable dental services and Mobile and portable dental services with key articles obtained primarily from MEDLINE. This paper reviews the published and unpublished literature from different sources on the various mobile dental service programs successfully implemented in some developed and developing countries. Though the mobile and portable systems have some practical difficulties like financial considerations, they still seem to be the only way to reach every section of the community in the absence of national oral health policy and organized school dental health programs in India. The material for the present review was obtained mainly by searching the biomedical databases for primary research material using the search engine with key words such as mobile and/or portable dental services in developed and developing countries

  14. Mobile and Portable Dental Services Catering to the Basic Oral Health Needs of the Underserved Population in Developing Countries: A Proposed Model

    Science.gov (United States)

    Ganavadiya, R; Chandrashekar, BR; Goel, P; Hongal, SG; Jain, M

    2014-01-01

    India is the second most populous country in the world with an extensive rural population (68.8%). Children less than 18 years constitute about 40% of the population. Approximately, 23.5% of the urban population resides in urban slums. The extensive rural population, school children and the urban slum dwellers are denied of even the basic dental services though there is continuous advancement in the field of dentistry. The dentist to population ratio has dramatically improved in the last one to two decades with no significant improvement in the oral health status of the general population. The various studies have revealed an increasing trend in oral diseases in the recent times especially among this underserved population. Alternate strategies have to be thought about rather than the traditional oral health-care delivery through private dentists on fee for service basis. Mobile and portable dental services are a viable option to take the sophisticated oral health services to the doorsteps of the underserved population. The databases were searched for publications from 1900 to the present (2013) using terms such as Mobile dental services, Portable dental services and Mobile and portable dental services with key articles obtained primarily from MEDLINE. This paper reviews the published and unpublished literature from different sources on the various mobile dental service programs successfully implemented in some developed and developing countries. Though the mobile and portable systems have some practical difficulties like financial considerations, they still seem to be the only way to reach every section of the community in the absence of national oral health policy and organized school dental health programs in India. The material for the present review was obtained mainly by searching the biomedical databases for primary research material using the search engine with key words such as mobile and/or portable dental services in developed and developing countries

  15. Arm's Length Provision of Public Services

    DEFF Research Database (Denmark)

    Bennedsen, Morten; Schultz, Christian

    to a privatization agency and electoral delegation from voters to a government. We identify two powerfull effects of delegation when contracts are incomplete: The incentive effect increases the incentive part of service providers' remuneration and we show that strategic delegation may substitute formal incentive...... contracts. The bargaining effect improves the bargaining position vis a vis a private firm with market power and leads to a lower price for the service......We analyze the economic consequences of strategic delegation of the right to decide between public or private provision of governmental service and/or the authority to negotiate and renegotiate with the chosen service provider. Our model encompass both bureaucratic delegation from a government...

  16. Factors influencing use of dental services in rural and urban communities: considerations for practitioners in underserved areas.

    Science.gov (United States)

    Heaton, Lisa J; Smith, Timothy A; Raybould, Ted P

    2004-10-01

    Individuals' utilization of dental services depends upon an array of factors, including access to care, financial restrictions, attitudes toward dental care, and dental fear. These factors, in turn, may vary across geographic locations and demographic groups. The goals of this study were to assess the use of dental services in both rural and urban areas of Kentucky and to examine challenges facing practitioners in rural areas. Individuals sampled from a rural population and patients in rural and urban dental clinics completed questionnaires about use of dental services, self-rated dental health, and dental fear. While these variables were strongly interrelated, differences emerged across locations. Patients in the urban area reported having more dental insurance but not better dental health. Patients in more rural areas reported seeking more emergency dental treatment but not more dental fear. While these factors are important considerations across locations, dental practitioners in rural areas in particular should be aware of barriers to dental care facing individuals in these areas. They have unique opportunities to provide education to their patients regarding the importance of dental care and the role of oral health in overall physical health.

  17. The relationship between access to and use of dental services following expansion of a primary care service to embrace dental team training.

    Science.gov (United States)

    Wanyonyi, K L; Radford, D R; Gallagher, J E

    2013-11-01

    -economic status. The expanded service had greater uptake by older people while users were less likely to be deprived. The expanded service, free at the point of delivery, attracted a higher proportion of patients who would normally have to pay health service charges. The service also showed an increase in treatment case-mix that involved laboratory constructed dental devices. © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  18. Activating the Forces of Public Service Motivation

    DEFF Research Database (Denmark)

    Pedersen, Mogens Jin

    2015-01-01

    resource that is present in the work environment. Using a randomized survey experiment with 528 law students, this article shows how low-intensity treatments may activate PSM and how the effect of PSM activation efforts compares with efforts to activate another, less self-determined type of motivation......Employees with higher public service motivation (PSM) are likely to perform better in public service jobs. However, research on how practitioners may capitalize on this knowledge is sparse. This article expands the understanding of how to activate employee PSM, which is understood as a human...... (relating to the need for feelings of self-importance). The findings are robust and suggest that low-intensity efforts to activate PSM have a positive effect on an individual's behavioral inclinations. However, efforts toward the activation of motivation relating to feelings of self-importance appear...

  19. Public Service Broadcasters and User Profiles

    DEFF Research Database (Denmark)

    Sørensen, Jannick Kirk

    2007-01-01

    Public Service Broadcasters in northern Europe have – in different paces and with different activities – since long been delivering media content to listeners and viewers not only by broadcast but also ‘on demand’. With this pull-based distribution, and with PSBs fighting for marked shares...... on commercial conditions, it is tempting to ask if PSBs should, like their commercial competitors, strive for a more personalised media delivery enabled by user profiles. Information on users’ preferences and interests could be collected by the PSB either indirectly or directly when a program is retrieved on...... as ‘recommender services’, and embedded in the overarching concept of ‘Customer Relation Management’ (CRM). On the other hand it is often stressed that it is the duty of PSB to serve the whole society, not only a few ‘star customers’ – as expressed in PSB remits and in so called ‘public service contracts...

  20. Message framing and credibility: application in dental services.

    Science.gov (United States)

    Arora, R

    2000-01-01

    This study uses an experimental approach to test the influence of message framing and credibility on the attitude toward a dental exam and consumers' intention to use the dental office. The findings indicate a strong effect of credibility on attitude as well as intention. The influence of framing is also statistically significant. Implications for marketers in terms of message strategy are discussed.

  1. [nutritional Education In Public Health Services].

    OpenAIRE

    Boog, M.C.

    2015-01-01

    The purpose of this study was to discuss the implementation of nutritional education in public health services from the perspective of health professionals (physicians and nurses) working in them. The study was conducted in the Municipality of Campinas, São Paulo State, Brazil, from October 1993 to July 1995, using action-based research methodology. The results describe the construction of nutritional knowledge in training and professional institutions; behavior towards food-related problems ...

  2. Ansiedade ao tratamento odontológico em atendimento de urgência Dental anxiety in an emergency dental service

    Directory of Open Access Journals (Sweden)

    Kazue Kanegane

    2003-12-01

    Full Text Available OBJETIVO: Avaliar a freqüência de pacientes com ansiedade ou medo do tratamento odontológico em um setor de urgência. MÉTODOS: Participaram do estudo 252 pacientes, com 18 anos ou mais, que compareceram ao setor de urgência de uma faculdade de odontologia, de São Paulo, SP, entre agosto e novembro de 2001. Para avaliar a ansiedade, foram utilizadas a Modified Dental Anxiety Scale (MDAS, e a Escala de Medo de Gatchel. O grupo estudado respondeu a questões sobre: tempo decorrido desde a última visita ao dentista e desde o início dos sintomas, escolaridade, renda familiar e história prévia de trauma. Os resultados foram analisados pelos testes estatísticos (chi2 e Teste Exato de Fisher. RESULTADOS: Foram identificados 28,2% de indivíduos com algum grau de ansiedade, segundo a MDAS, na qual as mulheres foram consideradas mais ansiosas que os homens (chi2=0,01; e 14,3% de pacientes com alto grau de medo segundo a Escala de Medo de Gatchel. Em 44,4% da amostra a demora para procura de alívio dos sintomas foi > sete dias. Mulheres ansiosas procuraram atendimento mais rapidamente e em maior número. Experiência traumática anterior ocorreu em 46,5% dos pacientes ansiosos. Não foi possível relacionar escolaridade e renda familiar com ansiedade e/ou medo. CONCLUSÕES: Pacientes ansiosos, com destaque para as mulheres, são freqüentes no atendimento odontológico de urgência. Experiência prévia traumática mostrou-se importante para o desenvolvimento da ansiedade em relação ao atendimento odontológico.OBJECTIVE: The purpose of the study was to assess the frequency of dental anxiety and/or fear among patients in an emergency dental service. METHODS: Research was based on interviews with 252 patients, aged 18 years old and over, attended at an emergency dentistry service of São Paulo, Brazil, from August to November, 2001. Two methods were used to measure dental anxiety: the Modified Dental Anxiety Scale (MDAS and the Gatchel Fear

  3. Managerial challenges in public service contracting

    DEFF Research Database (Denmark)

    Lindholst, Andrej Christian; Bogetoft, Peter

    2011-01-01

    In this article, we address a series of interrelated issues in the managerial challenge of public service contracting. This is done by prompting ten issues within four objectives and highlighting their relevance and potential interrelatedness in effective contract management. In contrast to preva......In this article, we address a series of interrelated issues in the managerial challenge of public service contracting. This is done by prompting ten issues within four objectives and highlighting their relevance and potential interrelatedness in effective contract management. In contrast...... to prevalent piecemeal and theoretically one-dimensional approaches, the objectives and issues constitute a holistic framework that advances a comprehensive and pragmatic understanding of contracting processes. We hope that the framework merits further in-depth exploration that may generate new insights......, themes and questions for research in public service contracting. We identify and exemplify the framework by combining insights from different theoretical perspectives with empirical evidence through an iterative process. The evidence is educed as a set of observed and self-reported stories in a cross...

  4. Combating unethical publications with plagiarism detection services

    Science.gov (United States)

    Garner, H.R.

    2010-01-01

    About 3,000 new citations that are highly similar to citations in previously published manuscripts that appear each year in the biomedical literature (Medline) alone. This underscores the importance for the opportunity for editors and reviewers to have detection system to identify highly similar text in submitted manuscripts so that they can then review them for novelty. New software-based services, both commercial and free, provide this capability. The availability of such tools provides both a way to intercept suspect manuscripts and serve as a deterrent. Unfortunately, the capabilities of these services vary considerably, mainly as a consequence of the availability and completeness of the literature bases to which new queries are compared. Most of the commercial software has been designed for detection of plagiarism in high school and college papers, however, there is at least one fee-based service (CrossRef) and one free service (etblast.org) which are designed to target the needs of the biomedical publication industry. Information on these various services, examples of the type of operability and output, and things that need to be considered by publishers, editors and reviewers before selecting and using these services is provided. PMID:21194644

  5. Who wants to deliver public service? Do institutional antecedents of public service motivation provide an answer?

    NARCIS (Netherlands)

    Vandenabeele, W.V.

    2011-01-01

    Public service motivation has rapidly become one of the important concepts in contemporary public administration research. However, until now, research has mainly focused on its measurement and its consequences, whereas relatively ignoring its origins. This study investigates where the antecedents o

  6. An international, multidisciplinary, service-learning program: an option in the dental school curriculum.

    Science.gov (United States)

    Martinez-Mier, Esperanza A; Soto-Rojas, Armando E; Stelzner, Sarah M; Lorant, Diane E; Riner, Mary E; Yoder, Karen M

    2011-04-01

    Many health professions students who treat Spanish-speaking patients in the United States have little concept of their culture and health related traditions. The lack of understanding of these concepts may constitute major barriers to healthcare for these patients. International service-learning experiences allow students to work directly in communities from which patients immigrate and, as a result, students gain a better understanding of these barriers. This article describes the implementation of an international, multidisciplinary, service-learning program in a dental school in the United States. The Indiana University International Service-Learning program in Hidalgo, Mexico began in 1999 as an alternative spring break travel and clinical experience for medical students, focusing on the treatment of acute health problems. Travel-related preparatory sessions were offered, and no learning or service objectives had been developed. The program has evolved to include a multidisciplinary team of dental, medical, nursing, public health and social work students and faculty. The experience is now integrated into a curriculum based on the service-learning model that allows students to use their clinical skills in real-life situations and provides structured time for reflection. The program aims to enhance teaching and foster civic responsibility in explicit partnership with the community. Preparatory sessions have evolved into a multidisciplinary graduate level course with defined learning and service objectives. PROGRAM EVALUATION METHODS: In order to assess the program's operation as perceived by students and faculty and to evaluate student's perceptions of learning outcomes, evaluation tools were developed. These tools included student and faculty evaluation questionnaires, experiential learning journals, and a strengths, weaknesses, opportunities and threats analysis. Evaluation data show that after program participation, students perceived an increase in their

  7. A comparison of dental service use among commercially insured women in Minnesota before, during and after pregnancy.

    Science.gov (United States)

    Jiang, Peilei; Bargman, Eric P; Garrett, Nancy A; Devries, Andrea; Springman, Steve; Riggs, Sheila

    2008-09-01

    The authors examined and compared dental services used by women before, during and after pregnancy. In their study, the authors combined medical and dental claims data for 3,462 pregnant women in Minnesota with commercial dental insurance who had been pregnant between Jan. 1, 2004, and Dec. 31, 2005. The authors used McNemar pairwise comparisons, with each subject serving as her own control and her use of various dental services before pregnancy as her own baseline, to evaluate and compare the dental services used during and after pregnancy. During pregnancy, subjects' use of several dental services-radiographs, restorative services, third-molar extractions and anesthesia-decreased significantly (P dental providers, health care plan administrators and policymakers as they consider recommendations regarding oral health care for women during pregnancy.

  8. Patient satisfaction analysis on service quality of dental health care based on empathy and responsiveness

    Science.gov (United States)

    Dewi, Fellani Danasra; Sudjana, Grita; Oesman, Yevis Marty

    2011-01-01

    Background: Transformation of health care is underway from sellers’ market to consumers’ market, where the satisfaction of the patients’ need is a primary concern while defining the service quality. Hence, commitment to provide a high-quality service and achieving patients’ satisfaction becomes an important issue for dental health care provider. The aim of this research is to investigate the quality of dental health care service based on empathy and responsiveness aspects. Methods: A total of 90 questionnaires were completed by the dental patients who came to dental polyclinic located in Government Hospital, West Java, Indonesia. The questionnaire was concerned on two dimensions of service quality model, i.e. empathy and responsiveness. The obtained data were analyzed using inferential statistics (t test) and also descriptive statistics with importance–performance analysis. Results: All the attributes tested by t test showed that perception and expectation differed significantly, except for responsiveness, i.e. ability of dental assistants in assisting the dentist (t test 0.505dentist (t test 4.700). Conclusion: It can be inferred from IPA that priority should be given to dentist's communication and dental assistant's knowledge toward patient's needs to enhance the service quality. PMID:22135687

  9. Factors associated with the use of dental health services in primary care in northeastern Mexico.

    Directory of Open Access Journals (Sweden)

    Guillermo Cruz

    2016-09-01

    Full Text Available In Mexico, as in many other Latin American countries, the use of dental health services (UDHS has been scarcely studied, especially the one related with groups that are considered at risk in certain areas. The aim of this study was to evaluate the factors associated with UDHS in an at risk population in primary care. Material and Methods: Cross-sectional study, involving students (T, pregnant women (PW, workers (W and older adults (OA (n=368. Variables such as the use of dental health services and factors such as geographical, economic, and organizational barriers were measured. Descriptive statistics, Chi Square test and multivariate binary logistic regression analysis were used. Results: 40.2% (95% CI 30.2-50.2 of the W group had a history of UDHS in primary care, 20% (95% CI 11.8-28.2 of the PW group had spent more than a year without visiting the dentist and 33% (95% CI 23.7-43.9 had been treated at a private dental care service. Level of schooling, occupation, federal support from "Programa Oportunidades" and access to dental care services (p<0.01 were factors associated with UDHS, independent of potential confounders. Conclusion: The health system should guarantee health care by offering comprehensive dental health services and removing organizational barriers to promote a more equitable access to dental care.

  10. 78 FR 10174 - Public Availability of General Services Administration FY 2012 Service Contract Inventory

    Science.gov (United States)

    2013-02-13

    ... ADMINISTRATION Public Availability of General Services Administration FY 2012 Service Contract Inventory AGENCY: General Services Administration (GSA). ACTION: Notice of Public Availability of FY 2012 Service Contract... Appropriations Act Public Law 111-117, GSA is publishing this notice to advise the public of the availability...

  11. CONSUMER’S ORIENTED DENTAL SERVICE QUALITY ASSESSMENT USING THE SERVQUAL MODEL

    Directory of Open Access Journals (Sweden)

    Zaura Anggraeni

    2015-06-01

    Full Text Available Consumers oriented quality in dental health services has become more important in the era of free competition. Perceived quality by the community has been closely related with their previous experience level of satisfaction on the quality of services they received. The information on the perceived quality of dental services in Indonesia has been scarce. One of the reasons is lack of standardized method in measuring the consumer’s perspective on dental quality. Using the Service Quality (Servqual model cross-sectionally, this study is to investigate differences in patterns on perceived quality of different groups of Puskesmas (government owned and Syahid clinic (private owner consumers. The analysis of Servqual Kartesius diagram was carried out to assess the quality of service, based on various criteria namely Dimesntions of Physical Tangibles, Reliability, Responsiveness, Assurance and Empathy. Results showed differences in quality perception likely due to differences in level of education and income. It was concluded that the Servqual model has been adequately practical for assessing quality dental services based on level of consumer’s satisfaction and degree of importance as measured from the consumer’s perspective. Eventuallym the results of Servqual measurements can be used as guidance for quality improvements of dental services, based different characteristics of consumers.

  12. Attitude toward Public Health Dentistry as a career among dental students in Odisha: A Cross-sectional study

    OpenAIRE

    Sharma, Nupur; Jain, Kittu; Kabasi, Soumik

    2016-01-01

    Background: Knowledge of dental students' expectations of their profession as well as their attitudes to study a particular specialty of dentistry is of great importance. These attitudes and expectations make studying dentistry meaningful to dental students and society and understanding these factors facilitate workforce planning in the dental sector The aim of the study was to assess the attitude of dental students towards considering Public Health Dentistry as their future career. Materials...

  13. Measuring quality of dental care: Caries prevention services for children

    National Research Council Canada - National Science Library

    Herndon, Jill Boylston; Tomar, Scott L; Catalanotto, Frank A; Rudner, Nancy; Huang, I-Chan; Aravamudhan, Krishna; Shenkman, Elizabeth A; Crall, James J

    2015-01-01

    The authors conducted a study to validate the following 3 evidence-based, process-of-care quality measures focused on dental caries prevention for children with an elevated risk of experiencing caries...

  14. Climate services to improve public health.

    Science.gov (United States)

    Jancloes, Michel; Thomson, Madeleine; Costa, María Mánez; Hewitt, Chris; Corvalan, Carlos; Dinku, Tufa; Lowe, Rachel; Hayden, Mary

    2014-04-25

    A high level expert panel discussed how climate and health services could best collaborate to improve public health. This was on the agenda of the recent Third International Climate Services Conference, held in Montego Bay, Jamaica, 4-6 December 2013. Issues and challenges concerning a demand led approach to serve the health sector needs, were identified and analysed. Important recommendations emerged to ensure that innovative collaboration between climate and health services assist decision-making processes and the management of climate-sensitive health risk. Key recommendations included: a move from risk assessment towards risk management; the engagement of the public health community with both the climate sector and development sectors, whose decisions impact on health, particularly the most vulnerable; to increase operational research on the use of policy-relevant climate information to manage climate- sensitive health risks; and to develop in-country capacities to improve local knowledge (including collection of epidemiological, climate and socio-economic data), along with institutional interaction with policy makers.

  15. How Source Affects Response to Public Service Advertising.

    Science.gov (United States)

    Lynn, Jerry R.; And Others

    1978-01-01

    Reports that public service advertising attributed to the Advertising Council elicited higher message ratings than did public service advertising attributed to a commercial source, a noncommercial source, or no source; however, it produced the lowest behavioral responses. (GT)

  16. Professional norms, public service motivation and economic incentives

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh

    2007-01-01

    The theories of professions, public service motivation, and economic incentives explain the behaviour of the producers of publicly financed services differently. They emphasize professional norms, sector, and economic incentives, respectively. The few existing attempts to integrate these theories...

  17. Factors associated with utilization of dental services in a long-term care facility: a descriptive cross-sectional study.

    Science.gov (United States)

    Scannapieco, Frank A; Amin, Summar; Salme, Marc; Tezal, Mine

    2017-03-01

    To describe factors associated with the utilization of dental services in a long-term care facility (LTCF) in Western New York. A descriptive cross-sectional study reviewed the dental and medical records of residents of an LTCF discharged between January 1, 2008 and December 30, 2012. Information on demographic and health variables at admission was extracted from electronic health records. Information on oral health variables was extracted from patient charts. A total of 2,516 residents were discharged between 2008 and 2012. From those, 259 (10.3%) utilized dental services at least once during their stay. Those who utilized dental services were significantly older at admission (78.5 vs. 82.0 years, p dental services. Dental services appear to be underutilized by residents of LTCF. Significant differences exist in demographic and health variables between residents who utilize these services compared to those who do not. © 2016 Special Care Dentistry Association and Wiley Periodicals, Inc.

  18. Utilization of dental services among secondary school students in Port Harcourt, Nigeria

    Directory of Open Access Journals (Sweden)

    Joycelyn Odegua Eigbobo

    2016-01-01

    Full Text Available Background: Regular use of dental services has been associated with optimal oral health. Reports in some parts of Nigeria have shown the poor utilization of dental services, but there is a paucity of information relating to oral health care seeking behavior in the South-South region of Nigeria. Aim: To determine the pattern of utilization and identify barriers to utilization of dental services among children. Materials and Methods: This was a cross-sectional study done among children aged 12-15 years in secondary schools in Port Harcourt, Nigeria. Information was elicited by means of a self-administered structured questionnaire. These included sociodemographic characteristics, views on dental visits, reported visits during the previous year, pattern of dental visits, and the barriers to utilization. Demographic variables and associations were tested using Chi-squared tests with the level of statistical significance set at P < 0.05 at 95% confidence interval. Results: There were 200 school children; 98 (49% males and 102 (51% females with a mean age of 13.3 (΁1.1 years. Dental visits were deemed important by 187 (93.5% children, and 32.0% respondents suggested that visits should be when there are symptoms. Only 42 (21% pupils had been to the dentist in the last 12 months. The barriers to utilization of dental services majorly included no perceived needs (64.3%. Demographic variables had no significant association with reported visits and pattern of visits. Conclusion: Utilization of dental services among these school children was low and the major barrier was no perceived need. Oral health awareness needs to be improved on the importance of a regular checkup.

  19. Inequalities in preventive and restorative dental services in England, Wales and Northern Ireland.

    Science.gov (United States)

    Cheema, J; Sabbah, W

    2016-09-09

    Aims The objective of this study is to assess socioeconomic inequalities in the use of selected dental procedures.Methods Data is from the Adult Dental Health Survey 2009, a nationally representative cross-sectional survey of England, Northern Ireland and Wales. Overall, 6,279 participants were included in the analysis. Occupational classification and education were used to assess variations in the use of preventive, restorative services and tooth extraction using a series of logistic regression models, adjusting for age, sex, ethnicity, DMFT, self-reported oral health, dental visits and country.Results There were clear socioeconomic variations in the utilisation of preventive and restorative services. In the fully adjusted model those with no educational qualification were less likely to report ever having preventive services than those with a degree (OR 0.48, 95%CI: 0.36,0.65). Similarly, individuals in routine/manual occupation were significantly less likely to report ever having preventive services than those in managerial/professional occupation (OR 0.58, 95%CI: 0.46,0.74) in the fully adjusted model.Conclusion The findings imply that despite relatively equitable access and higher use of dental services in UK, the least educated and those at the bottom of social hierarchy are less likely to have preventive and restorative dental services.

  20. [Structure of dental services in a social security system: Córdoba, Argentina].

    Science.gov (United States)

    Reynoso Alvarez de Viotti, R A; Batellino, L J

    1994-01-01

    We describe here the results of a survey carried out to determine the nature, extent and distribution of the dental service provided by the Board of the University Personnel Social Assistance (Dirección de Asistencia Social del Personal Universitario [DASPU] From 1988 to 1990. Such survey was performed on the bases of a representative sample of assistance recipients. The greatest dental service demand was registered among the group of persons of 25-44 years-old (40.3% of the total), although the rendered services per person/years increased with the member's ages. Restorative Dental and Prosthesis registered the highest occurrence (50.2% of the total). Preventive Odontology practices were infrequent (1.2%) while Odontopediatric was the less demanded (0.3%). 31.8% of the assistance was provided by DASPU own services, Prothesis being the most predominant kind. As for external effectors (62.3%), the most frequent were those of Dental Operating. It is concluded that the demanded dental services were mainly curative and reparative. The reorganization of the Odontology Service may increase the system' performance efficiency and effectiveness.

  1. Usability in Public Services and Border Control

    Science.gov (United States)

    Pirelli, Giuliano

    The paper starts with a brief overview of the scale of disability and associated challenges and puts them in the context of the public policy on disability. It then analyses the usability challenges in public services and border control, including the issues of accessibility, safety and communication. These need to be addressed in future policy proposals, to provide the best assistance by new technologies to elderly people and people with disabilities, avoiding creating new barriers due to incorrect or incomplete initial conception. With increasing flux of novel security technology in mass transportation systems, and particularly the use of biometric identification in airports, the challenge of usability is recognized. This paper analyses these issues in the context of users with disability in an idealized process of Simplifying Passenger Travel (SPT).

  2. Use of dental services: an analysis of visits, procedures and providers, 1996.

    Science.gov (United States)

    Manski, Richard J; Moeller, John F

    2002-02-01

    While many studies have provided data on Americans' access to dental care, few have provided a detailed understanding of what specific treatments patients receive. This article provides detailed information about the types of dental services that Americans receive and the types of providers who render them. The authors provide national estimates for the U.S. civilian noninstitutionalized population in several socioeconomic and demographic categories regarding dental visits, procedures performed and the types of providers who performed them, using household data from the 1996 Medical Expenditure Panel Survey, or MEPS. Data show that while the combination of diagnostic and preventive services adds up to 65 percent of all dental procedures, the combination of periodontal and endodontic procedures represents only 3 percent. Additionally, while 81 percent of all dental visits were reported as visits to general dentists, approximately 7 percent and 5 percent of respondents who had had a dental visit reported having visited orthodontists or oral surgeons, respectively. MEPS data show the magnitude and nature of dental visits in aggregate and for each of several demographic and socioeconomic categories. This information establishes a nationally representative baseline for the U.S. population in terms of rates of utilization, number and types of procedures and variations in types of providers performing the procedures. These nationally representative estimates include data elements that describe specific dental visits, dental procedures and type of provider, and they offer details that are useful, important and not found elsewhere. By understanding these analyses, U.S. dentists will be better positioned to provide care and better meet the dental care needs of all Americans.

  3. Estimating spatially specific demand and supply of dental services: a longitudinal comparison in Northern Germany.

    Science.gov (United States)

    Schwendicke, Falk; Jäger, Ralf; Hoffmann, Wolfgang; Jordan, Rainer A; van den Berg, Neeltje

    2016-09-01

    Assessing the spatial distribution of oral morbidity-related demand and the workforce-related supply is relevant for planning dental services. We aimed to establish and validate a model for estimating the spatially specific demand and supply. This model was then applied to compare demand-supply ratios in 2001 and 2011 in the federal state of Mecklenburg-Vorpommern (Northern Germany). The spatial units were zip code areas. Demand per area was estimated by linking population-specific oral morbidities to working times via insurance claim data. Estimated demand was validated against the provided demand in 2001 and 2011. Supply was calculated for both years using cohort data from the dentist register. The ratio of demand and supply was geographically mapped and its distribution between areas assessed using the Gini coefficient. Between 2001 and 2011, a significant decrease of the general population (-7.0 percent), the annual demand (-13.1 percent), and the annual supply (-12.9 percent) was recorded. The estimated demands were nearly (2001: -4 percent) and completely (2011: ±0 percent) congruent with provided demands. The average demand-supply-ratio did not change significantly between 2001 and 2011 (P > 0.05), but was increasingly unequally distributed. In both years, few areas were over-serviced, while many were under-serviced. The established model can be used to estimate spatially specific demand and supply. © 2016 American Association of Public Health Dentistry.

  4. 19 CFR 4.70 - Public Health Service requirements.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Public Health Service requirements. 4.70 Section 4... THE TREASURY VESSELS IN FOREIGN AND DOMESTIC TRADES Foreign Clearances § 4.70 Public Health Service... Public Health Service....

  5. 38 CFR 3.753 - Public Health Service.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Public Health Service. 3... Pension, Compensation, and Dependency and Indemnity Compensation Retirement § 3.753 Public Health Service... of the Public Health Service, who was receiving disability compensation on December 31, 1956,...

  6. Impact of the Revolution´s Programs in Cienfuegos Dental Services

    Directory of Open Access Journals (Sweden)

    Beatriz García Alpízar

    2009-09-01

    Full Text Available Background: Revolution´s Programs in Stomatology are part of a strategy to improve oral health of the population and the quality of the dental services. Objective: To asses the impact of Revolution´s Programs in the primary dental services in Cienfuegos. Methods: Retrospective, longitudinal study evaluating the tendencies of dental services markers of municipalities of Cienfuegos before and after the intervention between 2000 and 2007. Results: The effectiveness in Stomatology services improved in more than 100% in 2007 compared with 2005; the good use of prosthesis increased in 100%; the assistance covering and resolution index for persons over 60 years and bellow 19 increased lineally, reaching values similar to those of the first years of the studied period. Conclusions: The impact of the Revolution’s Programs was positive since the performance of the studied markers was superior after the intervention.

  7. A Public Service-Dominant Logic for the Executive Education of Public Managers

    Science.gov (United States)

    Hiedemann, Alexander M.; Nasi, Greta; Saporito, Raffaella

    2017-01-01

    Building on the concept of Public Service-Dominant Logic (PSDL), this article aims to apply the public service-dominant logic to executive education. We argue that fit-for-purpose and effective executive master programs for public managers (EMPA) need to be designed from a public service perspective. Framing executive education as a service…

  8. Dental School Administrators' Attitudes Towards Providing Support Services for LGBT-Identified Students.

    Science.gov (United States)

    Behar-Horenstein, Linda S; Morris, Dustin R

    2015-08-01

    A lack of curriculum time devoted to teaching dental students about the needs of lesbian, gay, bisexual, and transgendered (LGBT) health care patient needs and biases against LGBT students and faculty have been reported. Understanding dental school administrators' attitudes about LGBT students' needs might provide further insight into these long-standing issues. The aims of this study were to develop a survey to assess dental administrators' attitudes regarding the support services they believe LGBT-identified students need, to identify dental schools' current diversity inclusion policies, and to determine what types of support dental schools currently provide to LGBT students. A survey developed with the aid of a focus group, cognitive interviewing, and pilot testing was sent to 136 assistant and associate deans and deans of the 65 U.S. and Canadian dental schools. A total of 54 responses from 43 (66%) schools were received from 13 deans, 29 associate deans, and 11 assistant deans (one participant did not report a position), for a 40% response rate. The findings suggest there is a considerable lack of knowledge or acknowledgment of LGBT dental students' needs. Future studies are needed to show the importance of creating awareness about meeting the needs of all dental student groups, perhaps through awareness campaigns initiated by LGBT students.

  9. Gaps in smiles and services: a cross-sectional study of dental caries in refugee-background children.

    Science.gov (United States)

    Quach, Alicia; Laemmle-Ruff, Ingrid L; Polizzi, Tatiana; Paxton, Georgia A

    2015-01-22

    Refugees are reported to experience high rates of dental disease, although there are limited data on refugee children. The aim of this study was to report on oral health in refugee-background children in Australia, and to assess their follow-up at dental services. Cross-sectional study of opportunistic oral health screening and subsequent dental service use in refugee-background children attending a refugee health clinic in Victoria, Australia, between November 2006-November 2010. 350 patients (0-18 years, mean age 8 years 7 months) had oral health screening; 241 (68.9%) were born overseas, (176 Africa, 65 other countries) and 109 (31.1%) were born in Australia to African-background families. Parents were concerned about oral health in 65/341 (19.1%) children, with specific concern about caries in only 9/341 (2.6%). On assessment, 155/336 (46.1%) had visible caries and 178/345 (51.6%) had caries experience (dmft/DMFT > 0). Where parents were concerned about caries, they were likely to be present (positive predictive value = 100%), however absence of parent concern about caries was not reassuring (negative predictive value = 56.1%).Compared to Australian-born children of African background; African-born children were more likely to be referred for further dental care (adjusted PR 1.33, 95% CI [1.02-1.73]), although there was no statistically significant difference in caries prevalence. African-born children were less likely to have caries compared to other overseas-born children (adjusted PR 0.73, 95% CI [0.58 - 0.93]). Overall 187/344 (54.4%) children were referred for further dental care; 91/124 (73.4%) attended any dental appointment. Attendance rates were 90% with a phone reminder system for appointments, attendance reduced when this system lapsed. Oral health is an important public health issue in refugee-background children, despite low levels of parent concern and very few parent reported caries. Routine direct oral health assessment is important

  10. US Forest Service Public Land Survey System Sections

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting areas defined by the Public Lands Survey System Grid. Normally, 36 sections make up a township. Sections cover US Forest Service...

  11. MANAGING OPERATIONS IMPROVEMENT IN ROMANIAN PUBLIC SERVICES

    Directory of Open Access Journals (Sweden)

    BALOI IONUT-COSMIN

    2015-07-01

    Full Text Available This paper aims to develop a pleading for the transfer of best practices to improving the operational activity in the Romanian public institutions. The practice of implementation demonstrates that the perception of many executives in the Romanian private enterprises regarding the set of tools to improve processes and assimilation of lean philosophy is not a very favorable and encouraging one. It can be said that only some large enterprises had successfully introduced in their daily practice and organization the improvement principles, the operational optimization and the elimination of waste sources. In the SMEs, and especially in the services the experiences are isolated, but they have demonstrated the usefulness (the frequency of saving goals indicate, indeed, the need for proliferation of continuous improvement principles. Regarding the public organizations, the implementation of the new management system of designing and operating the current practices is pretty unknown, accepted at declarative level, but becomes, when is planned and implemented rather a burden on managers who should take on this challenge. Both in public management and private management, today the focus is on people and relationships (processes and projects, starting of course with the work organization. The good practices successfully proved in the private management in the recent decades are transferred today to public institutions; and the Romanian public organizations tend to adapt, also in terms of processes optimization. The study aims to analyze the functioning of the hypothetical management system of processes improvements, respectively the applying of lean tools and principles within the public Romanian institution. They are treated some dysfunctions observed within the process of understanding the utility aspects and throughout the assuming of operational improvement goals within these organizations. The qualitative observations, the critical interpretations and

  12. Can more resilient elderly people be more satisfied with dental services?

    Directory of Open Access Journals (Sweden)

    Matheus Neves

    Full Text Available AbstractIntroductionWith respect to dental health services, few studies have been developed to understand the satisfaction of this age group with these services.ObjectiveTo investigate the association between resilience and satisfaction with dental services among elderly people, using a model adjusted for confounding factors.Material and methodThe locus of the research was the Lomba-Parthenon district management, in Porto Alegre, Rio Grande do Sul, Brazil. 771 elderly people living in their homes were identified through cluster sampling. The subjects responded to a socio-demographic and health behaviors questionnaire, the Resilience Scale and to questions regarding their satisfaction with dental care accessed. Furthermore, a brief oral examination was conducted to count the number of teeth and to identify the use of dental prostheses.ResultBased on a hierarchical approach conducted using Multivariate Logistic Regression and after fully adjusted analysis, the estimated odds ratios of the variables that were significantly associated with the outcome of this study, satisfaction with dental care, were: 1 obtaining a dental appointment, classified as regular: OR= 1.85, 95% CI (1.10 to 3.12; 2 obtaining a dental appointment, classified as bad: OR= 2.17, 95% CI (1.05 to 4.50; and, 3 high potential for resilience: OR= 0.60, 95% CI (0.37 to 0.97.ConclusionThe results confirm the hypothesis of an association between high potential for resilience and satisfaction with the Dental Services accessed by elderly people.

  13. The relation between gender and access to dental services and goods

    Directory of Open Access Journals (Sweden)

    Maria Vieira de Lima Saintrain

    2014-09-01

    Full Text Available ABSTRACT The Brazilian National Health System guarantees universal access to health services. However, this universal access is not always achieved, making relevant studies that evaluate access to health care and the way gender influence this access. Objective: Identify the influence of gender in the access to dental services and goods such as consultation, toothbrush, toothpaste and dental prostheses use in Brazil’s Northeast region. Methods: Cross-sectional, quantitative and population coverage study, with the population of Guaiuba municipality. Data were collected by Community Health Agents from July 2007 to February 2008. We used the Community Oral Health Indicator to verify the access to oral health services, oral hygiene, dental visit, use and need of dental prosthesis. Data were analyzed using SPSS 15.0 software, using the chi-square test and significance level of 5%. Results: 2581 people participated, with a mean age of 24.42 years (SD± 19, 365, with 1628 female (63.1%. Among the interviewees, 2,341 (90.7% had access to a toothbrush, 2272 (88.0% to toothpaste, and 1175 (45.5% to a dental appointment. The need for dental prosthesis was higher in women, 581 (35.7% versus 221 (23.2% men and their access [354 (60.9%] versus [96 (43.4%] with p<0.05. Conclusion: The access to health services and dental treatment presents gender as an influence factor. Women have most of the needs and benefits. The edentulism affects mostly the population with a poor access to dental prosthesis.

  14. Rural and remote dental services shortages: filling the gaps through geo-spatial analysis evidence-based targeting.

    Science.gov (United States)

    Shiika, Yulia; Kruger, Estie; Tennant, Marc

    2015-01-01

    Australia has a significant mal-distribution of its limited dental workforce. Outside the major capital cities, the distribution of accessible dental care is at best patchy. This study applied geo-spatial analysis technology to locate gaps in dental service accessibility for rural and remote dwelling Australians, in order to test the hypothesis that there are a few key location points in Australia where further dental services could make a significant contribution to ameliorating the immediate shortage crisis. A total of 2,086 dental practices were located in country areas, covering a combined catchment area of 1.84 million square kilometers, based on 50 km catchment zones around each clinic. Geo-spatial analysis technology was used to identify gaps in the accessibility of dental services for rural and remote dwelling Australians. An extraction of data was obtained to analyse the integrated geographically-aligned database. Results: Resolution of the lack of dental practices for 74 townships (of greater than 500 residents) across Australia could potentially address access for 104,000 people. An examination of the socio-economic mix found that the majority of the dental practices (84%) are located in areas classified as less disadvantaged. Output from the study provided a cohesive national map that has identified locations that could have health improvement via the targeting of dental services to that location. The study identified potential location sites for dental clinics, to address the current inequity in accessing dental services in rural and remote Australia.

  15. Primary language spoken at home and children's dental service utilization in the United States.

    Science.gov (United States)

    Noyce, Matthew; Szabo, Aniko; Pajewski, Nicholas M; Jackson, Scott; Bradley, T Gerard; Okunseri, Christopher

    2009-01-01

    Language barriers have been well documented as a contributing factor to disparities in the receipt of medical services, especially for Hispanic children. However, there is a paucity of information on the effect of language barriers on children's dental service utilization. We examined the association of primary language spoken at home with the receipt of preventive and routine dental care for children in the United States. We analyzed data from the Medical Expenditure Panel Survey (2002-2004), which contains data on 21,049 children weighted to represent 75.8 million children nationally. Among children aged 1-18 years, 13 percent spoke a language other than English at home. Whites, females, children between the ages of 7 and 12 years, and those whose parents spoke English at home had the highest marginal rates of preventive and routine dental visits. However, the large marginal effect of language, even among Hispanics, was not significant after adjusting for other covariates. Parental education and having a primary provider were the strongest predictors of preventive and routine dental visits. Children that did not speak English at home were less likely to receive preventive or routine dental care. However, after adjusting for other socio-economic factors, our study suggests that language barriers may not play as pronounced a role in the receipt of dental care as that documented for medical services.

  16. 77 FR 5253 - Public Availability of General Services Administration FY 2011 Service Contract Inventory

    Science.gov (United States)

    2012-02-02

    ... ADMINISTRATION Public Availability of General Services Administration FY 2011 Service Contract Inventory AGENCY: Office of Acquisition Policy (MV); General Services Administration (GSA). ACTION: Notice of public... Act Public Law 111-117, GSA is publishing this notice to advise the public of the availability of...

  17. Self-reported oral health and use of dental services among asylum seekers and immigrants in Finland-a pilot study.

    Science.gov (United States)

    Mattila, Anni; Ghaderi, Peyvand; Tervonen, Laura; Niskanen, Leena; Pesonen, Paula; Anttonen, Vuokko; Laitala, Marja-Liisa

    2016-12-01

    The number of asylum seekers and immigrants arriving in European countries is growing explosively. The aim of this pilot study was to investigate self-reported oral health, oral health habits, dental fear and use of dental health care services among asylum seekers and immigrants in Finland. The interview study carried out in 2012 comprised 38 participants (18 males and 20 females) from 15 different countries, nine of whom were asylum seekers and 29 immigrants. The youngest participant was 17 and the oldest 53 years old. Each interview took approximately 30 min. The participants reported high need for dental treatment. Compared with the immigrants, the asylum seekers reported significantly more frequently dental pain and other symptoms and were less satisfied both in getting a dental appointment and in the quality of treatment they had received. All the asylum seekers and almost half of the immigrants found it difficult to get an appointment. The immigrants were more aware of good oral health habits than the asylum seekers. The asylum seekers suffered from dental fear more often than the immigrants. Despite the small number of participants, our interview-based study indicates that asylum seekers and immigrants have need for acute and basic dental treatment and health education. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  18. OPTIMIZING PUBLIC SERVICE THROUGH E-GOV SERVICES (THE CASE OF PUBLIC SERVICE IN SOUTH JAKARTA MUNICIPALITY

    Directory of Open Access Journals (Sweden)

    Florentina Ratih Wulandari

    2012-08-01

    Full Text Available The development of information technology and public administration paradigms that emphasize services for the benefit of society has affected the strategic efforts of e-Gov in Indonesia. For that, there is a need to create qualified, competitive, effective and efficient of the public services. Indonesia’s E-Gov Policy has been applying principles of good governance and information technology to serve and interact with the community. Some local governments, including South Jakarta Municipality has been implementing e-Gov to optimize public service. e-Gov in South Jakarta Municipality is reflected on the implementation of a management information technology to improve services to the community by creating a web site, namely http://selatan.jakarta.go.id/. The information presented in South Jakarta Municipality website includes tourism, local regulations, and other information of Municipality of South Jakarta.

  19. Public Service Broadcasters and User Profiles

    DEFF Research Database (Denmark)

    Sørensen, Jannick Kirk

    2007-01-01

    on commercial conditions, it is tempting to ask if PSBs should, like their commercial competitors, strive for a more personalised media delivery enabled by user profiles. Information on users’ preferences and interests could be collected by the PSB either indirectly or directly when a program is retrieved on......Demand or a PSB website is visited. By collecting this information PSBs could start to recommend media content in a personalised manner responding to the interests and media usage patterns of the individual user. These methods and techniques are known from commercial web as personalisation, e.g. applied...... as ‘recommender services’, and embedded in the overarching concept of ‘Customer Relation Management’ (CRM). On the other hand it is often stressed that it is the duty of PSB to serve the whole society, not only a few ‘star customers’ – as expressed in PSB remits and in so called ‘public service contracts...

  20. Analysis of importance level and quality achievement aspect in dental health service (A case study on Waru Sidoarjo Community Dental Health Service

    Directory of Open Access Journals (Sweden)

    Taufan Bramantoro

    2012-03-01

    Full Text Available Background: Patients as customers of health services actually have expectation and assessment of health services perceived. During the initial interview conducted at Waru Sidoarjo Community Dental Health Service (Waru Sidoarjo CDHS, it is known that one hundred percent of initial respondents were not satisfied with dental care service provided. All of those respondents assessed that Waru Sidoarjo CDHS still has not met their expectations of service quality factors considered to be important for them. It is even known that there is usually a gap between the expectations of quality dental care service and the assessment of services perceived. As a result, further researches are needed to be conducted regarding the level of importance and achievement-related with factors that affect the quality of health services. Purpose: The purpose of this study was to determine the level of importance and achievement of the quality aspects of the health service provided by Waru Sidoarjo CDHS. Methods: This study can be considered as a descriptive observational study. The instrument used in this study was measurement instruments of service quality. Respondents in the study were 200 patients who visited to dental care services in Waru Sidoarjo CDHS in July 2011. Results: All of the attributes had a mean value of dominant importance and assessments at four. The attributes of the appearance feasibility of medical staffs had the highest interest, about 4.780. Meanwhile, the mean value of the lowest importance was on the attributes of the service suitability, about 4.595. During the observation of the service value, it is also known that the highest mean value was on the non-discriminative services, about 4.600. Conclusion: It can be concluded that there were attributes considered to be important for patients, but still not being fully met by health services provided by the service provider or Community Dental Health Care. Those attributes involving waiting room

  1. Analysis of health services cost at the dental clinic of the San Marcos University.

    OpenAIRE

    Madrid Chumacero, Marco Tulio; Departamento Académico de Estomatología, Biosocial, Facultad de Odontología. Universidad Nacional Mayor de San Marcos, Lima, Perú.; Echeandía Arellano, Juana V.; Facultad de Medicina Humana. Universidad Nacional Mayor de San Marcos, Lima, Perú.

    2014-01-01

    The objectives of this study were: To establish the unitary services cost in Dentistry, To describe simplest way to determine the costs structure approximated for each dental service offered at the clinic. They it was compared with the welfare rates at the dental clinic of the UNMSM, the results were the following ones: 1. Diagnosis: in the four cost activities is higher compared with the official rates, demonstrating "minimum utilities" that goes up from 0,21 to s. 15.96. 2. Radiology: in th...

  2. Analysis of health services cost at the dental clinic of the San Marcos University.

    OpenAIRE

    Madrid Chumacero, Marco Tulio; Departamento Académico de Estomatología, Biosocial, Facultad de Odontología. Universidad Nacional Mayor de San Marcos, Lima, Perú.; Echeandía Arellano, Juana V.; Facultad de Medicina Humana. Universidad Nacional Mayor de San Marcos, Lima, Perú.

    2014-01-01

    The objectives of this study were: To establish the unitary services cost in Dentistry, To describe simplest way to determine the costs structure approximated for each dental service offered at the clinic. They it was compared with the welfare rates at the dental clinic of the UNMSM, the results were the following ones: 1. Diagnosis: in the four cost activities is higher compared with the official rates, demonstrating "minimum utilities" that goes up from 0,21 to s. 15.96. 2. Radiology: in th...

  3. Publication trends in the journal of forensic dental sciences 2009-2012

    OpenAIRE

    Thorakkal Shamim

    2013-01-01

    Background and Objective: Forensic odontology is an emerging specialty of dentistry and there is a paucity of information about publication trends about forensic odontology specialty in India. Journal of forensic dental sciences (JFDS) is the official publication of the Indian Association of Forensic Odontology, which publishes articles related to forensic odontology. The main objective of the following study is to analyze the efficacy of JFDS as a mirror of Indian forensic odontology by eval...

  4. The Impact of Improved Oral Health on the Utilization of Dental Services.

    Science.gov (United States)

    Eklund, Stephen A

    2017-08-01

    Since the mid-20th century, there has been a remarkable decline in dental caries in the United States. The effects of that caries decline have now been demonstrated well into the adult population. These improvements in oral health are resulting in substantial declines in the reparative and restorative dental services being provided to the affected individuals, who comprise a growing part of the population. Because of fewer compromised teeth, extractions and their sequelae also are declining. Much of the recall and periodontal maintenance care can be provided by allied dental personnel. As the older age cohorts, who were children before the caries decline occurred, become an ever-smaller part of the population, the number of patients an individual dentist can treat in a year is likely to increase. This article was written as part of the project "Advancing Dental Education in the 21(st) Century."

  5. Dental Care for Medicaid and CHIP Enrollees

    Science.gov (United States)

    ... Close Home > Medicaid > Benefits > Dental Care Dental Care Dental Care Dental Care for Medicaid and CHIP Enrollees Dental health ... services and opportunities and challenges to obtaining care. Dental Benefits for Children in Medicaid Medicaid covers dental ...

  6. Histories of Public Service Broadcasters on the Web

    DEFF Research Database (Denmark)

    This edited volume details multiple and dynamic histories of relations between public service broadcasters and the World Wide Web. What does it mean to be a national broadcaster in a global communications environment? What are the commercial and public service pressures that were brought to bear...... when public service broadcasters implemented web services? How did “one- to-many” broadcasters adapt to the “many-to-many” medium of the internet? The thematic or- ganisation of this collection addresses such major issues, while each chapter offers a particular historical account of relations between...... public service broadcasters and the World Wide Web....

  7. 76 FR 15349 - Fiscal Year 2010 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by...

    Science.gov (United States)

    2011-03-21

    ... From the Federal Register Online via the Government Publishing Office OFFICE OF MANAGEMENT AND BUDGET Fiscal Year 2010 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by... the cost of outpatient medical, dental and cosmetic surgery services furnished by military...

  8. Protocol for Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial: a randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services.

    Science.gov (United States)

    Tickle, Martin; Milsom, Keith M; Donaldson, Michael; Killough, Seamus; O'Neill, Ciaran; Crealey, Grainne; Sutton, Matthew; Noble, Solveig; Greer, Margaret; Worthington, Helen V

    2011-10-10

    Dental caries is a persistent public health problem with little change in the prevalence in young children over the last 20 years. Once a child contracts the disease it has a significant impact on their quality of life. There is good evidence from Cochrane reviews including trials that fluoride varnish and regular use of fluoride toothpaste can prevent caries. The Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial will compare the costs and effects of a caries preventive package (fluoride varnish, toothpaste, toothbrush and standardised dental health education) with dental health education alone in young children. A randomised controlled trial on children initially aged 2 and 3 years old who are regular attenders at the primary dental care services in Northern Ireland. Children will be recruited and randomised in dental practices. Children will be randomised to the prevention package of both fluoride varnish (twice per year for three years), fluoride toothpaste (1,450 ppm F) (supplied twice per year), a toothbrush (supplied twice a year) or not; both test and control groups receive standardised dental health education delivered by the dentist twice per year. Randomisation will be conducted by the Belfast Trust Clinical Research Support Centre ([CRSC] a Clinical Trials Unit). 1200 participants will be recruited from approximately 40 dental practices. Children will be examined for caries by independent dental examiners at baseline and will be excluded if they have caries. The independent dental examiners will examine the children again at 3 years blinded to study group.The primary end-point is whether the child develops caries (cavitation into dentine) or not over the three years. One secondary outcome is the number of carious surfaces in the primary dentition in children who experience caries. Other secondary outcomes are episodes of pain, extraction of primary teeth, other adverse events and costs which will be obtained from parental

  9. Protocol for Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial: a randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services

    LENUS (Irish Health Repository)

    Tickle, Martin

    2011-10-10

    Abstract Background Dental caries is a persistent public health problem with little change in the prevalence in young children over the last 20 years. Once a child contracts the disease it has a significant impact on their quality of life. There is good evidence from Cochrane reviews including trials that fluoride varnish and regular use of fluoride toothpaste can prevent caries. The Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial will compare the costs and effects of a caries preventive package (fluoride varnish, toothpaste, toothbrush and standardised dental health education) with dental health education alone in young children. Methods\\/Design A randomised controlled trial on children initially aged 2 and 3 years old who are regular attenders at the primary dental care services in Northern Ireland. Children will be recruited and randomised in dental practices. Children will be randomised to the prevention package of both fluoride varnish (twice per year for three years), fluoride toothpaste (1,450 ppm F) (supplied twice per year), a toothbrush (supplied twice a year) or not; both test and control groups receive standardised dental health education delivered by the dentist twice per year. Randomisation will be conducted by the Belfast Trust Clinical Research Support Centre ([CRSC] a Clinical Trials Unit). 1200 participants will be recruited from approximately 40 dental practices. Children will be examined for caries by independent dental examiners at baseline and will be excluded if they have caries. The independent dental examiners will examine the children again at 3 years blinded to study group. The primary end-point is whether the child develops caries (cavitation into dentine) or not over the three years. One secondary outcome is the number of carious surfaces in the primary dentition in children who experience caries. Other secondary outcomes are episodes of pain, extraction of primary teeth, other adverse events and costs which will

  10. Protocol for Northern Ireland Caries Prevention in Practice Trial (NIC-PIP trial: a randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services

    Directory of Open Access Journals (Sweden)

    Noble Solveig

    2011-10-01

    Full Text Available Abstract Background Dental caries is a persistent public health problem with little change in the prevalence in young children over the last 20 years. Once a child contracts the disease it has a significant impact on their quality of life. There is good evidence from Cochrane reviews including trials that fluoride varnish and regular use of fluoride toothpaste can prevent caries. The Northern Ireland Caries Prevention in Practice Trial (NIC-PIP trial will compare the costs and effects of a caries preventive package (fluoride varnish, toothpaste, toothbrush and standardised dental health education with dental health education alone in young children. Methods/Design A randomised controlled trial on children initially aged 2 and 3 years old who are regular attenders at the primary dental care services in Northern Ireland. Children will be recruited and randomised in dental practices. Children will be randomised to the prevention package of both fluoride varnish (twice per year for three years, fluoride toothpaste (1,450 ppm F (supplied twice per year, a toothbrush (supplied twice a year or not; both test and control groups receive standardised dental health education delivered by the dentist twice per year. Randomisation will be conducted by the Belfast Trust Clinical Research Support Centre ([CRSC] a Clinical Trials Unit. 1200 participants will be recruited from approximately 40 dental practices. Children will be examined for caries by independent dental examiners at baseline and will be excluded if they have caries. The independent dental examiners will examine the children again at 3 years blinded to study group. The primary end-point is whether the child develops caries (cavitation into dentine or not over the three years. One secondary outcome is the number of carious surfaces in the primary dentition in children who experience caries. Other secondary outcomes are episodes of pain, extraction of primary teeth, other adverse events and costs

  11. 29 CFR 4.120 - Contracts for public utility services.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts for public utility services. 4.120 Section 4.120... McNamara-O'Hara Service Contract Act Specific Exclusions § 4.120 Contracts for public utility... utility services, including electric light and power, water, steam, and gas.” This exemption is...

  12. 34 CFR 685.219 - Public Service Loan Forgiveness Program.

    Science.gov (United States)

    2010-07-01

    ... organization that is publicly funded and whose principal activities pertain to crime prevention, control or reduction of crime, or the enforcement of criminal law. Military service, for uniformed members of the U.S... are defined by the Bureau of Labor Statistics), public education, public library services,...

  13. Addressing selection bias in dental health services research.

    Science.gov (United States)

    Lee, J Y; Rozier, R G; Norton, E C; Vann, W F

    2005-10-01

    When randomization is not possible, researchers must control for non-random assignment to experimental groups. One technique for statistical adjustment for non-random assignment is through the use of a two-stage analytical technique. The purpose of this study was to demonstrate the use of this technique to control for selection bias in examining the effects of the The Supplemental Program for Women, Infants, and Children's (WIC) on dental visits. From 5 data sources, an analysis file was constructed for 49,512 children ages 1-5 years. The two-stage technique was used to control for selection bias in WIC participation, the potentially endogenous variable. Specification tests showed that WIC participation was not random and that selection bias was present. The effects of the WIC on dental use differed by 36% after adjustment for selection bias by means of the two-stage technique. This technique can be used to control for potential selection bias in dental research when randomization is not possible.

  14. [Race and the use of dental health services by the elderly].

    Science.gov (United States)

    Souza, Eliane Helena Alvim de; Oliveira, Pierre Andrade Pereira de; Paegle, Ana Claudia; Goes, Paulo Sávio Angeiras de

    2012-08-01

    We analyze if race can be considered a limiting factor in the use of dental services by the elderly. This study is of an analytical nature, with the use of secondary data collected by the National Survey of Oral Health in 2003. Those examined who declared themselves as being white, brown or black in the 65 to 74-year-old age bracket were included. The sample was composed of 5,108 elderly people: 2,575 whites and 2,533 blacks. Of the whites, 3.8% stated that they had never been to the dentist, while this figure was 7.8% for the blacks. Even after the adjustment for interception for prosthetics and dental pain, the chance of elderly blacks not having used dental services at least once in their life is 0.62 OR less than for elderly whites. Of those who used the services, 21.2% of the elderly whites visited the dentist in the last year, while for elderly blacks the figure was 14.2%, in the adjusted model for interception for prosthetics and dental pain the OR was 0.60. All the relations were statistically significant (pdental services by the elderly and even after the adjustments the elderly blacks continue to manifest greater resistance to the use of oral health services.

  15. Measuring the short-term effects of incorporating academic service learning throughout a dental hygiene curriculum.

    Science.gov (United States)

    Simmer-Beck, M; Gadbury-Amyot, C; Williams, K B; Keselyak, N T; Branson, B; Mitchell, T V

    2013-11-01

    Academic service learning (ASL) provides the venue for dental hygiene education to take oral healthcare services directly into communities while at the same time promoting professional responsibility within the student bodies. The purpose of this study was to quantitatively examine the change in pre-existing attitudes and behaviours of dental hygiene students following the incorporation of ASL activities throughout a five-semester dental hygiene curriculum. Seventy-seven first-year dental hygiene students who participated in ASL from the graduating classes of 2008-2010 participated in the study. A survey instrument developed by Shiarella, based on Schwartz's Helping Behaviors Model, was used to assess students' attitudes towards community service. Additionally, questions were developed using Shinnamon's Methods and Strategies for Assessing Service-Learning in the Health Professions. Internal estimates of reliability for scales (Cronbach's α) were all >0.8. The results revealed statistically significant improvements over time in enhanced learning (P = 0.0001), self-awareness (P = 0.0001), sense of volunteerism (P = 0.013), impact on career choices (P = 0.001) and decrease in personal costs (P = 0.0001). There were no significant changes in other subscales over time. Further investigating these domains revealed minimal to no changes in attributes of service learning. Service learning integrated into the dental hygiene curriculum can enhance learning and improve students' self-awareness, sense of volunteerism, career choices and perception of personal costs. In concert with the literature on ASL, these experiences throughout the curriculum have potential for increasing students' awareness of community need and their roles as oral health professionals. © 2013 John Wiley & Sons A/S.

  16. US Forest Service Public Land Survey System Townships

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting areas defined by the Public Lands Survey System grid that are referenced by their tier and range numbers, and are normally...

  17. Dental students and faculty members' attitudes towards care for underserved patients and community service: do community-based dental education and voluntary service-learning matter?

    Science.gov (United States)

    Volvovsky, Mariya; Vodopyanov, Dmitry; Inglehart, Marita R

    2014-08-01

    The objectives of this study were to explore 1) how students across the four years of a dental curriculum differed in attitudes towards underserved patients and community service at the beginning and end of each school year; 2) how these attitudes changed as a function of participating in required vs. voluntary community-based activities; and 3) what attitudes faculty members held about the effects of community service-learning on students. Surveys were distributed to 440 students at one dental school at the beginning and end of the school year. The overall response rate for those surveys was 75 percent, with variations among classes: first year, 94 percent; second year, 92 percent; third year, 69 percent; and fourth year, 43 percent. Survey data were also collected from twenty-two students (out of a possible forty-seven) who participated in voluntary service-learning and from fifty-four faculty members (out of approximately 150). The results showed that, at the beginning of the year, the first-year students' attitudes were more positive than the responses of students in all other cohorts. However, at the end of the year, their attitudes were less positive. Participating in voluntary service-learning improved students' attitudes towards treating underserved patients only in the short run, and experiencing ten weeks of community-based dental education did not improve their attitudes. The faculty respondents' attitudes, however, were quite positive. The decrease in students' positive attitudes towards treating underserved patients and participating in community service should raise questions about why this loss of idealism occurred.

  18. A strategy for building public service motivation research Internationally

    NARCIS (Netherlands)

    Kim, S.; Vandenabeele, W.V.|info:eu-repo/dai/nl/323038816

    2010-01-01

    As public service motivation research grows qualitatively and quantitatively, some scholars question its appropriateness for international applications. This essay sets out a strategy of convergence for international research and measurement approaches. Studies that assess commonalities in public

  19. A strategy for building public service motivation research Internationally

    NARCIS (Netherlands)

    Kim, S.; Vandenabeele, W.V.

    2010-01-01

    As public service motivation research grows qualitatively and quantitatively, some scholars question its appropriateness for international applications. This essay sets out a strategy of convergence for international research and measurement approaches. Studies that assess commonalities in public se

  20. U.S. EPAs Public Geospatial Metadata Service

    Data.gov (United States)

    U.S. Environmental Protection Agency — EPAs public geospatial metadata service provides external parties (Data.gov, GeoPlatform.gov, and the general public) with access to EPA's geospatial metadata...

  1. [The impact of frailty on the oral care behaviour and dental service use of elderly people

    NARCIS (Netherlands)

    Niesten, D.; Sanden, W.J.M. van der; Gerritsen, A.E.

    2015-01-01

    In order to explore how the level of frailty and various frailty factors affect the dental service use and oral self-care behaviour of frail elderly people, 51 frail elderly people were interviewed. Additional information on age, gender, living situation, prosthetic status, self-reported health and

  2. Government Research Services in the Public Library.

    Science.gov (United States)

    Davidsson, Robert I.

    1997-01-01

    Describes the Government Information Service of Florida's Palm Beach County Library System (PBCLS). Highlights include models for service, the need for specialized government services, costs versus benefits, the Question-Response Service and Government Web site, and keys to success. (AEF)

  3. Efficiency in health public services provision and market failure

    Directory of Open Access Journals (Sweden)

    Carlos Arturo Meza Carvajalino

    2006-07-01

    Full Text Available This document studies the theoretical foundations, the different controversies regarding the health service and the conceptions adopted from the hypotheses related to the market efficiency in the provision of a public service and the consequent market failures. The author thinks that when the health public service was delegated to the market in Colombia they originated failures in the competition, externalities, preference goods and services, asymmetry and redistribution, among the most relevant ones.

  4. Public policy alienation of public service workers : A conceptual framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars); V.J.J.M. Bekkers (Victor); A.J. Steijn (Bram)

    2007-01-01

    textabstractNowadays, many public professionals face identification problems towards public policies they have to implement; that is, they experience policy alienation. This is troublesome, as for a proper implementation a minimal level of identification with the public policy is required. We use li

  5. Regular use of dental services among adults and older adults in a vulnerable region in Southern Brazil.

    Science.gov (United States)

    Machado, Luciene Petcov; Camargo, Maria Beatriz Junqueira; Jeronymo, José Carlos Milanez; Bastos, Gisele Alsina Nader

    2012-06-01

    To estimate the prevalence of regular use of dental care services by adults and older adults residing in vulnerable community and to identify associated factors. A population-based cross-sectional study was carried out with 3,391 adults and older adults residing in areas of social vulnerability in Porto Alegre, Southern Brazil, from July to December of 2009. A systematic sampling method was used the selection probability proportional to the population of each of the the 121 census sectors. The outcome for regular use of dental care services was defined as regular use of dental services, regardless of the presence of dental problems. A standardized questionnaire was administered, which included demographic, socioeconomic, type of dental care services, self-perception of dental health and self-perceived needs variables. A chi-square test for heterogeneity was used for bivariate analyses, and a Poisson regression with a robust variance and Wald tests were performed for the adjusted analysis. The prevalence of regular use of dental services was 25.7%. The prevalence was higher among people with >12 years schooling (PR 2.48 [95%CI:1.96;3.15]), higher income (PR 1.95[95%CI: 1.03;1.53]), use of private health services (PR 1.43 [95%CI: 1.20;1.71]),excellent self-perceived oral health (PR 4.44 [95%CI: 3.07;6.42]) and a self-perceived need for consultation related to routine checkup (RP 2.13 [95%CI: 1.54;2.96]). Inequalities were found in the regular use of dental services. Integrated approaches that raise awareness of oral health, improve self-care and expand access to dental services, may contribute to increase the use of dental services on a regular basis.

  6. Dental Health Services Research Unit celebrates 30 years: Report of conference to mark the 30th anniversary of the Dental Health Services Research Unit (DHSRU) at Dundee, held on 1st December 2008.

    Science.gov (United States)

    Eaton, Kenneth A; Pitts, Nigel B

    2009-04-01

    Over the years, several members of the staff of the Dental Health Services Research Unit (DHSRU) at Dundee have published papers in Primary Dental Care. Furthermore, its Director, Professor Nigel Pitts, together with Drs Jan Clarkson and Gail Topping have co-edited a number of the Faculty of General Dental Practice (UK)'s standards manuals and contributed to others. It had been suggested to the Unit by several parties that, having been in funded existence for some 30 years, it would be appropriate to mark this anniversary with a conference to explore 'Dental Health Services Research: After 30 years, what was the impact, what have we learned and where are we going?' So, following a range of consultations, the conference was convened at the West Park Conference Centre in Dundee with a mixed audience representing both dental research and dental practice.

  7. The effectiveness of SMS Reminders and the impact of patient characteristics on missed appointments in a public dental outpatient clinic

    Directory of Open Access Journals (Sweden)

    Emilia Bellucci

    2017-03-01

    Full Text Available This paper reports on the Failure To Attend (FTA rate of appointments as well as patients following the implementation of SMS reminders in a public dental outpatient service.  Given the ineffectiveness of the intervention and a highly representative patient’s profile, this paper identifies the demographic characteristics of patients who miss all of their appointments.  Data on appointment attendance, patient demographics and dental service type was collected over a time period of 46 consecutive months.  Using descriptive and inferential statistics (chi-square, two sample tests and Marascuilo procedure we found the SMS intervention was ineffective in reducing the FTA rates. Further, patients associated with high rates of non-attendance exhibited one or more of the following characteristics: male; age 26 – 44; non-concession card holders; a person of Indigenous, local, Asian or African descent, and of refugee status, persons living in low socio-economic areas; and appointments in General Care and Student Clinics. Whilst the literature overwhelmingly attributes SMS reminders to improving the attendance rate of patients in outpatient clinics, our contradictory findings suggest a more targeted approach in settings whose patients exhibit strong characteristics associated with non-attendance.

  8. SOCIAL FACTORS INFLUENCE FROM THE PERSPECTIVE OF DENTAL HEALTHCARE SERVICES CONSUMERS’ BEHAVIOR

    Directory of Open Access Journals (Sweden)

    Iuliana Petronela Gârdan

    2016-02-01

    Full Text Available In case of dental care consumption, a very special influence will have the social factors. This influence, from the level of consumers’ behavior can be analyzed on two distinct levels – that of normatives impose by the social organization particular for the community that the individual live and that of the influences of the social groups that individual are interacting with. Dental healthcare services consumption is conditioned at the level of consumption motivations by complex needs which are not confined only to the physiological needs of removing pain caused by a certain dental condition, but are going towards the need of self-image improvement, increasing the appreciation offered by the others group members, the congruence with other consumers decisions within the group (family members, friends, colleagues etc. It is important to note in this context the fact that the influence exerted by consumers exogenous factors (external influences in which we can integrate those from the social groups also will be combined with the one exerted by endogenous factors (personality, learning process, perceptions, attitudes, motivations etc, representing a continuum that shape consumers and allows in the same time the society shaping by them. The present article proposes a research conducted on dental healthcare services consumers. Results revealed the importance that a series of variables like the importance given to image in the workplace, family, friends and colleagues perception towards dental aesthetic, social class has in the context of consumer behavior. It is also noted that the influence of variables is mediated by the importance given to self-image, dental healthcare services consumption being determined by complex needs, consumption motivations being physiological – specific to some medical conditions and psychological – aesthetic or induced by the pressure corresponding to the need to comply with social norms.

  9. Comparing public and private hospital care service quality.

    Science.gov (United States)

    Camilleri, D; O'Callaghan, M

    1998-01-01

    The study applies the principles behind the SERVQUAL model and uses Donabedian's framework to compare and contrast Malta's public and private hospital care service quality. Through the identification of 16 service quality indicators and the use of a Likert-type scale, two questionnaires were developed. The first questionnaire measured patient pre-admission expectations for public and private hospital service quality (in respect of one another). It also determined the weighted importance given to the different service quality indicators. The second questionnaire measured patient perceptions of provided service quality. Results showed that private hospitals are expected to offer a higher quality service, particularly in the "hotel services", but it was the public sector that was exceeding its patients' expectations by the wider margin. A number of implications for public and private hospital management and policy makers were identified.

  10. Public service announcements: their effect on smoking.

    Science.gov (United States)

    McKinney, R M

    1988-01-01

    , though one would assume that this would initially serve to increase commitment to quit smoking. The applicability of these models to public service announcements are many. It is not enough to make individuals aware of the dangers of smoking but to create an unfavorable image and attitude towards smoking that leads an individual to action.(ABSTRACT TRUNCATED AT 400 WORDS)

  11. Career Satisfaction Among Dental Public Health Specialists in India – A Cross-sectional Survey

    Science.gov (United States)

    Joseph, Joe; Antony, Bobby

    2017-01-01

    Introduction The satisfaction in career is an important indicator for the growth of the discipline and the profession. An empirical investigation of satisfaction in career and amendments needed in course and profession may help in growth of discipline. Aim To assess career satisfaction among Dental Public Health (DPH) specialists working in India and analyze their perspective on changes required in the profession. Materials and Methods Questionnaire for this cross-sectional survey was adapted from Minnesota Job Satisfaction Survey which included 40 enquiries to understand the reasons for choosing public health dentistry as career, competencies of public health dentists, satisfaction as a public health dentist and changes required in the profession. The questions were both open and closed end type. Updated electronic mail details of all registered public health dentists were collected from the head office of Indian Association of Public Health Dentistry. Each participant was contacted by electronic mail and consent to participate were sought. Reminders were e-mailed thrice during three months. A total of 580 participants were contacted. A total of 183 responses were received, among which 179 consented. Results Nearly half of the respondents felt they are yet to achieve the accomplishment from the present career as public health dentist. Only 46.9% felt that there is advancement in the profession as career. Nearly three-fourth of respondents could not attain recognition as a public health dentist. A 45.8% of respondents were of the opinion that career in public health dentistry would provide them a steady employment and 53.1% of public health dentists would envision as satisfied in their career in next 10 years. Nearly 85% felt public health dentistry training needs a major course correction. Conclusion There has been some reservation or skepticism about the future of the specialty as the jobs are in declining stage. This information provides insight about success

  12. Dental Anxiety and the Use of Oral Health Services Among People Attending Two HIV Primary Care Clinics in Miami

    Science.gov (United States)

    Singer, Richard; Cardenas, Gabriel; Xavier, Jessica; Jeanty, Yves; Pereyra, Margaret; Rodriguez, Allan; Metsch, Lisa R.

    2012-01-01

    Objectives We examined factors associated with dental anxiety among a sample of HIV primary care patients and investigated the independent association of dental anxiety with oral health care. Methods Cross-sectional data were collected in 2010 from 444 patients attending two HIV primary care clinics in Miami-Dade County, Florida. Corah Dental Anxiety Scores and use of oral health-care services were obtained from all HIV-positive patients in the survey. Results The prevalence of moderate to severe dental anxiety in this sample was 37.8%, while 7.9% of the sample was characterized with severe dental anxiety. The adjusted odds of having severe dental anxiety were 3.962 times greater for females than for males (95% confidence interval [CI] 1.688, 9.130). After controlling for age, ethnicity, gender, education, access to dental care, and HIV primary clinic experience, participants with severe dental anxiety had 69.3% lower adjusted odds of using oral health-care services within the past 12 months (vs. longer than 12 months ago) compared with participants with less-than-severe dental anxiety (adjusted odds ratio = 0.307, 95% CI 0.127, 0.742). Conclusion A sizable number of patients living with HIV have anxiety associated with obtaining needed dental care. Routine screening for dental anxiety and counseling to reduce dental anxiety are supported by this study as a means of addressing the impact of dental anxiety on the use of oral health services among HIV-positive individuals. PMID:22547875

  13. Public Service Motivation as a Predictor of Attraction to the Public Sector

    Science.gov (United States)

    Carpenter, Jacqueline; Doverspike, Dennis; Miguel, Rosanna F.

    2012-01-01

    According to public service motivation theory, individuals with a strong public service orientation are attracted to government jobs. This proposition was investigated in three studies by measuring public sector motivation at a pre-entry level as an individual difference variable affecting perceptions of fit and organizational attraction. Results…

  14. Service Quality Dimensions in Public Library: Nothern Area Experienced

    OpenAIRE

    2011-01-01

    Problem statement: Service quality has emerged as a key strategic issue in management. The service quality assessment tool SERVQUAL was introduced the dimensions of tangibles, reliability, responsiveness and assurance and empathy dimensions of service quality. Approach: The objective of this study is to investigate which service quality dimensions that mostly influenced the service quality in public library in Sungai Petani. The study was conducted among library users and ...

  15. [Dental fluorosis in 6-13-year-old children attending public schools in Medellín, Colombia].

    Science.gov (United States)

    Ramírez-Puerta, Blanca S; Franco-Cortés, Angela M; Ochoa-Acosta, Emilia M

    2009-08-01

    This study was aimed at determining dental fluorosis prevalence and severity amongst 6-13-year-old students residing in Medellin, Colombia. A descriptive study was carried out on 1,330 students attending 34 public schools in the city of Medellin. Two dentists trained in dental fluorosis diagnosis performed the examinations were after the teeth had been brushed. Teeth were dried with gauze, isolated with cotton pellets and visually examined in natural light. The Thylstrup and Fejerskov index (TFI) was used for rating fluorosis. Dental fluorosis prevalence was 81 % (TFI>1); 46.4 % was related to mild dental fluorosis (TFI1 and TFI2) and 8.8% to severe dental fluorosis (TFI >5). TFI > or = 1 was found in 21 % of the children being examined in at least 50 % of their teeth. Dental fluorosis prevalence level was found to be high in Medellín, Colombia; health authorities should thus focus their attention on preventing this problem.

  16. 7 CFR 8.8 - Use by public informational services.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Use by public informational services. 8.8 Section 8.8 Agriculture Office of the Secretary of Agriculture 4-H CLUB NAME AND EMBLEM § 8.8 Use by public informational services. (a) In any advertisement, display, exhibit, visual and audio-visual material, news...

  17. 75 FR 27348 - Public Health Services Act; Delegation of Authority

    Science.gov (United States)

    2010-05-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Public Health Services Act; Delegation of Authority Notice is hereby given that I have delegated to the Director, Office of Public Health...

  18. Public Service Loan Forgiveness. NASFAA Task Force Report

    Science.gov (United States)

    National Association of Student Financial Aid Administrators, 2014

    2014-01-01

    The Public Service Loan Forgiveness (PSLF) program was established in 2007 to encourage student borrowers to work in the public sector. Qualifying borrowers may have their Direct Loans forgiven after 10 years of full-time service in an eligible job. Currently, qualifying employers include federal, state, or local government agencies and tax-exempt…

  19. Past, present, and future of public service motivation research

    NARCIS (Netherlands)

    Vandenabeele, Wouter; Brewer, Gene A.; Ritz, Adrian

    2014-01-01

    This article reviews the evolution of almost 25 years of public service motivation research in order to identify what is necessary to raise future research to a higher level. First, we look at the rise in public service motivation research and try to provide an explanation for the increasing number

  20. Strengthening Public Revenue and Expenditure Management to Enhance Service Delivery

    OpenAIRE

    2013-01-01

    To achieve higher growth and reduce poverty and inequality, Mexico needs to improve public service delivery. Mexico is a middle-income country with continuing high levels of poverty (46.2 percent of the population). To improve public sector service delivery, Mexico needs to ensure sufficient financial and human resources relative to the needs of the population, and effective and efficient ...

  1. Sharing MedlinePlus®/MEDLINE for Information Literacy Education (SMILE): A Dental Public Health Information Project

    Science.gov (United States)

    Gaines, Julie K.; Levy, Linda S.; Cogdill, Keith W.

    2012-01-01

    The SMILE project represented a partnership among the University of Texas Health Science Center at San Antonio Libraries, the Gateway Clinic in Laredo, and the San Antonio Metropolitan Health District. The project focused on improving dental practitioners' access to reliable information resources and integrating the best evidence into public health dental practice. Through its training program, SMILE cultivated a set of “power information users” among the dentists, dental hygienists, and community health workers (promotores) who provide public health preventive care and oral health education. The dental public health practitioners gained information literacy skills and increased their knowledge about reliable sites such as blogs, PubMed®, and MedlinePlus®. This project fostered opportunities for expanded partnerships with public health personnel. PMID:22040242

  2. Sharing MedlinePlus®/MEDLINE® for information literacy education (SMILE): a dental public health information project.

    Science.gov (United States)

    Gaines, Julie K; Levy, Linda S; Cogdill, Keith W

    2011-01-01

    The SMILE project represented a partnership among the University of Texas Health Science Center at San Antonio Libraries, the Gateway Clinic in Laredo, and the San Antonio Metropolitan Health District. The project focused on improving dental practitioners' access to reliable information resources and integrating the best evidence into public health dental practice. Through its training program, SMILE cultivated a set of "power information users" among the dentists, dental hygienists, and community health workers (promotores) who provided public health preventive care and oral health education. The dental public health practitioners gained information literacy skills and increased their knowledge about reliable sites such as blogs, PubMed®, and MedlinePlus®. This project fostered opportunities for expanded partnerships with public health personnel.

  3. Evaluation of the methodology in publications describing epidemiological design for dental research: a critical analysis

    Directory of Open Access Journals (Sweden)

    Telmo Oliveira Bittar

    2011-01-01

    Full Text Available Introduction and objective: To describe, analyze, and critically review the methodology employed in dental epidemiological research available on electronic databases, evaluating their structures according to Strobe and Consort initiative. Material and methods: ISI Web of knowledge, Scopus, and Pubmed electronic databases were selected for literature research, gathering publications in dental epidemiological area using the following designs: cross-sectional, cohort, case-control, descriptive, experimental, and quasi-experimental. Subsequently, five specific dentistry journals were selected and had their abstracts content analyzed under Strobe and Consort statement criterion. Results: From a universe of 10,160 articles from Pubmed (the greatest number, only 3,198 could be classified according to their epidemiological design by the electronic database searching tool. The most common designs were cross-sectional, cohort, case-control, descriptive, experimental and quasi-experimental publications, showing a tendency towards occurring bias and confounding factors in literature research due to missing words in papers structure. Even though Consort and Strobe initiatives have been accomplished since 2001 and 2004 respectively, some publications are not suitable for their checklist. Conclusion: Consort and Strobe statements must be strengthened by dental journals, editors and reviewers to improve the quality of the studies, attempting to avoid any sort of bias or confounding factors in the literature research performed by electronic database.

  4. Using mass transit public service advertising to market family planning.

    Science.gov (United States)

    Blonna, R; McNally, K; Grasso, C

    1990-03-01

    To increase public awareness of family planning services in New Jersey, the Family Planning Program of the State Department of Health conducted an intermediary marketing campaign using free public service advertising on mass transit. In 1986, the year of the campaign, 237 calls were made to the advertised hotline, resulting in a like number of referrals to family planning service providers. Also, 2664 new patients examined in the state's family planning agencies in 1986 cited exposure to the media campaign as the reason for their visits. The results of the campaign and their implications for other public service agencies are discussed.

  5. A new primary dental care service compared with standard care for child and family to reduce the re-occurrence of childhood dental caries (Dental RECUR): study protocol for a randomised controlled trial.

    Science.gov (United States)

    Pine, Cynthia; Adair, Pauline; Burnside, Girvan; Robinson, Louise; Edwards, Rhiannon Tudor; Albadri, Sondos; Curnow, Morag; Ghahreman, Marjan; Henderson, Mary; Malies, Clare; Wong, Ferranti; Muirhead, Vanessa; Weston-Price, Sally; Whitehead, Hilary

    2015-11-04

    In England and Scotland, dental extraction is the single highest cause of planned admission to the hospital for children under 11 years. Traditional dental services have had limited success in reducing this disease burden. Interventions based on motivational interviewing have been shown to impact positively dental health behaviours and could facilitate the prevention of re-occurrence of dental caries in this high-risk population. The objective of the study is to evaluate whether a new, dental nurse-led service, delivered using a brief negotiated interview based on motivational interviewing, is a more cost-effective service than treatment as usual, in reducing the re-occurrence of dental decay in young children with previous dental extractions. This 2-year, two-arm, multicentre, randomised controlled trial will include 224 child participants, initially aged 5 to 7 years, who are scheduled to have one or more primary teeth extracted for dental caries under general anaesthesia (GA), relative analgesia (RA: inhalation sedation) or local anaesthesia (LA). The trial will be conducted in University Dental Hospitals, Secondary Care Centres or other providers of dental extraction services across the United Kingdom. The intervention will include a brief negotiated interview (based on the principles of motivational interviewing) delivered between enrollment and 6 weeks post-extraction, followed by directed prevention in primary dental care. Participants will be followed up for 2 years. The main outcome measure will be the dental caries experienced by 2 years post-enrollment at the level of dentine involvement on any tooth in either dentition, which had been caries-free at the baseline assessment. The participants are a hard-to-reach group in which secondary prevention is a challenge. Lack of engagement with dental care makes the children and their families scheduled for extraction particularly difficult to recruit to an RCT. Variations in service delivery between sites have

  6. Validation of the Maslach Burnout Inventory-Human Services Survey for Estimating Burnout in Dental Students.

    Science.gov (United States)

    Montiel-Company, José María; Subirats-Roig, Cristian; Flores-Martí, Pau; Bellot-Arcís, Carlos; Almerich-Silla, José Manuel

    2016-11-01

    The aim of this study was to examine the validity and reliability of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as a tool for assessing the prevalence and level of burnout in dental students in Spanish universities. The survey was adapted from English to Spanish. A sample of 533 dental students from 15 Spanish universities and a control group of 188 medical students self-administered the survey online, using the Google Drive service. The test-retest reliability or reproducibility showed an Intraclass Correlation Coefficient of 0.95. The internal consistency of the survey was 0.922. Testing the construct validity showed two components with an eigenvalue greater than 1.5, which explained 51.2% of the total variance. Factor I (36.6% of the variance) comprised the items that estimated emotional exhaustion and depersonalization. Factor II (14.6% of the variance) contained the items that estimated personal accomplishment. The cut-off point for the existence of burnout achieved a sensitivity of 92.2%, a specificity of 92.1%, and an area under the curve of 0.96. Comparison of the total dental students sample and the control group of medical students showed significantly higher burnout levels for the dental students (50.3% vs. 40.4%). In this study, the MBI-HSS was found to be viable, valid, and reliable for measuring burnout in dental students. Since the study also found that the dental students suffered from high levels of this syndrome, these results suggest the need for preventive burnout control programs.

  7. Ramifications of Dental Policy and its Impact on Public Oral Health

    Directory of Open Access Journals (Sweden)

    Prasant MC

    2012-01-01

    Full Text Available The oral health care system is to promote, maintain and prevent oral disease. It also aims at adequate treatment to arrest the disease at an early stage .There is a lack of clearly stated objectives and many a time lack of implementation. There are around 300 plus colleges(2in India today. Opening up of private sector to dental college has both a positive and negative impact. Today dental treatment is available in many rural parts of India and there is an increased awareness as compared to before. Technology and infrastructure is widely available. The question is are the department and infrastructure used .Definitely not to the optimumas the are not performing for what they are designed. For example Community dentistry department has been used only to increase number of patients to dental colleges. It is seen as an advertisement agency for these colleges. Role of Community dentist has become that of is of a referring body. Other subjects relating to dental public health like fluoridation of drinking water, Commercial mouthwashes have also been a cause for concern, with some studies linking them to an increased risk of oral cancer(3, 4, 5, 6 has taken a back seat. The maximum permissible limit of fluoride in drinking water in India is 1.2 mg/L7. There are programs on tobacco awareness but its use in India does not show significant decline in users. Most of these programs are not involving dentist actively

  8. Behaviour and action:citizens vs.public services

    OpenAIRE

    Lucica MATEI; Ani MATEI

    2010-01-01

    The paper presents the relation between citizens and public service providers from the view of the applicability of the theory of consumers’ interests and operation of the market mechanisms in the public sector. The roles between the provider and consumer/ user of the service are continuously subject to transformations, determined by the change of systems and mechanisms of public administration. The relations citizen-administration provide the means in order to build the typolo...

  9. The road to success - from high quality public services towards the high-quality public administration

    OpenAIRE

    Mitreva, Elizabeta; Taskov, Nako

    2013-01-01

    There is empirical evidence that various quality improvement programmes in public administration have increased users' satisfaction. Yet, at the same time, mass public surveys indicate a decrease in trust in national government, Parliament and the civil service. This indicates that there is no linear relationship between service quality and trust. The perception of quality come from very specific observations of public services whereas trust refers to the government machinery in general. ...

  10. Great Expectations of Public Service Delegation: A systematic review

    NARCIS (Netherlands)

    Overman, S.P.

    2016-01-01

    Politicians use a variety of expectations to justify the delegation of public services to public, semi-public or private organizations. This article reveals expectations of delegation, as well as its correlates. Empirical evidence is drawn from a systematic review of 250 peer-reviewed articles publi

  11. Great Expectations of Public Service Delegation: A Systematic Review

    NARCIS (Netherlands)

    Overman, Sjors

    2016-01-01

    Politicians use a variety of expectations to justify the delegation of public services to public, semi-public or private organizations. This article reveals expectations of delegation, as well as its correlates. Empirical evidence is drawn from a systematic review of 250 peer-reviewed articles publi

  12. Teaching social responsibility through community service-learning in predoctoral dental education.

    Science.gov (United States)

    Brondani, Mario A

    2012-05-01

    Social responsibility refers to one's sense of duty to the society in which he or she lives. The Professionalism and Community Service (PACS) dental module at the University of British Columbia is based upon community service-learning and helps dental students to understand the challenges faced by vulnerable segments of the population as they actively reflect on experiences gathered from didactic and experiential activities. This article aims to illustrate the extent to which PACS has fostered awareness of social responsibility through the British Columbia Ministry of Education's Performance Standards Framework for Social Responsibility. Reflections were gathered from students in all four years of the D.M.D. program and were analyzed thematically in three categories of the framework: Contribution to the Classroom and Community, Value of Diversity in the Community, and Exercise of Responsibilities. The constant comparison analysis of the reflective qualitative data revealed that the students directly or indirectly addressed these three categories in their reflections as they synthesized their understanding of community issues and their collaborative roles as socially responsible members of the dental profession. Follow-up studies are needed to explore the impact of community-based dental education upon students' perceptions and understanding of social responsibility and professionalism regarding underserved communities.

  13. Service-learning: an integral part of undergraduate public health.

    Science.gov (United States)

    Cashman, Suzanne B; Seifer, Sarena D

    2008-09-01

    In 2003, the Institute of Medicine (IOM) described public health as "an essential part of the training of citizens," a body of knowledge needed to achieve a public health literate citizenry. To achieve that end, the IOM recommended that "all undergraduates should have access to education in public health." Service-learning, a type of experiential learning, is an effective and appropriate vehicle for teaching public health and developing public health literacy. While relatively new to public health, service-learning has its historical roots in undergraduate education and has been shown to enhance students' understanding of course relevance, change student and faculty attitudes, encourage support for community initiatives, and increase student and faculty volunteerism. Grounded in collaborative relationships, service-learning grows from authentic partnerships between communities and educational institutions. Through emphasizing reciprocal learning and reflective practice, service-learning helps students develop skills needed to be effective in working with communities and ultimately achieve social change. With public health's enduring focus on social justice, introducing undergraduate students to public health through the vehicle of service-learning as part of introductory public health core courses or public health electives will help ensure that our young people are able to contribute to developing healthy communities, thus achieving the IOM's vision.

  14. Athletic Trainer Services in Public and Private Secondary Schools.

    Science.gov (United States)

    Pike, Alicia M; Pryor, Riana R; Vandermark, Lesley W; Mazerolle, Stephanie M; Casa, Douglas J

    2017-01-01

     The presence of athletic trainers (ATs) in secondary schools to provide medical care is crucial, especially with the rise in sports participation and resulting high volume of injuries. Previous authors have investigated the level of AT services offered, but the differences in medical care offered between the public and private sectors have not been explored.  To compare the level of AT services in public and private secondary schools.  Concurrent mixed-methods study.  Public and private secondary schools in the United States.  A total of 10 553 secondary schools responded to the survey (8509 public, 2044 private).  School administrators responded to the survey via telephone or e-mail. Descriptive statistics depict national data. Open-ended questions were evaluated through content analysis.  A greater percentage of public secondary schools than private secondary schools hired ATs. Public secondary schools provided a higher percentage of full-time, part-time, and clinic AT services than private secondary schools. Only per diem AT services were more frequent in the private sector. Regardless of the extent of services, reasons for not employing an AT were similar between sectors. Common barriers were budget, school size, and lack of awareness of the role of an AT. Unique to the public sector, remote location was identified as a challenge faced by some administrators.  Both public and private secondary schools lacked ATs, but higher percentages of total AT services and full-time services were available in the public sector. Despite differences in AT services, both settings provided a similar number of student-athletes with access to medical care. Barriers to hiring ATs were comparable between public and private secondary schools; however, remote location was a unique challenge for the public sector.

  15. Do 'poor areas' get the services they deserve? The role of dental services in structural inequalities in oral health.

    Science.gov (United States)

    Harris, R V

    2016-06-01

    All over the world, we see that communities with the greatest dental need receive the poorest care--a truism first summarised by the Inverse Care Law in 1971. Despite efforts to attract dentists to under-served areas with incentives such as 'deprivation payments', the playing field is still uphill because of the fundamental inequalities which exist in society itself Deep-seated cultural values which are accepting of a power difference between the 'haves' and 'have nots', and that emphasise individualism over collectivism, are hard to shift. The marketization of health care contributes, by reinforcing these values through the commodification of care, which stresses efficiency and the transactional aspects of service provision. In response, practitioners working in deprived areas develop 'scripts' of routines that deliver 'satisfactory care', which are in accord with the wishes of patients who place little value on oral health but which also maintain the viability of the practice as a business. A compliance framework contrasting types of organisational (dental practice) power (coercive, utilitarian, normative) with types of patient orientation (alienative, calculative, moral) identifies where certain combinations 'work' (e.g. normative power--moral orientation), but where others struggle. Thus institutional structures combine with patients' and the wider community's demands, to generate a model of dental care which leaves little scope for ongoing, preventive dental treatment. This means that in poor areas, all too often, not only is less care available, it is of lower quality too--just where it is needed most.

  16. Trends in dental service provision in Australia: 1983-1984 to 2009-2010.

    Science.gov (United States)

    Brennan, David S; Balasubramanian, Madhan; Spencer, A John

    2015-02-01

    To investigate time trends in dental service provision. A random sample of Australian dentists was surveyed by mailed questionnaires in 1983-1984, 1993-1994, 2003-2004, and 2009-2010 (response rates 67-76%). The service rate per visit was collected from a log of services. The rate of service provision per visit [rate ratio (RR)] increased from 1983-1984 to 2009-2010 for the service areas of diagnostic (RR=1.8; 1.6-1.9), preventive (RR=1.9; 1.6-2.1), endodontic (RR=2.1; 1.7-2.6), and crown and bridge (RR=2.9; 2.3-3.8), whereas prosthodontic services decreased (RR=0.7; 0.6-0.9). The profile of services provided by dentists changed over the study period to include less emphasis on replacement of teeth and more on diagnosis, prevention, and retention of natural dentitions. © 2014 FDI World Dental Federation.

  17. Developing satellite communications for public service: Prospects in four service areas

    Science.gov (United States)

    1977-01-01

    The Public Service Satellite Consortium evaluated prospects for satellite telecommunications in four areas of the public service: the U.S. health care system, elementary and secondary education, American libraries, and that sector of the public service which is concerned with the provision of continuing education to health professionals. Three important conclusions were reached. First, throughout the public service there are three recurring needs: improved access, cost containment, and maintenance of quality. Appropriate application of communication satellite systems could ameliorate each of these concerns. Second, there appears to be an enormous latent demand for data communication services throughout the public service. The potential demand in 1982 to support requirements in hospital administration, library services and other information-retrieval activities, equipment maintenance, and environmental monitoring may be in excess of $300 million a year. Third, administrative applications of data communication networks show particular promise, especially in rural areas.

  18. The Use of Format Adaptation in Danish Public Service Programming

    DEFF Research Database (Denmark)

    Jensen, Pia Majbritt

    2013-01-01

    The article investigates Danish public service broadcasters’ use of format adaptations over a 12-year period in order to examine claims that formats constitute a potential threat to public service broadcasting and the national Danish television industry and culture. The article’s findings, howeve...... service orientation. Instead the article argues, following German sociologist Ulrich Beck, that format adaptation can represent a form of ‘banal transnationalism’, pointing to the fact that the world is no longer exclusively defined by national boundaries.......The article investigates Danish public service broadcasters’ use of format adaptations over a 12-year period in order to examine claims that formats constitute a potential threat to public service broadcasting and the national Danish television industry and culture. The article’s findings, however...

  19. An Analysis of Public Service Structural Imbalances in Rural China

    Institute of Scientific and Technical Information of China (English)

    林万龙

    2008-01-01

    Rectifying the structural imbalance between the provision of and demand for rural public services can effectively boost the efficiency of public funds utilization and the level of public service provision. Based on the findings of a field survey, this article presents a summary of the structural imbalance between the provision of and demand for rural public services. This paper holds that the structural imbalance is primarily reflected in the dislocation between provision and demand, the unsuitable mode of provision, the monolithic provision mechanism, the excessive focus on construction at the expense of governance and the overemphasis of counties and townships at the cost of villages. Such structural imbalance is principally because of the limited financial strength of government at the grass-roots level due to treasury centralization and the over-dependence of public services on special funds allocated by government at or above provincial level.

  20. Electronic Mediated Administration and Public Service Delivery in Nigeria

    Directory of Open Access Journals (Sweden)

    Samuel Oni

    2015-12-01

    Full Text Available The public service of any country is a major pillar in determining the development and stability of such country. This is because the public service is the engine for the processing of the vastly acquired and expanded government responsibilities of executing public policies and projects and rendering essential services to the people. In Nigeria, various governmental regimes have attempted repositioning the public sector for effective and efficient service delivery through various reforms. In spite of all these efforts, the Nigeria Public Service remains inefficient and incapable of delivering its responsibility. This paper adopts descriptive and analytical approach with data collected from secondary sources. By interrogating the exponential growth, usage and acceptance of Information Communication Technology (ICT in Nigeria, it argues for a paradigm shift from the traditional approach to electronic administration to enhance the delivery of public goods and services which are considered necessary for the sustainable development of the country. ICT enabled administration has the potentials of revolutionizing the quality of services delivered to the citizens by ushering in transparency, accountability and efficiency which are the bane of the Nigeria’s public sector.

  1. Diffusing public sector services through high definition video

    OpenAIRE

    Molnar, Andreea; Weerakkody, Vishanth; El-Haddadeh, Ramzi

    2013-01-01

    The adoption of public services that have been delivered electronically are not necessarily uniformly accepted. This paper argues that the diffusion of high definition video communication as a complimentary mechanism for service delivery could not only alleviate this existing gap in adoption and diffusion of government services but also significantly improve services and save cost for governments. This paper introduces a holistic perspective on how video technology could be integrated in exis...

  2. Changes of the dental service delivered to patients with intellectual disability under general anaesthesia in Dental Polyclinic Split, Croatia, during the years 1985-2009.

    Science.gov (United States)

    Kovacić, Ivan; Tadin, Antonija; Petricević, Nikola; Mikelić, Branimira; Vidović, Neven; Palac, Antonija; Filipović-Zore, Irina; Celebić, Asja

    2012-09-01

    People with intellectual disability (ID) usually have a poor quality of oral health, which include poor oral hygiene, untreated caries and high proportion of missing teeth. Due to their fear and repulsive attitude towards medical staff general anesthesia is often a useful method for dental treatment. One thousand and fifty four intellectual disability patients for the period of 1985-2009 who received dental treatment under general anesthesia in Dental Polyclinic Split, were included in the study. Patients were divided into five groups based upon the period when a specific dental treatment had been received. Each period was analyzed for the number of ID patients treated and the type of dental treatment. The results showed that the most services provided were 4006 fillings, followed by 3225 extracted teeth and finally 274 endodontic treatments. Significantly the lowest number of fillings and endodontic treatments were found among patients in group II (1990-1994), with significantly the highest number of extracted teeth. In Conclusion, the types of dental treatment have changed during twenty five years. Number of extracted teeth decreased while the number of fillings and endodontic treatment increased. However, dental status of people with intellectual disability should be improved with more restorative treatments and with better oral health prevention program.

  3. Occupational hazards in a public ambulance service.

    Science.gov (United States)

    Constantin, Brânduşa; Morariu, S; Duma, Olga Odetta

    2013-01-01

    To identify the occupational risks in an ambulance service and to assess their impact on the health of employees. Two marched groups (number, sex, age, length of exposure) from two different work sectors were selected. A 60 item questionnaire was used. The 60 items were grouped into four categories related to work organization, work environment, neuropsychosensorial risk factors and health system and occupational safety-related risk factors and hazards. The data were statistically processed, significant correlations between the risk factors and the associated symptoms being found. Compared to the control group, significantly higher values (pground, carrying weight, vicious postures) were found in ambulance service staff; cervical and lumbar spine problems were the most common complaints of ambulance service staff. The specific risk factors for ambulance service employees directly related to musculoskeletal disorders have been established.

  4. Community dental clinics: providers' perspectives.

    Science.gov (United States)

    Wallace, Bruce B; MacEntee, Michael I; Harrison, Rosamund; Hole, Rachelle; Mitton, Craig

    2013-06-01

    Not-for-profit community dental clinics attempt to address the inequities of oral health care for disadvantaged communities, but there is little information about how they operate. The objective of this article is to explain from the perspective of senior staff how five community dental clinics in British Columbia, Canada, provide services. The mixed-methods case study included the five not-for-profit dental clinics with full-time staff who provided a wide range of dental services. We conducted open-ended interviews to saturation with eight senior administrative staff selected purposefully because of their comprehensive knowledge of the development and operation of the clinics and supplemented their information with a year's aggregated data on patients, treatments, and operating costs. The interview participants described the benefits of integrating dentistry with other health and social services usually within community health centres, although they doubted the sustainability of the clinics without reliable financial support from public funds. Aggregated data showed that 75% of the patients had either publically funded or no coverage for dental services, while the others had employer-sponsored dental insurance. Financial subsidies from regional health authorities allowed two of the clinics to treat only patients who are economically vulnerable and provide all services at reduced costs. Clinics without government subsidies used the fees paid by some patients to subsidize treatment for others who could not afford treatment. Not-for-profit dental clinics provide dental services beyond pain relief for underserved communities. Dental services are integrated with other health and community services and located in accessible locations. However, all of the participants expressed concerns about the sustainability of the clinics without reliable public revenues. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. IMPROVING PUBLIC SERVICES THROUGH A ORGANIZATIONAL PERFORMANCE MANAGEMENT

    Directory of Open Access Journals (Sweden)

    IOANA STĂNCESCU

    2010-01-01

    Full Text Available Organizational management, systemic approach, is known more as a system Management, that set of factors such as organizational, methodological information, decisions and relationships between them, as outlined, that will achieve objectives. Fundamental objective of management in public organizations involved in the holders of public office positions and leadership and execution in this area an additional responsibility to manage all types of resources available to the public sector, namely human resources, information, material and financial.Summary of process management is focusing on human coordination of joint work. An important role in this process is modernizing organizational management and quality delivery of public services or the institution's activities, public services more efficient by implementing innovative tools, leading to a government driven process to a results-oriented public service.

  6. Artificial Intelligence and Public Healthcare Service Innovation

    DEFF Research Database (Denmark)

    Sun, Tara Qian; Medaglia, Rony

    Public healthcare ecosystems are complex networks of diverse actors that are subject to pressures to innovate, also a result of technological advancements. Artificial Intelligence (AI), in particular, has the potential to transform the way hospitals, doctors, patients, government agencies...

  7. Problems of Public Service Reforming at the Present Stage

    Directory of Open Access Journals (Sweden)

    Arzamet M. Kamkiya

    2015-09-01

    Full Text Available In the present article author investigates problems of public service reforming at the present stage. In the research author notes that the centuries-old history of the state construction proved that any civilized state can't effectively function without highly professional device of public service, and effective public service serves as a key factor of durability of the government, her authority. In the conclusion author notes that during new state construction in Russia it is necessary to adopt federal laws which would regulate not only separate aspects, but also all process of legal support of professional activity on realization of powers of government bodies.

  8. Assessment of occupational risk and radiation protection conditions of the dental radiological diagnosis services; Avaliacao de condicoes de radioprotecao e risco ocupacional em servicos de radiodiagnostico odontologico

    Energy Technology Data Exchange (ETDEWEB)

    Andrade, Lilia M.; Kastner, Geraldo F.; Carneiro, Orozimbo J.; Maia, Margareth; Pereira, Claubia [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Dept. de Engenharia Nuclear]. E-mail: lidia@nuclear.ufmg.br; claubia@nuclear.ufmg.br

    2001-07-01

    The radiograph constitutes an important complementary method to the dental diagnosis , inside of the universe of the diagnosis for images. The emission of X-ray during the radiograph exam it requests special attention concerning the so much radiological protection for the patient as for the professional. Referring norms to the theme regulate the operation of the radiological diagnosis services and are specified in the Portaria 453 from June 1, 1998 of the Secretaria Nacional de Vigilancia Sanitaria. Based on this entrance, they were appraised the conditions of operation of services of dental radiological diagnosis in public and private establishments, in the city of Belo Horizonte, with relationship the radiological protection, occupational risk and it structures physics of the establishment. (author)

  9. Dental Care Presents The Highest Level Of Financial Barriers, Compared To Other Types Of Health Care Services.

    Science.gov (United States)

    Vujicic, Marko; Buchmueller, Thomas; Klein, Rachel

    2016-12-01

    The Affordable Care Act is improving access to and the affordability of a wide range of health care services. While dental care for children is part of the law's essential health benefits and state Medicaid programs must cover it, coverage of dental care for adults is not guaranteed. As a result, even with the recent health insurance expansion, many Americans face financial barriers to receiving dental care that lead to unmet oral health needs. Using data from the 2014 National Health Interview Survey, we analyzed financial barriers to a wide range of health care services. We found that irrespective of age, income level, and type of insurance, more people reported financial barriers to receiving dental care, compared to any other type of health care. We discuss policy options to address financial barriers to dental care, particularly for adults.

  10. Utilization of dental care: An Indian outlook.

    Science.gov (United States)

    Gambhir, Ramandeep Singh; Brar, Prabhleen; Singh, Gurminder; Sofat, Anjali; Kakar, Heena

    2013-07-01

    Oral health has a significant impact on the quality of life, appearance, and self-esteem of the people. Preventive dental visits help in the early detection and treatment of oral diseases. Dental care utilization can be defined as the percentage of the population who access dental services over a specified period of time. There are reports that dental patients only visit the dentist when in pain and never bother to return for follow-up in most cases. To improve oral health outcomes an adequate knowledge of the way the individuals use health services and the factors predictive of this behavior is essential. The interest in developing models explaining the utilization of dental services has increased; issues like dental anxiety, price, income, the distance a person had to travel to get care, and preference for preservation of teeth are treated as barriers in regular dental care. Published materials which pertain to the use of dental services by Indian population have been reviewed and analyzed in depth in the present study. Dental surgeons and dental health workers have to play an adequate role in facilitating public enlightenment that people may appreciate the need for regular dental care and make adequate and proper use of the available dental care facilities.

  11. Utilization of dental care: An Indian outlook

    Science.gov (United States)

    Gambhir, Ramandeep Singh; Brar, Prabhleen; Singh, Gurminder; Sofat, Anjali; Kakar, Heena

    2013-01-01

    Oral health has a significant impact on the quality of life, appearance, and self-esteem of the people. Preventive dental visits help in the early detection and treatment of oral diseases. Dental care utilization can be defined as the percentage of the population who access dental services over a specified period of time. There are reports that dental patients only visit the dentist when in pain and never bother to return for follow-up in most cases. To improve oral health outcomes an adequate knowledge of the way the individuals use health services and the factors predictive of this behavior is essential. The interest in developing models explaining the utilization of dental services has increased; issues like dental anxiety, price, income, the distance a person had to travel to get care, and preference for preservation of teeth are treated as barriers in regular dental care. Published materials which pertain to the use of dental services by Indian population have been reviewed and analyzed in depth in the present study. Dental surgeons and dental health workers have to play an adequate role in facilitating public enlightenment that people may appreciate the need for regular dental care and make adequate and proper use of the available dental care facilities. PMID:24082719

  12. Dental health services utilization and associated factors in children 6 to 12 years old in a low-income country.

    Science.gov (United States)

    Medina-Solis, Carlo Eduardo; Maupomé, Gerardo; del Socorro, Herrera Miriam; Pérez-Núñez, Ricardo; Avila-Burgos, Leticia; Lamadrid-Figueroa, Hector

    2008-01-01

    To determine the factors associated with the dental health services utilization among children ages 6 to 12 in León, Nicaragua. A cross-sectional study was carried out in 1,400 schoolchildren. Using a questionnaire, we determined information related to utilization and independent variables in the previous year. Oral health needs were established by means of a dental examination. To identify the independent variables associated with dental health services utilization, two types of multivariate regression models were used, according to the measurement scale of the outcome variable: a) frequency of utilization as (0) none, (1) one, and (2) two or more, analyzed with the ordered logistic regression and b) the type of service utilized as (0) none, (1) preventive services, (2) curative services, and (3) both services, analyzed with the multinomial logistic regression. The proportion of children who received at least one dental service in the 12 months prior to the study was 27.7 percent. The variables associated with utilization in the two models were older age, female sex, more frequent toothbrushing, positive attitude of the mother toward the child's oral health, higher socioeconomic level, and higher oral health needs. Various predisposing, enabling, and oral health needs variables were associated with higher dental health services utilization. As in prior reports elsewhere, these results from Nicaragua confirmed that utilization inequalities exist between socioeconomic groups. The multinomial logistic regression model evidenced the association of different variables depending on the type of service used.

  13. The Relationship Between Population Size and Contracting Out Public Services

    DEFF Research Database (Denmark)

    Foged, Søren Kjær

    2015-01-01

    What is the causal relationship between population size and the contracting out of public service delivery in local governments? The size of the population of a given municipality has long been thought to be an important driver of contracting out public service delivery, which theoretically....../contracting out relationship. Results show that the relationship differs across policy sectors: It is negative for services with high fixed costs, presumably due to scale economies, and is positive for services that are difficult to measure, probably due to more administrative and technical capacity in larger...

  14. An Analysis of Business Models in Public Service Platforms

    DEFF Research Database (Denmark)

    Ranerup, Agneta; Zinner Henriksen, Helle; Hedman, Jonas

    2016-01-01

    Public Service Platforms (PSPs) are a new type of technology platform. They are based in the philosophy of New Public Management (NPM) and support public services for citizens in quasi-markets. This article increases our understanding of the business models behind these PSPs in terms of their Value...... Propositions, structures, networks, and financing. We interviewed representatives from 14 PSP providers in four public sectors in Sweden: education, healthcare, elder care, and public pensions. We identified a “Traditional view” with its focus on public agencies and neutral information and an “Emerging view......” that includes dialogues, user evaluations, long-term perspectives on choice, promotion of the ideal of choice, and self-promotion by public agencies. The article contributes to research with its empirical example of the digitalization of NPM and the underlying business logic of PSPs....

  15. [The social value of teeth and access to dental health services].

    Science.gov (United States)

    Fonseca, Luciara Leão Viana; Nehmy, Rosa Maria Quadros; Mota, Joaquim Antônio César

    2015-10-01

    Oral healthcare provided by the Unified Health System (SUS) faces the challenge of attending the epidemiological profile of Brazil's adult population. Qualitative research using semi-structured interviews was conducted to understand the experiences, expectations and perception of SUS users to services in Diamantina, State of Minas Gerais, and content analysis was used to assess the data. Discussion of the results was based on dialogue between the symbolic interactionism of Goffman and Bourdieu's concept of habitus. The results show that the users did not give importance to dental care during childhood and adolescence because care was unknown to them. There was no offer of treatment besides dental extraction. Today, they value teeth and suffer the embarrassment caused by rotten teeth. However, access to dental restoration via SUS is not possible. For their children, they perceive better access to information and care, but for specialized procedures there are barriers. They express resignation both in relation to the poor state of the teeth and the difficulties of access to dental care, which can be understood by the constant exclusion experienced by them in the past, shaping their actions in the present. It was concluded that oral health in SUS should incorporate the social value and the aesthetic dimension of teeth as a social right.

  16. Availability of dental services for patients with blood-borne viruses.

    Science.gov (United States)

    Kellock, D J; Carlin, E M

    2002-08-01

    Dental practitioners were surveyed, using a self-completed postal questionnaire, to assess their attitudes to managing patients with blood-borne viruses (BBV) and to identify dental services available for such patients in North Nottinghamshire. Questionnaires were completed by 79 (65.3%) of the 121 practitioners from 43 (82.7%) of the 52 study practices. Previous BBV experience was reported by 44 (55.7%), 31 (39.2%), 20 (25.3%) respondents for hepatitis B (HBV), hepatitis C (HCV), HIV, respectively. Over two-thirds would maintain existing patients with subsequently diagnosed BBV on their lists, approximately one-third would accept new BBV patients. Risk factors for BBV of homo/bisexuality and injecting drug use were not asked by 71 (89.9%) and 49 (62.0%) practitioners, respectively. Universal precautions were employed by 67 (84.8%) practitioners regardless of the patient's status and by seven practitioners for known BBV patients. The advice of the General Dental Council, British Dental Association, and the use of universal precautions are discussed.

  17. Oral health experience during pregnancy and dental service utilization in Bariadi District, Tanzania.

    Science.gov (United States)

    Mwangosi, Ibrahim E A T; Kiango, Mary M

    2012-04-01

    A substantial proportion of pregnant women reports experiencing oral health problems during pregnancy. However, most of them perceive that such problems are normal in pregnancy and hence do not seek dentist consultation. The objective of this study was to determine the prenatal oral health experience and the utilization of dental care services among pregnant women attending reproductive and child health clinics in Bariadi District in Tanzania. Data was collected using a questionnaire-guided interview. Key variables were socio-demographic characteristics of pregnant women, oral health experience, and dental visits during pregnancy with reasons and treatment received. A total of 305 pregnant women (mean age=25.7 years) were involved in the study. Most of the listed oral health problems during pregnancy were reported by women with 2+ children. The frequent oral health problems among the pregnant women were bleeding gums (22.6%, N=69), pain in gums (21.6%, N=66), swollen gums (21.3%, N=65), dental pain (30.5, N=93), and tooth decay (25.6%, n=78). However, only 31.8% (N=97) visited a dental clinic for consultation most whom, were those with three or more children (χ²=.682; P=002). The pregnant women who had visited a dentist in the past 12 months were 11.1% (N=34), mostly those aged >24 years and those with informal employment (Pdental screening, emphasizing active family and community participation as part of regular prenatal care.

  18. Methods employed by public libraries in providing services to ...

    African Journals Online (AJOL)

    Methods employed by public libraries in providing services to people living with HIV and AIDS in Benue ... Log in or Register to get access to full text downloads. ... and poster in meeting health information needs of PLWHA in Benue State.

  19. A Liquid work-life under public service contracting

    DEFF Research Database (Denmark)

    Lindholst, Christian

    A part of the reality behind public service contracting in Denmark as well as in many other countries is that a growing number of people are employed in uncertain and temporary conditions and relations in what can be characterized as ‘liquidized’ work-lives. This reality and its consequences...... of staffs’ work-life under public service contracting. The paper relies empirically on focus group interviews in two cases of staff transfers in public service contracting with different levels of liquefaction. it is found that staff transfer is a composite experience for staff with differential outcomes...... for staff, however, are only poorly understood in current theory and research on public service contracting through partial concepts and a tendency to focus merely on negative outcomes. Against this shortfall, the aim in this paper is to build a conceptually and empirically richer and more authentic account...

  20. The Marketing of Public Library Services.

    Science.gov (United States)

    Dragon, Andrea C.

    1983-01-01

    Defines the concept of marketing and relates models involving the exchanges and transactions of markets and charities to services offered by libraries. Market segmentation, understanding the behavior of markets, competition, and movement toward a market-oriented library are highlighted. Nineteen references are cited. (EJS)

  1. Service reliability and urban public transport design

    NARCIS (Netherlands)

    Van Oort, N.

    2011-01-01

    The last few decades have shown a substantial increase in personal mobility. Urban traffic and transport volumes have been increasing for years. However, the share of public transport in this mobility growth did not change much and still remains rather limited. To ensure the accessibility and liveab

  2. Public Service Provision in Clientelistic Political Settlements

    DEFF Research Database (Denmark)

    Whitfield, Lindsay; Hirvi, Marja

    2015-01-01

    's public water utility. It argues that, in order to understand why private-sector participation succeeds or fails and why similar arrangements have different outcomes across developing countries, we need to examine the effects of the informal institutional context, particularly the country...

  3. Governance and Innovation in Public sector Services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2015-01-01

    Based on a longitudinal case study of virtual library development, we highlight three important aspects that characterize the links between governance and innovation in public sector innovation. First, the examined case shows that the organizational complexities have increased in the transition f...

  4. Governance and Innovation in Public sector Services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2015-01-01

    Based on a longitudinal case study of virtual library development, we highlight three important aspects that characterize the links between governance and innovation in public sector innovation. First, the examined case shows that the organizational complexities have increased in the transition...

  5. Governance and Innovation in Public sector Services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2015-01-01

    from what could be considered as a spurious New Public Management approach, which incorporates elements of the traditional hierarchical model and elements of market-like competition, towards a “networked model” implying more emphasis on bottom-up decision making and a greater involvement of end users...

  6. Service reliability and urban public transport design

    NARCIS (Netherlands)

    Van Oort, N.

    2011-01-01

    The last few decades have shown a substantial increase in personal mobility. Urban traffic and transport volumes have been increasing for years. However, the share of public transport in this mobility growth did not change much and still remains rather limited. To ensure the accessibility and

  7. Service reliability and urban public transport design

    NARCIS (Netherlands)

    Van Oort, N.

    2011-01-01

    The last few decades have shown a substantial increase in personal mobility. Urban traffic and transport volumes have been increasing for years. However, the share of public transport in this mobility growth did not change much and still remains rather limited. To ensure the accessibility and liveab

  8. Communication and Ethical Behavior in the Public Service

    OpenAIRE

    Arta Musaraj; Julejda Gerxhi

    2010-01-01

    Setting up public administration which operates effectively and taking over responsibilities, both crucial on the point of view of the democracy indicators, requires great effort from all social stake holders in setting up and maintaining a public service organization. This notion implies the setting in function of the instruments and procedures that prevent undesirable behavior and provide encouragement of good behavior among operators of those services. While doing this, communication as a ...

  9. Public service providers and users in the information society

    Directory of Open Access Journals (Sweden)

    Bernt Krohn Solvang

    2015-03-01

    Full Text Available The issue to be discussed in this article is to what extent does ICT create new challenges for the relationship between public service providers and users? It is important to recognize the concept of social capital because the concept is vital to the understanding of access to the information society and efficient functioning of government in its service to citizens. In this way we see social capital as a mediating “institution” between public authorities and the citizens (users.

  10. Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users

    Science.gov (United States)

    de Castro, Ricardo Dias; Rangel, Marianne de Lucena; da Silva, Marcos André Azevedo; de Lucena, Brunna Thaís Lucwu; Cavalcanti, Alessandro Leite; Bonan, Paulo Rogério Ferreti; Oliveira, Julyana de Araújo

    2016-01-01

    The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user’s perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws. PMID:27775584

  11. Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users.

    Science.gov (United States)

    de Castro, Ricardo Dias; Rangel, Marianne de Lucena; da Silva, Marcos André Azevedo; de Lucena, Brunna Thaís Lucwu; Cavalcanti, Alessandro Leite; Bonan, Paulo Rogério Ferreti; Oliveira, Julyana de Araújo

    2016-10-19

    The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user's perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws.

  12. QUALITY GROWTH AND EVALUATION OF PERFORMANCE OF LOCAL PUBLIC SERVICES

    Directory of Open Access Journals (Sweden)

    Remus Gherman

    2015-05-01

    Full Text Available Public sector reform aims to increase performance by improving its efficiency and effectiveness by improving the quality of services provided by public service in order to maximize individual welfare of citizens. The purpose of reform is to improve public services because they have to deal with uncertainties and rapid changes that take place in the internal environmental and external pressures. Public administration, in quality of service provider must make a series of efforts to ensure that citizens know their rights and public services on witch they can benefit taking into account the simplification of service delivery, a high quality of its, new administrative procedures for allocating resources in a transparent way and informing the citizens of standards of services and of the methods of compensation in case if the provided quality is different from that promised. Most important is the fact that the local government must realize that effectiveness involves defining objectives that must be achieved simultaneously with the estimation of the results obtained.

  13. Dentists' views on the effects of changing economic conditions on dental services provided for children and adolescents in Iceland.

    Science.gov (United States)

    Sveinsdottir, E G; Wang, N J

    2014-12-01

    In 2008, Iceland experienced a major financial crisis, with serious effects on the economy of the country and its inhabitants. To describe the opinions of dentists in Iceland regarding the influence of economic changes on the demand for dental health services for children and adolescents, aged 0-18 years, and also to describe the preventive dental care the dentists reported providing for children and adolescents. Questionnaires were sent by electronic mail to all dentists in Iceland in January 2013. Of the dentists working with children, 161 (62%) returned the questionnaire. Important findings were that 119 (74%) of the respondents reported increased caries experience in children and adolescents and 150 (93%) reported that decreased reimbursement for dental treatment of children in recent years had affected the dental health of most or some children and adolescents. Most dentists reported reduced parental demand for most aspects of caries prevention and treatment, apart from treatment for acute dental pain. The mean interval between dental visits was reported to be 9.4 months (sd 2.8) and the mean maximal interval 12.1 months (sd 2.8). The mean proportion of working time allocated for caries preventive services was reported to be 31% (sd 21). The results indicate a contrast between increased need for children's dental care perceived by the dentists and reduced demand for care from the parents. This may be a temporary phenomenon, as the economic crisis passes, reimbursement for dental care may increase.

  14. Orthodontic treatment need among young Saudis attending public versus private dental practices in Riyadh

    OpenAIRE

    Al-Jobair AM; Baidas LF; Al-Hamid AA; Al-Qahtani SG; Al-Najjar AT; Al-Kawari HM

    2016-01-01

    Asma M Al-Jobair,1,2 Laila F Baidas,1,2 Anfal A Al-Hamid,2 Sara G Al-Qahtani,2 Amani T Al-Najjar,2 Huda M Al-Kawari1,2 1Department of Pediatric Dentistry and Orthodontics, 2College of Dentistry, King Saud University, Riyadh, Saudi Arabia Objective: To assess and compare the severity of malocclusion and orthodontic treatment need among young Saudis receiving free treatment at public dental practices versus those paying for treatment at private practices. Materials and methods: This retrospecti...

  15. Identifying Student Traits and Motives to Service-Learn: Public Service Orientation among New College Freshmen

    Science.gov (United States)

    Christensen, Robert K.; Stritch, Justin M.; Kellough, J. Edward; Brewer, Gene A.

    2015-01-01

    Among college students, public service motives influence choice of major or job. Although the link between public service motives and prosocial behavior has been established among working adults, researchers have not adequately examined how these motives affect the reported behavior of precareer students. In this article, the authors explored how…

  16. [Determinants of dental caries in Haitian schoolchildren and implications for public health].

    Science.gov (United States)

    Bedos, C; Brodeur, J M

    2000-01-01

    This work was carried out as part of a community development project in North-West Haiti. The aim was to determine the prevalence of dental caries among young Haitians and to identify the principal determinants and risk factors. A total of 322 schoolchildren, all aged 12 years, participated in the study in March and April 1996. Demographic characteristics, hygiene and dietary habits were recorded. In parallel, a dentist assessed the amount of debris present on the teeth and investigated the children's history of caries. Almost two thirds of the children examined were free of caries. The mean number of decayed missing and filled teeth (DMFT index) was 0.93, which is low. However, a high-risk group was identified with a mean DMFT index of 3.8. This group is a source of some concern, particularly as the region's health services are often inaccessible resulting in dental caries frequently remaining untreated until tooth extraction is required. Logistic regression analysis showed that dental hygiene and, to a lesser extent, sugar intake, were the principal risk factors for dental caries. Adolescents who consume more than three meals per day and who, presumably, have a higher intake of cariogenic food, present more caries than those who consume less. These schoolchildren meet the objectives of the WHO for dental caries for 2000, but two courses of action are nonetheless necessary: caries prevention and improved access to dental health care. To prevent caries, techniques for increasing the resistance of teeth could be recommended, as in industrialized countries. However, such strategies would be difficult to implement in the rural context of a developing country. The addition of fluoride to drinking water, for example, is not practical as most of the inhabitants of rural areas do not have access to running water. The use of sealing agents, which protect against decay affecting the occlusal surfaces of molars, is also impractical, for financial reasons. Thus, basic

  17. ATTITUDES OF VEGETABLE FARMERS TOWARDS PUBLIC AGRICULTURAL EXTENSION SERVICES

    Directory of Open Access Journals (Sweden)

    Tala Qtaishat

    2012-01-01

    Full Text Available Among vegetable farmers in Jordan, there are conflicting attitudes towards the extension activities provided by the public sector. Some farmers accept and adopt the recommendations of these activities; on the other hand, some people are not satisfied and consider these activities a waste of time for both the farmers and the government. This situation has serious impacts on the quality, duration and efficiency of the extension activities provided by government related agencies. Also, the situation will end in providing low-quality agricultural extension services to the farmers or providing these services in a non-productive manner. The actual attitudes of vegetable farmers towards Public Agricultural Extension Services (PAES in the Dear Alla Area of Jordan were investigated in this study. A total of 80 vegetable farmers were selected for the study. A questionnaire consisting of two main parts was used for data collection; the first part was related to personal and socio-economic characteristics of the sample individuals. The second part was related to extension activities. A five-point Likert-type scale was used as an instrument to gather primary data. The farmers rated their attitudes toward Public Agricultural Extension Services (PAES through 10 statements related carefully to the Public Agricultural Extension Services. Data analysis was done in two sections, consisting of data description and data inferential analysis. The results of the study revealed that the farmers’ overall attitude towards the public agricultural extension activities was negative. The farmers’ attitudes according to age, experience, educational level and frequency and type of contact with public extension services were also negative. The negative attitude of the participant farmers towards the Public Agricultural Extension Services means that the farmers were not satisfied with these services. Identifying the sources and types of public extension programs, the

  18. Effect of Managers on Public Service Performance

    DEFF Research Database (Denmark)

    Mikkelsen, Maria Falk

    and society as a whole (Esping-Andersen 2002; Grossman 2006; Heckman, Lochner, and Todd 2006). Teaching quality and school performance have attracted much academic as well as political attention and debate in recent decades. Particularly in Denmark, which for a number of years has been among the OECD...... countries spending most on education (OECD 2014a), while still performing at the OECD average in PISA tests and on equity measures (OECD 2014b). Studying ways of improving school performance is therefore important in its own right. Another advantage of using Danish schools as the setting......? Analyzing the Impact of Managers on Organizational Performance in Public and Private Organizations” Working paper [referred to as “Public vs. private”]....

  19. Proposing a competitive intelligence (CI framework for Public Service departments to enhance service delivery

    Directory of Open Access Journals (Sweden)

    Nisha Sewdass

    2012-02-01

    Full Text Available Background: The aim of public service departments in South Africa is to improve service delivery through the transformation and improvement of human resources and the improvement of service delivery practices. Furthermore, it is important for the public service sector in South Africa to improve the quality of its service delivery, not only by comparing its performance with other sectors within South Africa but also by positioning itself amongst the best in the world. This can be achieved by benchmarking with other global industries and by implementing the most recent competitive intelligence strategies, tools and techniques. The environment of the public service organisations consists of competitive forces that impact the functioning of these organisations.Objectives: This article focuses on proposing competitive intelligence-related strategies, tools and techniques for gathering and analysing information in the public service departments in South Africa in order to enhance service delivery.Method: The study was qualitative in nature and was divided into two components, namely, (1 theoretical – through an extensive review of the literature and (2 empirical – an ethnographic study at the chosen public service department, the Department of Home Affairs (DHA. Ethnographic interviews with management-level staff, focus groups and document analysis were used to obtain adequate information to determine the current state of public service delivery in South Africa.Results: The results of the study was the development of a new competitive intelligencerelated framework for gathering and analysing information, and it represents a formal and systematic process of informing managers in public service departments about critical issues that these departments face or are likely to experience in future.Conclusion: The strategic planning tools and techniques of this framework will fill the gap that exists in public service departments. Once this framework has

  20. Reinventing public service broadcasting in Europe: prospects, promises and problems

    NARCIS (Netherlands)

    Bardoel, J.L.H.; d'Haenens, L.S.J.

    2008-01-01

    New information technologies, liberalizing policies and rapidly changing societies – from mono- to multicultural – entail serious consequences for the prospects of European public service broadcasters in a network society. The European concept of PSB as a comprehensive and universal service is chall

  1. Perspectives on Library Public Services from Four Leaders

    Science.gov (United States)

    Dallis, Diane

    2017-01-01

    This article explores and examines the state of library services through interviewing a small group of directors, associate deans, and associate university librarians of public services and identifying common themes and insightful views on this area of librarianship. The participants respond to the same set of questions that cover topics including…

  2. Bare Bones Young Adult Services: Tips for Public Library Generalists.

    Science.gov (United States)

    Vaillancourt, Renee J.

    This book is a hands-on guide to the philosophy and practice of young adult services in the public libraries. The following chapters are included: (1) "Young Adult Services Philosophy," including reasons to serve teens, why teens are the way they are, who serves young adults, and how to interact with teens; (2) "Youth Participation," including…

  3. Communication and service platform for public safety personnel

    NARCIS (Netherlands)

    Schmidt, J.R.

    2005-01-01

    This paper describes a communication and service platform for public safety personnel. The platform demonstrates just in time provisioning of data and scalable communication services and operates in a heterogeneous network environment with high survivability. As an example use case the design is

  4. Measuring Electronic Services in Public Libraries: Issues and Recommendations.

    Science.gov (United States)

    Bertot, John Carlo; McClure, Charles R.

    1998-01-01

    Public library services are being modified or changed by the Internet. Questions about how to evaluate and measure electronic services have become increasingly important. This article presents an analysis of some ways to create, define, and institute electronic network measures. (Author/AEF)

  5. The Development of Behaviorally Based Public School Consultation Services

    Science.gov (United States)

    Putnam, Robert F.; Handler, Marcie W.; Rey, Jannette; McCarty, Joseph

    2005-01-01

    This article describes the development of behavioral school care consultation services to public schools within a not-for-profit community behavioral health organization. An overview of the process of behavior consultation is presented. A description of the growth of behavioral school consultation services is outlined in regard to (a) the types of…

  6. A strategy for building public service motivation research internationally

    NARCIS (Netherlands)

    Kim, Sangmook; Vandenabeele, W.V.

    2009-01-01

    As the scholarly research on public service motivation (PSM) has grown and the geographic scope of the research has expanded, there is growing concern about whether the conceptual composition and dimensionalities of PSM are appropriate for explaining and predicting public service–related behavior in

  7. Building trust through public service co-production

    NARCIS (Netherlands)

    Fledderus, J.

    2015-01-01

    - PURPOSE – Co-production of public service delivery is believed to foster trust among users, but little empirical work is devoted to this assumption. Public sector organizations have therefore little knowledge about the conditions that determine whether co-production leads to trust. The paper aims

  8. Public Service Motivation and Socialization in Graduate Education

    Science.gov (United States)

    Bright, Leonard

    2016-01-01

    The purpose of this study is to explore the extent to which the characteristics of public administration degree programs are related to public service motivation (PSM) using a higher education socialization framework. Using a sample of approximately 500 students enrolled in 26 Master's degree programs across the country, this study confirms that…

  9. Public Service Motivation and Socialization in Graduate Education

    Science.gov (United States)

    Bright, Leonard

    2016-01-01

    The purpose of this study is to explore the extent to which the characteristics of public administration degree programs are related to public service motivation (PSM) using a higher education socialization framework. Using a sample of approximately 500 students enrolled in 26 Master's degree programs across the country, this study confirms that…

  10. A strategy for building public service motivation research internationally

    NARCIS (Netherlands)

    Kim, Sangmook; Vandenabeele, W.V.

    2009-01-01

    As the scholarly research on public service motivation (PSM) has grown and the geographic scope of the research has expanded, there is growing concern about whether the conceptual composition and dimensionalities of PSM are appropriate for explaining and predicting public service–related behavior in

  11. Privatization and 'Agentification' of Public Services Delivery in Africa ...

    African Journals Online (AJOL)

    seriane.camara

    2009-05-14

    May 14, 2009 ... Council for the Development of Social Science Research in Africa, 2008 .... between public and private sector organizations in public services delivery .... assets. Land survey. Municipal land. Sanitation. Town cleaning .... depending on circumstance and may include executive share ..... DOL Contract No.

  12. Prevalence and Factors Associated with the Utilization of Dental Care Services among Factory Workers in Nava Nakorn Industrial Estate, Pathumthani Province, Thailand.

    Science.gov (United States)

    Jaidee, Jeeratip; Ratanasiri, Amornrat; Chatrchaiwiwatana, Supaporn; Soonthon, Surasak

    2015-07-01

    The present study aimed to find out the utilization prevalence of dental care services among factory workers over a period of one year and factors associated with utilization of dental care services. This was a cross-sectional analytic study. The study population was factory workers in Nava Nakorn Industrial Estate randomly sampled using Probability Proportion to Size Cluster Sampling Method. The tool was a questionnaire about utilization of dental care services. Among the sample group of 1,500 workers from 16 factories, almost 2/3 (63.9%) had never used any dental care services in the previous year while only 36.1% did. A multivariable logistic regression analysis showed that workplace, accommodation, tooth decay, toothache history, transportation, experience in using social security fund for dental care services, availability and accessibility of dental care services, brushing teeth regularly after meals, using dental care services regularly in a dental clinic, and agreement with the idea that a tooth extraction and medication by a dentist could reduce the risk of progression of disease, statistical significance (p-value factory workers who did not use dental care services during the last one year was 63.9 percent. This study identified three groups of factors associated with the utilization of dental care services as: 1) Predisposing factors, 2) Enabling factors, and 3) Need factors.

  13. [Survey of methods of cleaning, decontamination, disinfection and sterilization in dental health services in tropical areas].

    Science.gov (United States)

    Clapeau, G; Decroix, B; Bakayoko-Ly, R; Varenne, B; Dosso-Hien, D; Decroix, M O

    1997-01-01

    The International Aid for Ontology (IAO) carried out this survey of hygiene in the dental health services of 5 French-speaking African countries in 1994, in association with the Faculty of Pharmaceutical and Biological Sciences of Paris. This study received support from the World Health Organization (WHO), the French Ministry for Cooperation and the European Community and the Ivory Coast Oral and Dental Hygiene and Health Committee (CIHSBD). Twenty-nine dental services from Benin (3), Burkina Faso (6), Ivory Coast (12), Mali (5), Niger (3) participated in this survey which gives an insight into the daily hygiene routines of these services. The cleaning, decontamination, disinfection and sterilization procedures for premises, dental equipment, instruments, hands and disposable items were investigated. No individual protocols are reported. Bench tops were cleaned or disinfected daily in 73% of centers and floors were cleaned or disinfected daily in 59% of centers. Walls were cleaned once per week in 44% of the centers. Hands were always washed between patients, with 68% of dental surgeons using only solid or liquid cleansing soaps and the others using antiseptic or disinfectant solutions. The dentist's chair was cleaned or disinfected daily in 68% of centers, mostly with soap (43%) or diluted bleach (23%). Vacuum equipment was cleaned with soap (50%) or diluted bleach (57%), with some surgeries using a combination of the two. Hand pieces and turbines were cleaned and disinfected after each use with alcohol (35%) or diluted bleach (26%) and were sterilized in 9% of centers. Instruments were sterilized with a Poupinel (63%), unspecified sterilizer (26%), autoclave (7%) or low temperature disinfection procedure (4%). Instruments were regularly sterilized in all centers. Single-use disposable items were often reused: 88% of centers reused gloves, 64% anesthetic cartridges and 32% disposable needles. This survey demonstrates that dentists do attempt to achieve appropriate

  14. Perceptions of dental students regarding dentistry, the job market and the public healthcare system.

    Science.gov (United States)

    Costa, Simone de Melo; Silveira, Marise Fagundes; Durães, Sarah Jane Alves; Abreu, Mauro Henrique Nogueira Guimarães de; Bonan, Paulo Rogério Ferreti

    2012-05-01

    The scope was to analyze the perceptions of dentistry students at the State University of Montes Claros, Brazil, regarding dentistry, the job market and the public healthcare system. For this, a triangulation method was employed, using a self-administered questionnaire and interviews. The quantitative data were submitted to univariate and multivariate analysis, using Poisson regression, where pdentistry course prepares students for this market as the curriculum integrates both teaching and service, reported being in favor of greater experience in the public healthcare system and said they would not take classes in Public Health if they were optional. Contact with the social context through teaching/service integration in the advanced semesters of the dentistry course appears to contribute to the development of new professional skills for working in the public sector. However, the students' perceptions revealed contradictions, considering the low value they attributed to the classes on Public Health and their perception of the public system as a residual job option.

  15. EpiAssist: Service-learning in public health education.

    Science.gov (United States)

    Horney, Jennifer A; Bamrara, Sanjana; Macik, Maria Lazo; Shehane, Melissa

    2016-01-01

    Although public health degree programs typically require practica and other field experiences, service-learning courses, with a focus on civic engagement and the application of classroom learning in real world settings, can go beyond these requirements and provide benefits to students and community-based practice partners. The goal of this paper is to assess potential benefits of service-learning programs for both graduate-level public health students and state and local public health agency partners. EpiAssist is a new service-learning program developed at the School of Public Health of the Texas A and M University Health Science Center, USA, in January 2015. EpiAssist was integrated into a new course, Methods in Field Epidemiology. The integration of service-learning was guided by a partnership with the Texas A and M Center for Teaching Excellence. State, regional, and local public health partners requested EpiAssist via email or telephone. A listserv was used to recruit student volunteers to meet requests. 54 of 86 registered EpiAssist students (63%) participated in at least one of ten service-learning and three training activities between January and June, 2015. Service-learning activities included questionnaire development, in-person and telephone data collection, and data analysis. Training topics for students included the Epi Info™ software, community assessment and communicable disease reporting. Students and partner organizations provided generally positive assessments of this service learning program through an online evaluation. Service-learning provides students with enhanced classroom learning through applied public health experience in state, regional and local health departments. These experiences provide both needed surge capacity to public health departments and valuable hands-on field experience to students.

  16. PERIODIC TIMETABLE OPTIMIZATION IN THE PUBLIC ROAD TRANSPORT SERVICES

    OpenAIRE

    Béla Illés; Richárd Ladányi; György Sárközi3

    2009-01-01

    A prospering transport system is an important precondition for a modern society, for economic growth, employment and welfare. Concerning the development in rural areas an easy access to the infrastructures is essential. Making regional accessibility better is not only investing in the rolling fleets of public transport but also optimizing public transport networks. Changes in the elements and connections of transport networks have an influence on the quality and price of public services offer...

  17. Dental students' HIV/AIDS-related knowledge, attitudes, and intentions: impact of the U.S. Health Resources and Services Administration's community-based dental partnership program.

    Science.gov (United States)

    Hamershock, Rose A; Rajabiun, Serena; Fox, Jane E; Mofidi, Mahyar; Abel, Stephen N; York, Jill A; Kunzel, Carol; Sanogo, Moussa; Mayfield, Theresa G

    2014-08-01

    Access to oral health care for vulnerable populations is one of the concerns addressed by the U.S. Health Resources and Services Administration HIV/AIDS Bureau's Community-Based Dental Partnership Program (CBDPP). The program introduces dental students and residents at several dental schools to care for vulnerable patients through didactic and clinical work in community-based dental settings. This study of the dental students and residents in this program answered three questions: 1) What are their HIV knowledge, attitudes, and behaviors? 2) How has participation in the CBDPP impacted their knowledge, attitudes, and behaviors? 3) Has the intervention affected their work placement decisions and attitudes after graduation, particularly with respect to treating people living with HIV and other underserved populations? A total of 305 first- through fourth-year dental students and first- and second-year residents at five dental schools across the United States completed surveys before and after a community-based rotation and following graduation. Response rates at each of the five schools ranged from 82.4 to 100 percent. The results showed an increase in the participants' knowledge and positive attitudes regarding treatment for patients with HIV and other vulnerable populations post-rotation compared to pre-rotation. Results after graduation found that most respondents were practicing in private settings or in academic institutions as residents but were willing to treat a diverse patient population. These findings support the role of training programs, such as the CBDPP, for expanding the dental workforce to treating vulnerable populations including people living with HIV/AIDS.

  18. Change of public transport services for CERN

    CERN Multimedia

    From 9 December onwards, the Number 9 bus, which used to run from Petit-Bel-Air all the way through to CERN, will terminate at Cornavin. With the first stretch of the new Cornavin-Meyrin-CERN tram route now in service, trams 14 and 16 will run from Cornavin to Avanchet (next to the Balexert shopping centre). During construction of the section through to Meyrin and CERN, two new bus services will be available from Avanchet, the 55 to Meyrin Village and the 56 to CERN. The Y bus route has been modified between Blandonnet and the Hôpital de la Tour: buses will no longer transit via Meyrin-Village but via the Meyrin-Satigny business park. The Y bus route has also been extended from Blandonnet to Avanchet so as to establish a connection with the tram routes 14 and 16. To get to CERN from Cornavin station during this period, you should therefore take a number 14 or 16 tram and then a number 56 bus. For further information: www.tpg.ch

  19. Exploring New Service Models: Can Consolidating Public Service Points Improve Response to Customer Needs?

    Science.gov (United States)

    Flanagan, Pat; Horowitz, Lisa R.

    2000-01-01

    Describes an experimental integrated service point that combines the desks and staff who perform reference and circulation at one of Massachusetts Institute of Technology's libraries. Considers whether this service model can consolidate public service points to improve response to customer needs; discusses performance measurement; and offers…

  20. 76 FR 5375 - Public Availability of General Services Administration FY 2010 Service Contract Inventory

    Science.gov (United States)

    2011-01-31

    ... ADMINISTRATION Public Availability of General Services Administration FY 2010 Service Contract Inventory AGENCY: Office of Acquisition Policy; General Services Administration (GSA). ACTION: Notice. SUMMARY: This notice... Consolidated Appropriations Act of 2010 (Pub. L. 111-117), GSA is publishing this notice to advise the...

  1. On innovation patterns and value-tensions in public services

    DEFF Research Database (Denmark)

    Fuglsang, Lars; Rønning, Rolf

    2015-01-01

    to the possibility of intertwined innovation patterns. Focusing public sector services, this paper agues that intertwined innovation patterns emerge within public services as a response to value-tensions. Values can be defined as measures for beneficial behaviour that guide innovation. Value-tensions in public......In the innovation studies literature, innovation patterns have been described, such as science based and practice based innovation, that varies amongst industrial sectors. As a consequence, firms become distinguished with respect to their typical innovation pattern. Less attention has been paid...... services include tensions between the political, economic, communal, aesthetic and intellectual values. The contribution of the paper to service innovation research is the emphasis on the concept of intertwined innovation patterns, such as the intertwinement of science driven and task driven innovation...

  2. Perceived learned skills and professional development of graduates from a master in dental public health programme.

    Science.gov (United States)

    Aslam, S; Delgado-Angulo, E K; Bernabé, E

    2017-02-01

    Assessing the impact of a training programme is important for quality assurance and further development. It also can helps with accountability and marketing purposes. This study evaluated the impact of King's College London (KCL) Master of Science programme in Dental Public Health in terms of graduates' perceived learned skills and professional development. An online questionnaire was sent to individuals who completed successfully the KCL Master of Science programme in Dental Public Health and had a valid email address. Participants provided information on demographic characteristics, perceived learned skills (intellectual, practical and generic) and professional development (type of organisation, position in the organisation and functions performed at work before and after the programme). Learned skills' scores were compared by demographic factors in multiple linear regression models, and the distribution of responses on career development was compared using nonparametric tests for paired groups. Although all scores on learned skills were on the favourable side of the Likert scale, graduates reported higher scores for practical skills, followed by intellectual and generic skills. No differences in scores were found by sex, age, nationality or time since graduation. In terms of career development, there were significantly higher proportions of graduates working in higher education institutions and taking leadership/managerial roles in organisations as well as greater number and variety of functions at work after than before the programme. This online survey shows that the programme has had a positive impact on graduates in terms of perceived learned skills and professional development. © 2015 The Authors. European Journal of Dental Education Published by John Wiley & Sons Ltd.

  3. The Funding of Public Service Media

    DEFF Research Database (Denmark)

    Lowe, Gregory F.; Berg, Christian E.

    2013-01-01

    the complexion of media systems in the 21st century as a consequence of greater instability and higher uncertainty. A model describes 4 modes of funding for media and assesses operational implications for each. This work elaborates on earlier research questioning the premise that big, rich countries are suitable...... funding public broadcasting is not only about funding; it is about wider issues only partly rooted in the current economic malaise. An underlying dynamic is keyed to the digitalization of the media system at large, co-related with growing complexity in media competition, fuelling debate over......, for consideration of implications in how media are understood and organized and the purposes for which media are mandated...

  4. Pour un puissant service public international

    CERN Multimedia

    Staff Association

    2012-01-01

    Les différentes organisations internationales et européennes basées en Europe emploient des dizaines de milliers de fonctionnaires publics internationaux et européens. Les membres du personnel de ces organisations sont soumis à divers régimes de droit juridique et doivent faire appel contre les décisions administratives avant d’aller aux différents tribunaux administratifs internationaux (e.g. TAOIT, TANU, TFPU, TAOCDE). CERN, une des organisations les plus importantes, se doit d’être à l’affut des derniers développements dans ce domaine. L’Association du personnel a donc envoyé des représentants à un colloque sur « les évolutions de la protection juridictionnelle des fonctionnaires internationaux et européens » qui a eu lieu au Luxembourg le 1 et 2 avril 2011. Nous n&rsqu...

  5. A comparison of methods of ranking the provision of periodontal services by dental practices in south Australia.

    Science.gov (United States)

    Brown, L F

    1995-03-01

    Wide variations documented in the provision of periodontal services have raised concerns about possible under- and over-servicing. The aim of this study was to compare various methods used to measure the provision of periodontal services. The methods compared were procedure logs to measure service mix, audits of patients' records and patients' recall of treatment received at their last series of dental visits. The study was conducted among private general dental practices in Adelaide, South Australia. The first aspect of the study compared 2,290 patients' recall of receiving periodontal information, including oral hygiene instruction, or periodontal treatment at their last dental visit(s) with notations of their dental records. Discordance was high, with disagreement occurring in 71.5 per cent of cases for patient education, and 42.2 per cent of cases for periodontal treatment. Comparison of the ranking of the provision of periodontally-related services by 24 dental practices according to the three data collection methods showed that the ranking of a practice was significantly related to the data collection method used (Friedman's two-way ANOVA; P < 0.05). It was concluded that methods used to measure the provision of periodontal care are fallible, and that more than one method may be needed to record the full range of preventive and treatment services.

  6. Italian multicenter study on infection hazards during dental practice: Control of environmental microbial contamination in public dental surgeries

    Science.gov (United States)

    Castiglia, Paolo; Liguori, Giorgio; Montagna, Maria Teresa; Napoli, Christian; Pasquarella, Cesira; Bergomi, Margherita; Fabiani, Leila; Monarca, Silvano; Petti, Stefano

    2008-01-01

    Background The present study assessed microbial contamination in Italian dental surgeries. Methods An evaluation of water, air and surface microbial contamination in 102 dental units was carried out in eight Italian cities. Results The findings showed water microbial contamination in all the dental surgeries; the proportion of water samples with microbial levels above those recommended decreased during working. With regard to Legionella spp., the proportion of positive samples was 33.3%. During work activity, the index of microbial air contamination (IMA) increased. The level of microbial accumulation on examined surfaces did not change over time. Conclusion These findings confirm that some Italian dental surgeries show high biocontamination, as in other European Countries, which highlights the risk of occupational exposure and the need to apply effective measures to reduce microbial loads. PMID:18644099

  7. Service Quality Dimensions in Public Library: Nothern Area Experienced

    Directory of Open Access Journals (Sweden)

    Zaherawati Zakaria

    2011-01-01

    Full Text Available Problem statement: Service quality has emerged as a key strategic issue in management. The service quality assessment tool SERVQUAL was introduced the dimensions of tangibles, reliability, responsiveness and assurance and empathy dimensions of service quality. Approach: The objective of this study is to investigate which service quality dimensions that mostly influenced the service quality in public library in Sungai Petani. The study was conducted among library users and the information was gathered via questionnaires which consisted of structured questions. In this study, simple random sampling was used where only 132 respondents were selected. The discussion methods are using the Descriptive Statistic and Multiple Regressions used to analyze the result of this study. Results: The findings indicated that all three hypotheses which are tangible dimension, reliability dimension and responsiveness dimension was accepted by the researchers. Based on the finding, the reliability dimension is a significant with service quality in public library Sungai Petani which is mostly influenced user’s in using the services. However the researchers recommend that the management of public library Sungai Petani needs to focus on several services that needs further improvement such as the Online Public Access Catalogue (OPAC and welcoming atmosphere is important part of providing excellent services towards modern library service. Conclusion: In future research, the library’s management should take an effort to create the pleasant surroundings to encourage the widest possible segment of the population to use the library and to regard it as an essential part of community life and more ‘user friendly’ with the customers.

  8. Systemic Model for Optimal Regulation in Public Service

    Directory of Open Access Journals (Sweden)

    Lucica Matei

    2006-05-01

    Full Text Available The current paper inscribes within those approaching the issue of public services from the interdisciplinary perspective. Public service development and imposing standards of efficiency and effectiveness, as well as for citizens’ satisfaction bring in front line the systemic modelling and establishing optimal policies for organisation and functioning of public services. The issue under discussion imposes an interface with powerful determinations of social nature. Consequently, the most adequate modelling might be that with a probabilistic and statistic nature. The fundamental idea of this paper, that obviously can be broadly developed, starts with assimilating the way of organisation and functioning of a public service with a waiting thread, to which some hypotheses are associated concerning the order of provision, performance measurement through costs or waiting time in the system etc. We emphasise the openness and dynamics of the public service system, as well as modelling by turning into account the statistic knowledge and researches, and we do not make detailed remarks on the cybernetic characteristics of this system. The optimal adjustment is achieved through analysis on the feedback and its comparison with the current standards or good practices.

  9. Assessing users satisfaction with service quality in Slovenian public library

    Directory of Open Access Journals (Sweden)

    Igor Podbrežnik

    2016-07-01

    Full Text Available Purpose: A research was made into user satisfaction with regard to the quality of library services in one of the Slovenian public libraries. The aim was to establish the type of service quality level actually expected by the users, and to determine their satisfaction with the current quality level of available library services.Methodology: The research was performed by means of the SERVQUAL measuring tool which was used to determine the size and direction of the gap between the detected and the expected quality of library services among public library users.Results: Different groups of users provide different assessments of specific quality factors, and a library cannot satisfy the expectations of each and every user if most quality factors display discrepancies between the estimated perception and expectations. The users expect more reliable services and more qualified library staff members who would understand and allocate time for each user’s individual needs. The largest discrepancies from the expectations are detected among users in the under-35 age group and among the more experienced and skilled library users. The results of factor analysis confirm the fact that a higher number of quality factors can be explained by three common factors affecting the satisfaction of library users. A strong connection between user satisfaction and their assessment of the integral quality of services and loyalty has been established.Research restrictions: The research results should not be generalised and applied to all Slovenian public libraries since they differ in many important aspects. In addition, a non-random sampling method was used.Research originality/Applicability: The conducted research illustrates the use of a measuring tool that was developed with the aim of determining the satisfaction of users with the quality of library services in Slovenian public libraries. Keywords: public library, user satisfaction, quality of library services, user

  10. Differences in pediatric dental services under general anesthesia for Medicaid and military dependent children.

    Science.gov (United States)

    Johnson, M B; Cappelli, D P; Bradshaw, B S; Mabry, J C

    2010-01-01

    This study's purpose was to compare pediatric dental services provided for Medicaid and military dependent children to determine if differences in dental treatment choices exist based on site and payment method. Subjects included 120 Medicaid patients at the University of Texas Health Science Center at San Antonio and 120 military dependents at Lackland Air Force Base, Texas. Demographic data and treatment information were abstracted for children younger than 6 years old receiving dental treatment under general anesthesia between 2002 and 2006. Data was analyzed using Wilcoxon rank sum, Kruskal-Wallis, and Fisher's exact tests. The Medicaid recipients were younger (40.2 vs 49.8 months, P<.001) and more likely to be Hispanic (78% vs 30%, P<.001). The means of decayed teeth, fillings, and stainless steel crowns did not differ between sites. Medicaid children received more composite fillings (P<.001), fewer amalgam fillings (P<.001), fewer pulp therapies (P<.001), more extractions (P=.01), and fewer sealants (P<.001). Age and gender did not affect decay rates, but those of Hispanic ethnicity did experience more decay than non-Hispanics (9.5 vs 8.6, P=.02). This study found no difference in the number of less conservative, albeit more costly, procedures performed with Medicaid children at a university compared to military dependents at a military base.

  11. Availability of dental treatment is associated with satisfaction derived from Primary Health Care Services accessed by elderly

    Directory of Open Access Journals (Sweden)

    Aline Blaya MARTINS

    Full Text Available Abstract Objective This research evaluated whether having dental treatment available in the primary health care centers of the Brazilian Unified Health System was associated with greater satisfaction with the services accessed. The offering of dental care within the health service that elders usually access may improve their satisfaction with the services as a whole. Material and method In this cross-sectional study, 401 elders living in the districts of Lomba do Pinheiro and Partenon in Porto Alegre, Brazil were interviewed. Elders were selected using a cluster sampling design process from census tract drawings. Result Poisson Regression revealed that age and dental treatment supply were associated with outcome, and age, number of teeth, and the presence of dental treatment were associated with a higher prevalence of satisfaction with health services. Conclusion These results provide new contributions for health system qualification because this study demonstrated the importance of having dental treatment available to improve the satisfaction of older people with the Primary Health Care (PHC services accessed.

  12. Developing Dental Students' Awareness of Health Care Disparities and Desire to Serve Vulnerable Populations Through Service-Learning.

    Science.gov (United States)

    Behar-Horenstein, Linda S; Feng, Xiaoying; Roberts, Kellie W; Gibbs, Micaela; Catalanotto, Frank A; Hudson-Vassell, Charisse M

    2015-10-01

    Service-learning in dental education helps students integrate knowledge with practice in an underserved community setting. The aim of this study was to explore how a service-learning experience affected a small group of dental students' beliefs about cultural competence, professionalism, career development, desire to practice in a community service setting, and perceptions about access and disparities issues. Prior to beginning their first year of dental school, five first-year dental students at one U.S. dental school participated in a six-week service-learning program in which they interned at one of three at-risk settings in order to experience health care delivery there. After the program, 60 reflective writing assignments completed by the participants were analyzed using grounded theory methods; interviews with the students were used to corroborate the findings from that analysis. Seven themes identified in the journal reflections and interview findings showed enhanced awareness of social health care issues and patient differences, as well as a social justice orientation and desire to address disparities. Building on this study, future research should explore the curricular components of service-learning programs to ensure students receive ample opportunity to reflect upon their experiences in order to integrate previously held assumptions with their newfound knowledge.

  13. Public expectations for nonemergency hospital resources and services during disasters.

    Science.gov (United States)

    Charney, Rachel L; Rebmann, Terri; Esguerra, Cybill R; Lai, Charlene W; Dalawari, Preeti

    2013-04-01

    The public's expectations of hospital services during disasters may not reflect current hospital disaster plans. The objective of this study was to determine the public's expected hospital service utilization during a pandemic, earthquake, and terrorist bombing. A survey was distributed to adult patients or family members at 3 emergency departments (EDs). Participants identified resources and services they expect to need during 3 disaster scenarios. Linear regression was used to describe factors associated with higher expected utilization scores for each scenario. Of the 961 people who participated in the study, 66.9% were women, 47.5% were white, and 44.6% were black. Determinants of higher pandemic resource utilization included persons who were younger (P expectations of hospitals during disasters are high, and some expectations are inappropriate. Better community disaster planning and public risk communication are needed.

  14. Emerging markets for satellite data communications in the public service

    Science.gov (United States)

    Potter, J. G.

    1978-01-01

    The paper discusses some of the current and potential markets for satellite data communications as projected by the Public Service Satellite Consortium (PSSC). Organizations in the public service sector are divided into three categories, depending on their expected benefits and organizational changes due to increased satellite telecommunications use: A - modest institutional adjustments are necessary and significant productivity gains are likely; B - institutional requirements picture is promising, but more information is needed to assess benefits and risk; and C - major institutional adjustments are needed, risks are high but possible benefits are high. These criteria are applied to the U.S. health care system, continuing education, equipment maintenance, libraries, environmental monitoring, and other potential markets. The potential revenues are seen to be significant, but what is needed is a cooperative effort by common carriers and major public service institutions to aggregate the market.

  15. Remodeling of Rural Public Service Supply Mechanism under the Background of New Village Construction

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Under the background of new village construction, the necessity of remodeling the supply mechanism of rural public service is expounded. It is conducive to improving the capability of public service to satisfy farmers’ demand; to constructing a rural diversified public service system and improving the supply efficiency of rural public goods; to realizing the equalization of urban-rural public services to coordinate urban-rural development. Problems in the supply of Chinese rural public services are analyzed:the demand of rural public goods is enormous, governmental fiscal expenditure is insufficient; social organization is imperfect and public service capability is weak; urban-rural gap is large and the supply of pubic service is unequal; the system of rural public service is single and the functions are imperfect; the market degree of rural public service is low and the efficiency needs improving. In view of these problems, the strategies for remodeling the supply mechanism of rural public service are put forward, covering intensifying the input intensity of the government, expanding the coverage of public services; vigorously supporting the development of social organization and improving its capability of public goods; breaking through dual system and realizing the equalization of urban-rural public service; perfecting rural diversified public services and perfecting its public service functions; promoting the market progress of rural public services and improving the efficiency of public service.

  16. 32 CFR 705.37 - Public affairs and public service awards.

    Science.gov (United States)

    2010-07-01

    ... 451.) (d) Chief of Information awards—(1) Certificate of Public Relations Achievement. (i) This... relations achievements which, while not meeting the criteria for public service awards presented by the... review periodicals and broadast air-checks received by the Internal Relations Activity. (B) Nominations...

  17. Public service motivation ad fonts : Personality traits as antecedents to serve the public interest

    NARCIS (Netherlands)

    van Witteloostuijn, Arjen; Esteve, M.; Boyne, G.

    2017-01-01

    Public Service Motivation (PSM) is a topic that has generated considerable interest among Public Administration scholars. Research on PSM has mainly focused on either defining what PSM is and how this construct can be measured or on testing how PSM affects individual and organizational variables. Ho

  18. Public service motivation and job performance of public sector employees in the Netherlands

    NARCIS (Netherlands)

    Leisink, P.L.M.; Steijn, B.

    2009-01-01

    This article contributes in three ways to our understanding of public service motivation (PSM) and its effects. In the first place, it applies an abridged version of Perry's measurement scale in the Dutch public sector. Although the results of the analysis show that PSM is a valid concept in this co

  19. Public service motivation og jobvalg: Serviceproduktion eller serviceregulering?

    DEFF Research Database (Denmark)

    Kjeldsen, Anne Mette

    2012-01-01

    Litteraturen omkring public service motivation har traditionelt fokuseret på, hvad individers motivation betyder for tiltrækning til offentlig eller privat ansættelse, mens betydningen af karakteren af de ydelser, der leveres i de to sektorer, er overset. Gennem spørgeskemaundersøgelser og...... interviews med sidsteårs-socialrådgiverstuderende, der efter endt uddannelse kan beskæftige sig med såvel produktion som regulering af offentlige ydelser i både offentlig og privat regi, undersøger denne artikel derfor sammenhængen mellem public service motivation og jobvalget serviceproduktion eller...

  20. The influence of economic incentives on treatment patterns in a third-party funded dental service.

    LENUS (Irish Health Repository)

    Woods, N

    2010-03-01

    OBJECTIVE: To investigate the response of dental practitioners to administration and remuneration adjustments to the Dental Treatment Services Scheme (DTSS) in the Republic of Ireland. DESIGN: Following the introduction of a series of administration and fee adjustments by a third party payments system in December 1999 the pattern of extractions and restorations are examined to determine whether the adjustments had influenced provider behaviour, in particular whether a substitution effect from extractions to restorations would result from a relative fee increase of 62% for amalgam fillings. DATA AND METHODS: Data on patient and provider characteristics from June 1996 to April 2005, collected by the Health Service Executive (HSE) National Shared Services Primary Care Reimbursement Service to facilitate remuneration to dentists providing services in the DTSS, was used in this analysis. A graphical analysis of the data revealed a structural break in the time-series and an apparent substitution to amalgam fillings following the introduction of the fee increases. To test the statistical significance of this break, the ratio of amalgams to restorations was regressed on the trend, growth and level dummy variables, using Ordinary Least Squares (OLS) regression. The diagnostics of the model were assessed using the Jarque-Bera normality test and the LM to test for serial correlation. RESULTS: The initial results showed no evidence of a structural break. However on further investigation, when a pulse dummy was included to account for the immediate impact of the fee adjustment the results suggest a unit root process with a structural break in December 1999. This implies that the amalgam fee increase of December 1999 influenced the behaviour patterns of providers. CONCLUSIONS: System changes can be used to change the emphasis from a scheme that was principally exodontia\\/emergency based to a scheme that is more conservative and based on restoration\\/prevention.

  1. Estudo da clientela do Programa de Atendimento Odontológico Precoce em um serviço público do município de Cuiabá, Mato Grosso Study Program of Early Dental Care clientele of a public service in the city of Cuiabá, Mato Grosso, Brazil

    Directory of Open Access Journals (Sweden)

    Luiz Evaristo Ricci Volpato

    2005-03-01

    Full Text Available OBJETIVOS: descrever a clientela assistida pelo Programa de Atendimento Odontológico Precoce de uma clínica municipal de Cuiabá, identificando: a faixa etária da clientela ao iniciar-se no programa; b uso de mamadeira por faixa etária; c uso da mamadeira noturna; d realização de higiene bucal; e e presença de cárie dental. MÉTODOS: estudo descritivo de corte transversal, utilizando os 934 prontuários das crianças atendidas pelo programa entre 1996 e 1998. RESULTADOS: 92,93% da clientela do programa era composta por crianças que iniciaram o tratamento com idade entre 0 e 36 meses; até os 42 meses de idade, em apenas uma faixa etária o número de crianças que usavam mamadeira é inferior ao número de crianças que não faziam uso da mesma; entre as crianças que usamvam mamadeira, a maioria absoluta o fazia durante a noite; a realização de higiene bucal e a prevalência da cárie dentária foram diretamente relacionadas à idade da criança. CONCLUSÕES: é necessário um trabalho de conscientização da população quanto à saúde bucal visto que a clientela do serviço estudado apresentou alto índice de desmame precoce e a higiene bucal esteve presente no primeiro ano de vida em apenas um terço das crianças assistidas.OBJECTIVES: to describe the children assisted by a public clinic Program of Early Dental Care in Cuiabá, identifying: a the age group of the children when entering the program; b the use of the bottle in each age group; c the use of the bottle at night; d the accomplishment of oral hygiene; and e the presence of dental caries. METHODS: a cross-sectional study was performed using 934 medical files of the children in the program between 1996 and 1998. RESULTS: 92.93% of the children entered the program aged from 0 to 36 months; until the 42nd month of age, in only one age group the number of children that used the bottle was lower than the number of children who did not; a large number of the children used the

  2. PUBLIC SERVICES AND THE EURO-REGIONAL COOPERATION

    Directory of Open Access Journals (Sweden)

    Badulescu Alina

    2012-07-01

    Full Text Available Besides the goods and private services, covering the specific needs of individual or groups based on specific mechanisms of demand and supply, human needs can be addressed also through public services. They are designed to meet the general interests of members of a community or society at large and established by public authorities, subject to certain fundamental principles of organization and operation, such as: the principle of efficiency, the principle of equity, the principle of continuity, the principle of movability and the principle of decentralization. In the same time, public services involve in many areas of economic and social life is not just a national issue, but also have characteristics and provision ways at international, regional and euro-regional level. This paper underlines the main areas of euro-regional co-operation interest in the public services sectors, such as: the sectors of environment, agriculture and territorial planning, the sectors of transportation, security and telecommunication, the sector of the economy and labour force, the sector of cross-border populations: social protection and public health, the sectors of education, research and culture.

  3. Psychology in the Public Forum : Unity in Service?

    OpenAIRE

    David W., Rackham

    1996-01-01

    While a theoretical and methodological unity is beyond the grasp of contemporary psychology, it could be argued that a unity of purpose might be possible if it is recognized that specialized psychological systems and methods, even if irreconcilable at the moment, have all been tapped to provide some sort of service to the wider community. It might be said, therefore, that a kind of unity in diversity actually exists, this unity being in terms of the public service dimension of the psychologic...

  4. Perceived Organizational Red Tape and Organizational Performance in Public Services

    DEFF Research Database (Denmark)

    Jacobsen, Christian Bøtcher; Jakobsen, Mads Leth

    2017-01-01

    The claim that perceived organizational red tape hampers public services has become a central theme in public administration research. Surprisingly, however, few scholars have empirically examined the impact of perceived red tape on organizational performance. This study empirically analyzes how...... perceived organizational red tape among managers and frontline staff relates to objectively measured performance. The data consists of survey responses from teachers and principals at Danish upper secondary schools combined with grade-level administrative performance data. Based on theories of red tape...

  5. Functions of Relationship Capital in Rural Public Sports Service

    Institute of Scientific and Technical Information of China (English)

    Wanjing; ZHU

    2014-01-01

    The field survey of two natural villages found that the relationship capital plays an important role in rural public sports service benefiting from the rural elite operation mode. However,negative effect brought by the relationship capital should not be neglected,including distorting the social equity,increasing social transaction cost,and weakening the public trust in government. It is a top priority to effectively evade its negative effect and bring into full play huge potential of the relationship capital.

  6. Patient management: measuring patients' expectations and perceptions of service quality in a dental training hospital.

    Science.gov (United States)

    White, J G; Slabber, J; Schreuder, A

    2001-04-01

    The difference between service quality expectations and perceptions (experiences) of patients (customers) attending a dental training hospital was investigated by using a modified version of the Parasuraman SERVQUAL model. A questionnaire comprising 28 service quality-related statements and four open-ended questions was used at the interviews. The study showed that 11.6% of respondents experienced problems with the service. A principal component factor analysis indicated that two of the five dimensions of service quality, namely reliability and assurance, contributed to 59% of service level variance. Female patients showed larger mean differences than male patients. The greater the number of visits to the hospital, the smaller the difference between expectations and perceptions. Patients in the category 36-45 years of age, showed larger mean differences than younger or older patients. Respondents with no academic qualifications had lower expectations of the service, while professional people seemed to have more realistic expectations prior to a visit to the hospital than respondents in the technical/clerical category.

  7. SERVICE QUALITY AND CUSTOMER SATISFACTION IN PUBLIC TRANSPORTS

    Directory of Open Access Journals (Sweden)

    Filipa Fonseca

    2010-06-01

    Full Text Available The objective of the paper is to identify the determinants of service quality as well as its impact on the satisfaction of public transport commuters. The paper explores the relationship between service quality and customer satisfaction in a public transport service taking into account both internal and external perspectives. In order to analyse this relationship, the concepts of service quality, consumer satisfaction and dissatisfaction are assessed. A model of analysis is developed aiming at explaining this relationship and guiding the empirical study. This is based on an exploratory case study of a metro company in Europe. The results of the study put in evidence two key findings. The first is related to the level of service quality in its main dimensions. We conclude that reliability, security, speed, comfort and punctuality are quality dimensions of greater importance for the public transport services. Secondly, the study explores satisfaction and their determinants. Despite literature stipulates the existence of a distinction between the constructs of quality and satisfaction, this study found that the transport company, non-customers and customers clearly do not make such a distinction.

  8. Public opinion.

    Science.gov (United States)

    Holden, A

    2013-04-01

    This opinion-based article aims to highlight the worrying decline in support for dental public health as a specialty. Not only is this specialty important for its role in commissioning services, it is crucial for the identification of vulnerable groups in society and ensuring dental services are acceptable and assessable for these populations. Dental public health also addresses the social determinants of health in its approach, acknowledging the impact of these in perpetuating inequalities and looking for multisectoral approaches to their management. This article also looks at the lack of appreciation for these determinants in dental foundation training and how a change in the structure of the programme could both address this and the current shortage of places.

  9. Factors associated with self-reported use of dental health services among older Greek and Italian immigrants.

    Science.gov (United States)

    Mariño, Rodrigo; Wright, Clive; Schofield, Margot; Calache, Hanny; Minichiello, Victor

    2005-01-01

    The authors discuss utilization of dental health services by older Greek and Italian immigrants in Melbourne, Australia. Their study involved 374 Greek and 360 Italian adults who completed a questionnaire and received an oral examination. Nearly 41% of Greek and 45% of Italian respondents had used dental services in the previous year. As barriers to care, Greek participants most often cited waiting lists and waiting time in the office. Italian participants most often identified cost, length of waiting lists and language barriers. Multivariate analyses associated recent use of dental services with number of teeth, oral health knowledge, age and occupation before retirement for both groups, as well as living arrangements among Greek participants and perceived barriers among Italian participants. Findings highlight the need for oral health promotion programs targeted toward older adults from immigrant populations and reductions of the structural barriers that prevent these adults from seeking oral health care.

  10. COMMUNITY DENTAL HEALTH SURVEY TRAINING TO DENTAL HEALTH PERSONNEL

    OpenAIRE

    Sandra Fikawati; Ita Yulita

    2015-01-01

    Dentist and dental nurse as dental health personnel in community health center are spearheads in community dental health service. The effectiveness and efficacy of community dental health service needs updated adequate dental health knowledge and skill. One effort to assure the fulfillment of those needs is by providing community dental health survey training. This training aims at improving the skill and capability of dental health personnel to conduct dental health survey. The training cons...

  11. Public health service administration and academia. A joint venture.

    Science.gov (United States)

    Campbell, B F; King, J B

    1992-12-01

    Joint ventures between service and academia are designed to enhance the quality of client services, enrich faculty teaching experiences and skills, and strengthen communication channels. The joint venture described in this article is an example of how public health nursing services and academia can be united through faculty participation in administration. Included in the discussion are the impetus for the project, the contract negotiations, the positive outcomes and disadvantages of the venture, and questions that should be raised when a similar venture is considered.

  12. Semantic interoperability between clinical and public health information systems for improving public health services.

    Science.gov (United States)

    Lopez, Diego M; Blobel, Bernd G M E

    2007-01-01

    Improving public health services requires comprehensively integrating all services including medical, social, community, and public health ones. Therefore, developing integrated health information services has to start considering business process, rules and information semantics of involved domains. The paper proposes a business and information architecture for the specification of a future-proof national integrated system, concretely the requirements for semantic integration between public health surveillance and clinical information systems. The architecture is a semantically interoperable approach because it describes business process, rules and information semantics based on national policy documents and expressed in a standard language such us the Unified Modeling Language UML. Having the enterprise and information models formalized, semantically interoperable Health IT components/services development is supported.

  13. Networked remote area dental services: a viable, sustainable approach to oral health care in challenging environments.

    Science.gov (United States)

    Dyson, Kate; Kruger, Estie; Tennant, Marc

    2012-12-01

    This study examines the cost effectiveness of a model of remote area oral health service. Retrospective financial analysis. Rural and remote primary health services. Clinical activity data and associated cost data relating to the provision of a networked visiting oral health service by the Centre for Rural and Remote Oral Health formed the basis of the study data frameset. The cost-effectiveness of the Centre's model of service provision at five rural and remote sites in Western Australia during the calendar years 2006, 2008 and 2010 was examined in the study. Calculations of the service provision costs and value of care provided were made using data records and the Fee Schedule of Dental Services for Dentists. The ratio of service provision costs to the value of care provided was determined for each site and was benchmarked against the equivalent ratios applicable to large scale government sector models of service provision. The use of networked models have been effective in other disciplines but this study is the first to show a networked hub and spoke approach of five spokes to one hub is cost efficient in remote oral health care. By excluding special cost-saving initiatives introduced by the Centre, the study examines easily translatable direct service provision costs against direct clinical care outcomes in some of Australia's most challenging locations. This study finds that networked hub and spoke models of care can be financially efficient arrangements in remote oral health care. © 2012 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

  14. Public Service Motivation and Employment Sector: Attraction or Socialization?

    DEFF Research Database (Denmark)

    Kjeldsen, Anne Mette; Jacobsen, Christian Bøtcher

    2013-01-01

    Numerous studies have shown that public service motivation (PSM) is positively associated with public sector employment. However, the question of whether PSM influences or is influenced by employment decisions remains open, since previous studies have mostly relied on cross-sectional samples...... with experienced employees. This article investigates the relationship between PSM and employment sector in pre-entry and post-entry settings using data from a panel of Danish physiotherapy students surveyed before and after their first job in the public or private sector. The analyses show that PSM is neither...

  15. American Dental Education Association

    Science.gov (United States)

    ... Interest Groups ADEA Governance Documents and Publications ADEA Dental Faculty Code of Conduct ADEA Bylaws ADEAGies Foundation ... Benefits for Faculty ADEA Member Benefits for Allied Dental Programs ADEA Member Benefits for Dental Schools ADEA ...

  16. The challenges of government use of cloud services for public service delivery

    NARCIS (Netherlands)

    Irion, K.

    2014-01-01

    Cloud services hold the promise of rendering public service delivery and back-office operations more effective and efficient, by providing ubiquitous, on-demand access to computing resources. Beyond the compelling cost economies, cloud technology is also a promising platform for open government, int

  17. Use of selected ambulatory dental services in Taiwan before and after global budgeting: a longitudinal study to identify trends in hospital and clinic-based services

    Directory of Open Access Journals (Sweden)

    Lin Chienhung

    2012-09-01

    Full Text Available Abstract Background The Taiwan government adopted National Health Insurance (NHI in 1995, providing universal health care to all citizens. It was financed by mandatory premium contributions made by employers, employees, and the government. Since then, the government has faced increasing challenges to control NHI expenditures. The aim of this study was to determine trends in the provision of dental services in Taiwan after the implementation of global budgeting in 1998 and to identify areas of possible concern. Methods This longitudinal before/after study was based on data from the National Health Insurance Research Database from 1996 to 2001. These data were subjected to logistic regression analysis. Linear regression analysis was used to examine changes in delivery of specific services after global budgeting implementation. Utilization of hospital and clinic services was compared. Results Reimbursement for dental services increased significantly while the number of visits per patient remained steady in both hospitals and clinics. In hospitals, visits for root canal procedures, ionomer restoration, tooth extraction and tooth scaling increased significantly. In dental clinics, visits for amalgam restoration decreased significantly while those for ionomer restoration, tooth extraction, and tooth scaling increased significantly. After the adoption of global budgeting, expenditures for dental services increased dramatically while the number of visits per patient did not, indicating a possible shift in patients to hospital facilities that received additional National Health Insurance funding. Conclusions The identified trends indicate increased utilization of dental services and uneven distribution of care and dentists. These trends may be compromising the quality of dental care delivered in Taiwan.

  18. Personal Establishment and Accomplishment of Public Service Values

    Directory of Open Access Journals (Sweden)

    Mirko PEČARIČ

    2013-02-01

    Full Text Available Public objectives are mostly developed within public administrations, which despite apparent Weberian rationality work mainly evolutionarily, i.e. by imitation of what already works in other areas and what randomly brings good results. The rule of law that is fundamental to the Western democratic order cannot work without morality and legal values. If we want workable values, we must understand them at their core, which is not the domain of law. The starting point is an individual who operates primarily on the basis of his personal characteristics regardless of all the present theories of the public administration. Entering into the unknown with full preparedness for the changes will be the motto of the future public administration. We are much closer to such a stance if we know how the public service values are really established and implemented.

  19. Status of radiological services in Addis Ababa public hospitals.

    Science.gov (United States)

    Shimelis, Dagmawit; Tsige, Mesfin; Atnafu, Asfaw

    2011-07-01

    The availability and quality of radiological service in the developing countries are generally poor. Ethiopia is one of the countries where overall health service has been compromised by inadequate & poorly maintained infrastructure and scarcity of health professionals. Radiological service is a resource intensive unit in a hospital and most developing countries radiological service is expected to be poor or may not be available at all. However, there is no study conducted to assess the radiological service in Ethiopia. The aim of the study is to assess the status of radiological service in all public hospitals in Addis Ababa, capital of Ethiopia, and to render insight to the overall national service status. A cross sectional survey was conducted from Aug 2008 to Oct 2009 G C in all twelve public hospitals in Addis Ababa, including specialized and military hospitals. Self administered pre-tested questioners were used to collect data from key informants, chief radiographers and radiologist. In addition, departmental daily work record book was used to extract the type of radiological examination performed Data analysis was done manually. All hospitals in the study provide a basic level of radiological services. Plain x-ray and ultrasound is the type of service (100%) available, whereas services like mammography (9%), CT scan (18%) and MRI (0%) were found to be the least available. There are a total of 78 radiographers and 20 radiologists in Addis Ababa public hospitals with no radiologist in three. The average number of examinations performed in a year amounts to 113,204 and US and routine x-ray examinations account for nearly 98% of the service offered The study showed 25% of the radiological equipments are non-functional and no appropriately trained dark room technicians & no maintenance staffpresent in all hospitals This study verifies the poor radiological infrastructure, poor level of support and the basic nature of the radiological service in the capital. We

  20. A Liquid work-life under public service contracting

    DEFF Research Database (Denmark)

    Lindholst, Christian

    A part of the reality behind public service contracting in Denmark as well as in many other countries is that a growing number of people are employed in uncertain and temporary conditions and relations in what can be characterized as ‘liquidized’ work-lives. This reality and its consequences...

  1. Conceptual Models of the Individual Public Service Provider

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh; Bhatti, Yosef; Petersen, Ole Helby

    Individual public service providers’ motivation can be conceptualized as either extrinsic, autonomous or prosocial, and the question is how we can best theoretically understand this complexity without losing too much coherence and parsimony. Drawing on Allison’s approach (1969), three perspectives...

  2. Public Service Motivation and Monetary Incentives: Substitutes or Motivation Crowding?

    DEFF Research Database (Denmark)

    Jacobsen, Christian Bøtcher

    2011-01-01

    motivation is the most important type of motivation in the delivery of public service, because it substitutes for egoistic motivation. Organizations whose members have high levels of PSM are therefore expected to be less dependent on utilitarian motivators such as monetary incentives. Motivation crowding...

  3. Government Service as a Public and Personal Good

    Science.gov (United States)

    Rimer, Barbara K.

    2016-01-01

    The concerted, strategic efforts of government leaders can create rapid accelerations in knowledge and the application of that knowledge for the public good. Government service can represent part or all of one's career. Working at the National Institutes of Health (NIH) early in my career helped me develop a macro-level understanding of how the…

  4. Factors influencing women's utilization of public health care services ...

    African Journals Online (AJOL)

    Background: Maternal mortality remains a public health challenge claiming ... across many developing countries around the world. .... 19.8. Community Factors place of residence. Rural. 13.0. 14.0. 13.3. Urban .... hood among women who were exposed to either radio or ..... maternal health care services in Southern India.

  5. Professional Education and the Public Service; an Exploratory Study.

    Science.gov (United States)

    Mosher, Frederick C.

    This study was designed to assess major linkages of professionalism and professional education with the public service, to highlight some of the resulting problems within, and among, different professions, and to set forth hypotheses and questions to provoke and guide more intensive future research. Results indicate that professionalism is rapidly…

  6. Utah Public Library Service, 2001: An Annual Report.

    Science.gov (United States)

    Long, Sandi

    This annual report of Utah public library services presents data useful for local library planning. This information is presented in two sections: core performance measures and general tables. Statewide summary data and breakouts by the populations of the library jurisdictions are provided for the following core performance measures: (1) visits…

  7. Factors and Strategies That Influence Faculty Involvement in Public Service

    Science.gov (United States)

    Holland, Barbara A.

    2016-01-01

    Data from several national research and evaluation projects involving 32 diverse institutions offer insights into what motivates college-faculty involvement in public service and outreach efforts, what faculty find to be obstacles to involvement, and what institutions can do to facilitate involvement. One salient policy supporting faculty…

  8. Public Service Motivation Research : Achievements, Challenges, and Future Directions

    NARCIS (Netherlands)

    Perry, James L.; Vandenabeele, Wouter

    2015-01-01

    This article takes stock of public service motivation research to identify achievements, challenges, and an agenda for research to build on progress made since 1990. After enumerating achievements and challenges, the authors take stock of progress on extant proposals to strengthen research. In addit

  9. Applying the ecosystem services concept to public land management

    Science.gov (United States)

    Jeffrey D. Kline; Marisa J. Mazzota; Thomas A. Spies; Mark E. Harmon

    2013-01-01

    We examine challenges and opportunities involved in applying ecosystem services to public land management with an emphasis on national forests in the United States. We review historical forest management paradigms and related economic approaches, outline a conceptual framework defining the informational needs of forest managers, and consider the feasibility of its...

  10. Public Service Motivation Research : Achievements, Challenges, and Future Directions

    NARCIS (Netherlands)

    Perry, James L.; Vandenabeele, Wouter|info:eu-repo/dai/nl/323038816

    2015-01-01

    This article takes stock of public service motivation research to identify achievements, challenges, and an agenda for research to build on progress made since 1990. After enumerating achievements and challenges, the authors take stock of progress on extant proposals to strengthen research. In

  11. Empirical Approaches of the Public-Private Partnership in the Services of Public Utility

    Directory of Open Access Journals (Sweden)

    Lucica Matei

    2006-12-01

    Full Text Available The paper approaches from a theoretical and empirical perspective the public-private partnership in Romania with special reference to the services of public utility. The premises for the approach are as follows: 1. The economic-social development and the reform of the public sector in the world, with the corresponding budgetary constraints and cutting off the number of jobs in the public sector represent dimensions of the development of the change management, known on world level since the ’80s period. These issues have created the conditions and opportunities for new economic, managerial, social, political concepts and theories of law and have “invented” new models of public services to which specific models of management correspond. The theory is enriched with new dimensions switching from an immediate conception of the public sector reform and public services reform – that can be temporarily delimited in a political mandate – to a conception based on stages, with rules that are well thought, accepted and understood by all the involved actors (politicians, users-citizens, suppliers. 2. The development of the adequate institutional context for the promotion of the public-private partnership simultaneously with the stable, coherent legal context inscribes in extremely diverse backgrounds, differing from country to country and awarding a different place to the intervention of the public power, within the framework of the capacity building process. Therefore, the models promoted by the developed countries can be considered experiences, varying from a public service to another, from a city to another or from country to country, requiring contextual, cultural, economic, social adjustments. 3. The public authority through the public-private partnership seeks an improvement of the public service quality and the private operator seeks a profit proportional with the capital invested, with his competencies and risks. The diversity of the

  12. Professional norms, public service motivation and economic incentives

    DEFF Research Database (Denmark)

    Andersen, Lotte Bøgh

    2007-01-01

    have, however, indicated that these factors interact. Using interviews, surveys and registers, the paper investigated how professional norms, economic incentives and sector affected the behaviour of Danish dentists and physicians. It was found that when strong professional norms existed, economic......The theories of professions, public service motivation, and economic incentives explain the behaviour of the producers of publicly financed services differently. They emphasize professional norms, sector, and economic incentives, respectively. The few existing attempts to integrate these theories...... incentives were unimportant for both public and private employees. In contrast, when no firm professional norm applied, economic incentives affected behaviour. Controlling for different economic incentives, sector does not seem to affect the behaviour much. The results imply that the economic...

  13. Public Service Broadcasting as a Public Good: Challenges in the Digital Era

    Directory of Open Access Journals (Sweden)

    Ivana Andrijašević

    2015-12-01

    Full Text Available This article presents a summary of the most important standpoints of the economic debate about public service broadcasting as a public good, and its provision in both the analogue and digital age of broadcasting. Due to frequent technological developments, which heavily influence the broadcasting sector, this debate, initiated in 1958 by American economist Paul A. Samuelson, has continued up to the present day. It also reflects on the concept of PSM as a public good in a globalizing, multi-platform, usergenerated content infused media landscape. Finally, it ponders the future developments of PSM as a public good in the digital era of broadcasting.

  14. Association of oral health behavior and the use of dental services with oral health literacy among adults in Tehran, Iran.

    Science.gov (United States)

    Naghibi Sistani, Mohammad Mehdi; Virtanen, Jorma I; Yazdani, Reza; Murtomaa, Heikki

    2017-01-01

    To assess the association of oral health behavior (OHB) and the use of dental services with oral health literacy (OHL) among Iranian adults. This was a cross-sectional population study of a random sample of 1031 adults aged 18-65 in Tehran, Iran. We collected data on tooth brushing frequency, the consumption of sugary snacks and beverages, and time since last dental visit. To measure OHL, we used a validated OHL adults' questionnaire (OHL-AQ). In addition to descriptive analysis, we used multiple logistic regression models to assess the association of OHB and the most recent dental visit with OHL while controlling for socioeconomic and demographic factors. The participants' mean age was 36.3 (standard deviation 12.9), and 51% were women. Of the participants, 81.3% reported brushing their teeth daily (≥1/day), 37.6% consumed sugary snacks or beverages between meals less than once daily (<1/day), and 36.8% used dental services within the past 6 months. In the adjusted models, high OHL scores significantly correlated with daily (≥1/day) tooth brushing (odds ratio [OR] = 1.97, 95% confidence interval [CI]: 1.30-2.98), the consumption of sugary snacks or beverages (<1/day between meals) (OR = 1.56, 95% CI: 1.13-2.15) and the recent use of dental services (≤6 months) (OR = 1.59, 95% CI: 1.15-2.21), respectively. OHL relates significantly to improved OHB and the use of dental services. Oral health promotion programs should, therefore, take into account improvements in adults' OHL, particularly in countries with developing health-care services.

  15. Restructuring public mental health and substance abuse service systems.

    Science.gov (United States)

    Godbole, A; Temkin, T; Cradock, C

    1998-01-01

    The authors originally circulated the concepts in this proposal during May 1995. The purpose was to support an open, public dialogue regarding the restructuring of the mental health and substance abuse services in Illinois in anticipation of Medicaid funding changes. Restructuring mental health and substance abuse service systems should follow certain key principles. These principles are applicable to other states, particularly those large in territory and population. The authors propose the temporary use of multiple managed care companies serving as administrative services only (ASO) organizations, each of whom would have responsibility for a given geographic portion of a state. The role of the ASOs would be to organize providers into networks on a regional basis and transfer managed care expertise in financing and clinical management to the relevant state departments and provider groups. Changes in the service delivery system would be phased in over time with reorganization of key components of the system during each phase. Where the provision of mental health, substance abuse, and social services is split among multiple state agencies, these agencies would be merged to achieve unified funding and administrative efficiency. Patients and advocacy organizations would play a key role in overseeing and shaping system restructuring at all levels, including a governmental board reporting to the governor, overseeing ASO organizations' operations and assuring quality and access at the provider level. The authors propose funding of public behavioral health services through use of a tiered, integrated funding model.

  16. Exploring Public Perception of Paratransit Service Using Binomial Logistic Regression

    Directory of Open Access Journals (Sweden)

    Hisashi Kubota

    2007-01-01

    Full Text Available Knowledge of the market is a requirement for a successful provision of public transportation. This study aims to explore public perception of paratransit service, as represented by the user and non-user of paratransit. The analysis has been conducted based on the public’s response, by creating several binomial logistic regression models using the public perception of the quality of service, quality of car, quality of driver, and fare. These models illustrate the characteristics and important variables to establish whether the public will use more paratransit in the future once improvements will have been made. Moreover, several models are developed to explore public perception in order to find out whether they agree to the replacement of paratransit with other types of transportation modes. All models are well fitting. These models are able to explain the respondents’ characteristics and to reveal their actual perception of the operation of paratransit. This study provides a useful tool to know the market in greater depth.

  17. [How a brand strategy strengthen the public service mission].

    Science.gov (United States)

    Ouazan, J-M; Blaise-Pagès, L; Le Failler, F

    2013-05-01

    Commercial companies or public service mission, today all organizations must manage their brand. For a public service organization, also, the brand is an asset that enhances its visibility to the various partners. A brand is a collection of signs that distinguishes it, it or the products and services it offers. In recent years, we are witnessing the valorization of public service mission brand in an objective of visibility but also for internal cohesion. Developing a brand brings benefits in its identification and knowledge by users but also within the institutional environment. This value can also be an economic booster. With a strong brand, the organization may reduce communication expenses. In recent years, we attend an important development of the territory marks. Concerning the Établissement français du sang (EFS) when it was created in 2000, it is the act of donation of blood, which was enhanced by the "Don du sang" logotype and not the institution. As a consequence, the logotype "EFS" was very discreet. But more than 10 years after, this situation has to evolve. The EFS is not just a blood transfusion organization. Beyond blood donations, the EFS has developed other activities (cell and tissue therapy, IHR, clinics, research, etc.). With the "new generation" blood centers, it is an opportunity to think over the brand EFS. This is why EFS has decided to develop a brand strategy, the ground of all communication policies.

  18. 78 FR 27971 - Dental Products Panel of the Medical Devices Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2013-05-13

    ... HUMAN SERVICES Food and Drug Administration Dental Products Panel of the Medical Devices Advisory...). The meeting will be open to the public. Name of Committee: Dental Products Panel of the Medical... and make recommendations on the proposed regulatory classification for dental devices known as...

  19. 32 CFR 728.54 - U.S. Public Health Service (USPHS), other than members of the uniformed services.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false U.S. Public Health Service (USPHS), other than... FACILITIES Beneficiaries of Other Federal Agencies § 728.54 U.S. Public Health Service (USPHS), other than... 43 (Contract Health Service Purchase Order for Hospital Services Rendered) or HRSA form 64...

  20. The sense of services in a globalizing public sector

    DEFF Research Database (Denmark)

    Fuglsang, Lars

    This paper represents an attempt to explore in a qualitative way how the microstructure of public private innovation networks in public services (ServPPINs) can be understood. The paper uses the concepts of sensemaking and weak cues from the sensemaking literature to explain how these Serv......PPINs manage to take care of development and change (Weick 1979, 1995). The proposal, which is explored in the case-study is that the impact of ServPPINs is not to create radical new innovations, but to take a series of small actions and thereby potentially react to small cues. Attention of the paper is...

  1. Reforming dental workforce education and practice in the USA.

    Science.gov (United States)

    Davidson, P L; Nakazono, T T; Carreon, D C; Gutierrez, J J; Shahedi, S; Andersen, R M

    2011-05-01

    The USA dental education programmes are facing challenges similar to those confronting countries around the globe, particularly amongst the industrialised nations. The purpose of this study was to evaluate the educational programmes of 15 USA dental schools to determine their impact on improving workforce diversity and oral health care access. The study investigates the predictors of public service plans of dental school seniors in Pipeline and non-Pipeline Program dental schools. We analysed baseline and post-intervention data collected in the American Dental Education Association (ADEA) Annual Survey of Dental School Seniors and a set of contextual variables. Public service plans (dependent variable) was predicted by four types of independent variables: intervention, contextual, community-based dental education (CBDE), and student characteristics. Findings from the study show that access to a state or federally sponsored loan repayment program was the most significant predictor of public service plans and that increasing educational debt was the most significant barrier. In the short-term we may be able to sustain the USA loan repayment programs to motivate senior dental students to provide public service to address the oral health care access crisis. However, in the long-term, a new workforce development initiative will be required to transform dental education and practice, modelled after the well-respected licensure programmes for Physician Assistants and/or Advanced Practice Registered Nurses, to expand oral health care access, particularly amongst vulnerable population subgroups, such as low-income children and families.

  2. Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); TRICARE Dental Program. Office of the Secretary, DoD. Final rule.

    Science.gov (United States)

    2001-03-01

    On October 23, 2000 (65 FR 63202), the Department of Defense published a final rule on TRICARE Family Member Dental Plan. The rule had an effective date that began during the Presidential Moratium on Rules, therefore, this rule is republished to change the effective date to April 1, 2001. This rule is published exactly as previously published. No changes have been made. It revises the comprehensive CHAMPUS regulation pertaining to the Expanded Active Duty Dependents Benefit Plan, or more commonly referred to as the TRICARE Family Member Dental Plan (TFMDP). The TFMDP limited eligibility to eligible dependents of active duty members (under a call or order that does not specify a period of thirty (30) day or less). Concurrent with the timeframe of the publication of the proposed rule, the Defense Authorization Act for Fiscal Year 2000 (Pub. L. 106-65, sec. 711) was signed into law and its provisions have been incorporated into this final rule. The Act authorized a new plan, titled the TRICARE dental program (TDP), which allows the Secretary of Defense to offer a comprehensive premium based indemnity dental insurance coverage plan to eligible dependents of active duty members (under a call or order that does not specify a period of thirty (30) days or less), eligible dependents of members of the Selected Reserve and Individual Ready Reserve, and eligible members of the Selected Reserve and Individual Ready Reserve. The Act also struck section 1076b (Selected Reserve dental insurance), or Chapter 55 of title 10, United States Code, since the affected population and the authority for that particular dental insurance plan has been incorporated in 10 U.S.C. 1076a. Consistent with the proposed rule and the provisions of the Defense Authorization Act for Fiscal Year 2000, the final rule places the responsibility for TDP enrollment and a large portion of the appeals program on the dental plan contractor; allows the dental plan contractor to bill beneficiaries for plan

  3. Altmark, Article 86(2) and Public Service Broadcasting

    DEFF Research Database (Denmark)

    Mortensen, Frands

    2008-01-01

    En analyse af EU-Kommissionens 17 Beslutninger angående statsstøtte til Public Service Broadcasting, der er truffet efter afsigelse af Altmark-dommen i juli 2003. Kommissionen har i alle tilfælde først analyseret om de fire Altmark-krav er opfyldt, og det er aldrig tilfældet. dernæst har den godk...

  4. Reaction of passengers to public service vehicle ride

    Science.gov (United States)

    Clarke, M. J.; Oborne, D. J.

    1975-01-01

    A series of questionnaire studies is described, which was carried out on passengers in public service vehicles in the United Kingdom particularly cross-channel hovercraft, helicopter and train. The effectiveness of the different rating techniques employed is examined and it is demonstrated that useful and reliable information can be obtained on the effects of such physical parameters as vibration, vehicle motion and noise using rating methods which involve no external standards. Some results obtained from analysis of the survey returns are presented.

  5. A community pharmacy-based cardiovascular screening service: views of service users and the public.

    Science.gov (United States)

    Taylor, Julia; Krska, Janet; Mackridge, Adam

    2012-10-01

    To determine whether pharmacy-based cardiovascular disease (CVD) screening reached the desired population, the local population's awareness of pharmacy screening and the views of service users and the general public about CVD screening. Pharmacy staff, located in one English Primary Care Trust providing a CVD screening service, issued questionnaires to service users who had undergone screening. Face-to-face street surveys were conducted with members of the general public within the vicinity of each participating pharmacy. A total of 259 people were screened within the first 6 months of service provision, 97 of whom (37.4%) completed the evaluation questionnaire. In addition, 261 non-service users participated in street surveys. Most respondents among both service users and non-users had at least one risk factor for cardiovascular disease, including smoking and lack of exercise. Responses to statements regarding CVD screening showed a high level of agreement with the need for screening in both groups. However, significantly more service users (90.7%) agreed that a pharmacy was a good place for screening compared to the non-users (77.4%; P service users agreed that screening should be only carried out by doctors (10.3 compared to 25.3% of non-users; P service users 96 (99.7%) had a positive experience of the screening service, agreeing that they were given enough time and pharmacists made them feel at ease. Only 9% of non-users were aware of the pharmacy service and, although the majority (78.4%) were willing to be screened at a pharmacy, this was significantly lower among males than females (69.9 compared to 82.7%; P service and by addressing concerns about privacy and confidentiality in promotional activities. © 2012 The Authors. IJPP © 2012 Royal Pharmaceutical Society.

  6. 77 FR 4821 - Public Health Service Act, Non-competitive Replacement Award

    Science.gov (United States)

    2012-01-31

    ... HUMAN SERVICES Health Resources and Services Administration Public Health Service Act, Non-competitive...: Section 330I(d)(2) of the Public Health Service Act, as amended, 42 U.S.C. 254c-14(d)(2). Catalog of... INFORMATION CONTACT: Monica Cowan, Public Health Analyst, Office for the Advancement of Telehealth, Office...

  7. 45 CFR 400.61 - Services to public/private RCA recipients.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Services to public/private RCA recipients. 400.61... Refugee Cash Assistance § 400.61 Services to public/private RCA recipients. (a) Services provided to recipients of refugee cash assistance in the public/private RCA program may be provided by the...

  8. NEW PUBLIC MANAGEMENT ELEMENTS IN ROMANIA’S PUBLIC SERVICES IN THE EUROPEAN CONTEXT

    Directory of Open Access Journals (Sweden)

    Moraru Marilena Ortansa

    2012-12-01

    Full Text Available New Public Management (NPM is considered as a global paradigm emerging in response to economic, institutional, political, and ideological changes.Many attempts to define the New Public Management have been made and there are several definitions of this notion, referring to the implementation of management ideas from business and private sector into the public services.Over the past few years, Romania has been facing a great challenge as it has to enhance its public management for achieving the European standards and values of transparency, predictability, accountability, adaptability and efficiency. The necessity of a modern administration at European standards exists both at the level of the citizen, and at the level of institutions delivering public services.According to the provisions of its last stand-by arrangement with IMF, Romania placed emphasis on restoring medium- and long-term sustainability and paved the way for future growth. Structural reforms were a large component of the program, including tax administration, pensions, public wages and employment, and social benefits, improving public sector efficiency, as well as enhancing the business environment.\\\\\\\\r\\\\\\\

  9. South African managers in public service: On being authentic

    Directory of Open Access Journals (Sweden)

    Antoni Barnard

    2014-01-01

    Full Text Available South African managers in public service consistently face challenges related to managing a well-adjusted and productive diverse workforce. Following the notion that leadership authenticity fosters positive psychological employee capacity, the aim of this study was to explore the meaning essence of authenticity as lived in the work–life experiences of senior managers in public service. Five senior managers in public service were purposefully selected based on their articulated challenges with being authentic at work, whilst attending a diversity sensitivity workshop. From a hermeneutic phenomenological perspective, in-depth interviews were used, and an interpretative phenomenological analysis yielded two predominant themes offering a description of what it means to be authentic. Authenticity is experienced as an affective state that results from a continuous self-appraisal of the extent to which expression of self is congruent with a subjective and socially constructed expectation of self in relation to others. Authenticity seems to develop through a continuous process of internal and external adaptation, and it leads to ultimately building a differentiated yet integrated identity of self. A reciprocal dynamic between feeling authentic and self-confidence alludes to the potential importance of authenticity dynamics in identity work.

  10. South African managers in public service: on being authentic.

    Science.gov (United States)

    Barnard, Antoni; Simbhoo, Nirvana

    2014-01-01

    South African managers in public service consistently face challenges related to managing a well-adjusted and productive diverse workforce. Following the notion that leadership authenticity fosters positive psychological employee capacity, the aim of this study was to explore the meaning essence of authenticity as lived in the work-life experiences of senior managers in public service. Five senior managers in public service were purposefully selected based on their articulated challenges with being authentic at work, whilst attending a diversity sensitivity workshop. From a hermeneutic phenomenological perspective, in-depth interviews were used, and an interpretative phenomenological analysis yielded two predominant themes offering a description of what it means to be authentic. Authenticity is experienced as an affective state that results from a continuous self-appraisal of the extent to which expression of self is congruent with a subjective and socially constructed expectation of self in relation to others. Authenticity seems to develop through a continuous process of internal and external adaptation, and it leads to ultimately building a differentiated yet integrated identity of self. A reciprocal dynamic between feeling authentic and self-confidence alludes to the potential importance of authenticity dynamics in identity work.

  11. Improving Coordination of Addiction Health Services Organizations with Mental Health and Public Health Services.

    Science.gov (United States)

    Guerrero, Erick G; Andrews, Christina; Harris, Lesley; Padwa, Howard; Kong, Yinfei; M S W, Karissa Fenwick

    2016-01-01

    In this mixed-method study, we examined coordination of mental health and public health services in addiction health services (AHS) in low-income racial and ethnic minority communities in 2011 and 2013. Data from surveys and semistructured interviews were used to evaluate the extent to which environmental and organizational characteristics influenced the likelihood of high coordination with mental health and public health providers among outpatient AHS programs. Coordination was defined and measured as the frequency of interorganizational contact among AHS programs and mental health and public health providers. The analytic sample consisted of 112 programs at time 1 (T1) and 122 programs at time 2 (T2), with 61 programs included in both periods of data collection. Forty-three percent of AHS programs reported high frequency of coordination with mental health providers at T1 compared to 66% at T2. Thirty-one percent of programs reported high frequency of coordination with public health services at T1 compared with 54% at T2. Programs with culturally responsive resources and community linkages were more likely to report high coordination with both services. Qualitative analysis highlighted the role of leadership in leveraging funding and developing creative solutions to deliver coordinated care. Overall, our findings suggest that AHS program funding, leadership, and cultural competence may be important drivers of program capacity to improve coordination with health service providers to serve minorities in an era of health care reform.

  12. Maryland Public Library Services for the Handicapped. A Survey for Handicapped Accessibility to Public Library Facilities.

    Science.gov (United States)

    Maryland State Dept. of Education, Baltimore. Div. of Library Development and Services.

    Prepared as a part of an ongoing effort to make Maryland public libraries readily accessible to the handicapped, this directory identifies equipment, services, and facilities available to library users who are confined to wheel chairs and others who have difficulty with steps or stairs. Supplied by the administrators of Maryland's 24 public…

  13. Fiscal decentralization and the challenges of public ecological services delivery

    Directory of Open Access Journals (Sweden)

    N.V. Kotenko

    2015-06-01

    Full Text Available The aim of the article. The aim of the article is to define and propose the directions to solve the recent problems of financing public ecological services in the conditions of fiscal decentralization. The results of the analysis. This paper analyzes the decentralization reform impact on the possibilities of local authorities to finance the public ecological services in Ukraine. Advantages and threats of decentralizing reform are defined on the basis of theoretical vision of fiscal federalism in different state structures. The authors assessed basic central government documents in which the strategy and tactic of development. The lack of particular measures that are directed to the sustainable nature use on state level is defined. In practice, this means transference of financing powers from central to local government. Such process needs to be conducted with respective changes of financial flows directions and establishing effective forming and distributive tools. Traditionally, one of such tools, which are most appropriate to accumulate public environmental funds, is ecological tax. The study revealed that the enhancement of general fund of local budget revenues by local tax make the Local Environmental foundations' work impossible. Another initiative of central government is to transfer more than half revenues from the tax to the regional level. Such decision will be practicable only if impartial, formula based mechanism of subsequent allocation of funds between basic local authorities is developed. Scale projects now are funded by regional authorities. Authors proved that the better way to finance public ecological services on complementary basis is the local authorities’ cooperation. One of the advantages of such cooperation is the considering of the opportunities of self-taxation. This voluntary fiscal tool in Ukrainian European future must be stable source for financing of public ecological services. Decentralization reform also

  14. Understanding employee engagement in a public service context

    DEFF Research Database (Denmark)

    Nielsen, Mette Strange

    Employee engagement has long been capturing the attention of researchers and practitioners (Bakker, Albrecht, & Leiter, 2011; Kahn, 1990), due to its positive impact on various measures of organizational performance and individual level outcomes (Gruman & Saks, 2011; Harter, Schmidt, & Hayes, 2002......). To date however, employee engagement has primarily been studied in private manufacturing firms, but since it cannot be assumed that employee engagement models developed in the private sector are applicable to the public sector (Boselie, 2010; Taher & Emmert, 1992), future research is needed. The purpose...... of this paper is therefore to build a research agenda aiming to understand employee engagement in a public service context. The paper begins with a literature review of the main contributions to the study of employee engagement and then follows with a brief review of the public sector, highlighting some...

  15. The analysis of a World War I U.S. service member's dental remains recovered in France.

    Science.gov (United States)

    Shiroma, Calvin Y

    2014-11-01

    In October 2009, the grave of an unknown World War I (WWI) U.S. service member was exhumed in Rembercourt-Sur-Mad Village, in the Lorraine Region of France. The skeletal remains and material evidence were accessioned into the Joint POW/MIA Accounting Command's (JPAC) Central Identification Laboratory (CIL). The personnel records for the associated casualty were requested, received, and reviewed. A dental profile was present among the service member's personal information. There were multiple points of concordance between the dental records of the associated casualty, and the recovered dental remains to include eight restored teeth, 15 unrestored teeth, and three antemortem missing teeth. Distinctive restorations which compared favorably included a porcelain crown and multiple gold foil fillings. All lines of evidence (historical, material evidence/personal effects, anthropological, and dental) and the circumstances of loss compared positively with the associated casualty. On April 1, 2010, the previously unaccounted-for U.S. service member was positively identified and on June 23, 2010, was buried with full military honors at Arlington National Cemetery.

  16. Comparing public service motivation within various Europe countries: do institutional environments make a difference ? Paper

    NARCIS (Netherlands)

    Vandenabeele, W.V.; Steijn, B.; Egger-Peitler, I; Hammerschmid, G; Meyer, R.; Camilleri, E; Cerase, F; Leisink, P.L.M.; Ritz, A; Hondeghem, A

    2009-01-01

    The motivation of public servants in general (Behn 1995), and public service motivation (PSM) in particular (Perry and Hondeghem 2008b), have always been important issues in public administration and public management research. In recent years, research on public service motivation has made signific

  17. Are the dental health needs of adults with illegal drug dependence being met by current service provision in the United Kingdom?: a literature review.

    Science.gov (United States)

    Hewson, Victoria; Wray, Jane

    2012-10-01

    This literature review outlines the current issues and debates relating to the dental health of adults with drug dependence. The dental health of adults with illegal drug dependence (IDD) continues to be under debate throughout dental practice, and the most appropriate model of care suitable to meet the high complex needs of this client group remains uncertain. The study aims to review and critically analyze available research relating to the oral health effects of illegal drug misuse and the dental health needs and status of adults with drug dependence. Second, it aims to identify and critically evaluate current models of dental service/care delivery, including relevant best practice guidance and potential barriers to dental access for adults with IDD. The available literature pertaining to dental health and adults with drug dependence are systematically reviewed and critically analyzed and evaluated in order to execute a rigorous investigation. The oral effects along with general medical complications associated with IDD are increasingly being recognized. There are substantive negative effects of IDD on oral health, particularly for those with opioid dependence; therefore, these clients have high complex dental needs and low use of dental services. Adults with drug dependence comprise a group with special dental needs and therefore need greater access to dental care than most people due to their high level of need. A high awareness of the implications for oral health care for adults with drug dependence is essential. Dental professionals have a key role in supporting the rehabilitation of these patients from potentially severe or fatal addictions. There is a distinct lack of national policy and guidance relating specifically to adults with drug dependence, and therefore, problems persist. Key findings and recommendations are presented to enhance the development of dental services for adults with IDD.

  18. 75 FR 25842 - Notice of a Grant With the Public Broadcasting Service

    Science.gov (United States)

    2010-05-10

    ..., nature, news, public affairs and science television programming and related services to 356 noncommercial... Service AGENCY: National Telecommunications and Information Administration, U.S. Department of Commerce...

  19. Improving access to oral health care services among underserved populations in the U.S.: is there a role for mid-level dental providers?

    Science.gov (United States)

    Shaefer, H Luke; Miller, Matthew

    2011-08-01

    Nearly one-third of U.S. citizens lack access to basic preventive and primary oral health care services, which is primarily the result of the high costs of care and the uneven geographic distribution of dental providers. This article examines the case for and against one possible solution to address these barriers to oral health care: the introduction of a mid-level dental provider (MDP) position within the dental field.

  20. The impact of the global budget system on dynamics of dental manpower and utilization of dental services

    Directory of Open Access Journals (Sweden)

    Laura Yueh-Guey Huang

    2016-01-01

    Conclusion: This study has demonstrated a stabilizing effect of the global budget system on dynamics of dental manpower in Taiwan. A relationship between HHI and dentists′ move-out rate has been found. The relationship between municipal socioeconomic status and the density of dentists has also been confirmed. In addition, reduced utilization of amalgam restorations was accompanied by increased utilization of tooth-colored material restorations. Further investigations are indicated.

  1. Public Procurement Incentives for Sustainable Design Services: Swedish Experiences

    Directory of Open Access Journals (Sweden)

    Josefin Sporrong

    2009-12-01

    Full Text Available When procuring building design services, public clients may provide incentives for the development of design tools and management practices that lead to more sustainable buildings. Procedures for selecting design professionals, including the choice of contract award criteria, can be analysed as the outcome of external and internal factors that influence procuring units. This investigation studies how the selection procedures that Swedish municipal clients rely on when procuring services from architectural and engineering consultants provide incentives for environmentally sustainable design management. Questionnaire responses from 93 Swedish municipalities show that a minority include sustainability-related criteria in tender assessments. Environmental management systems were a criterion for 30% of the respondents, while only 11% regularly used life cycle cost as a criterion. More than half of all municipalities were reported to have a general policy for services procurement, and these policies usually include environmental sustainability. However, these policies are not always followed when procuring construction-related services. Smaller municipalities are less likely to have a general policy. Consequently, incentive effects for design service firms are probably weak. Better skills and provider-selection methods among clients are needed for rewarding sustainable design practices more strongly. DOI: 10.3763/aedm.2009.0903 Published in the Journal AEDM Volume 5, Number 1, 2009 , pp. 24-35(12

  2. Linking ecosystem characteristics to final ecosystem services for public policy.

    Science.gov (United States)

    Wong, Christina P; Jiang, Bo; Kinzig, Ann P; Lee, Kai N; Ouyang, Zhiyun

    2015-01-01

    Governments worldwide are recognising ecosystem services as an approach to address sustainability challenges. Decision-makers need credible and legitimate measurements of ecosystem services to evaluate decisions for trade-offs to make wise choices. Managers lack these measurements because of a data gap linking ecosystem characteristics to final ecosystem services. The dominant method to address the data gap is benefit transfer using ecological data from one location to estimate ecosystem services at other locations with similar land cover. However, benefit transfer is only valid once the data gap is adequately resolved. Disciplinary frames separating ecology from economics and policy have resulted in confusion on concepts and methods preventing progress on the data gap. In this study, we present a 10-step approach to unify concepts, methods and data from the disparate disciplines to offer guidance on overcoming the data gap. We suggest: (1) estimate ecosystem characteristics using biophysical models, (2) identify final ecosystem services using endpoints and (3) connect them using ecological production functions to quantify biophysical trade-offs. The guidance is strategic for public policy because analysts need to be: (1) realistic when setting priorities, (2) attentive to timelines to acquire relevant data, given resources and (3) responsive to the needs of decision-makers.

  3. Governance of Public Service Media in Poland: The Role of the Public

    Directory of Open Access Journals (Sweden)

    Michal Glowacki

    2015-12-01

    Full Text Available This paper analyzes the role of the public in governance processes in public service media (PSM in Poland in the post mass-media era, characterized by participatory culture and network practices. Referencing the findings of the “Democratization of media policy in the digital ecosystems” (2014–2015 research project, the study aims to map the effectiveness of existing tools, practices and attitudes toward opening-up Polish public media enterprises to the public. Examination of media regulation, grey literature (corporate documentation, strategies, reports and civil society initiatives are likely to indicate the ways and extent to which members of the public might currently participate in the decision-making and control. On the basis of hypotheses that public media enterprises in Poland are not fully prepared for the multi-stakeholder and advanced model of PSM, the study takes into account potential systemic/regulatory, organizational and social barriers for change. The salient questions to be addressed are: What are the strategies and practices through which members of civil society might get involved? At what stages are the publics able to engage? How can PSM take advantage of the development of online tools offering space for interaction and collaboration? How is it possible to make the public more active and interested in governance and participation?

  4. Governance of Public Service Media in Poland: The Role of the Public

    Directory of Open Access Journals (Sweden)

    Michal Glowacki

    2015-12-01

    Full Text Available This paper analyzes the role of the public in governance processes in public service media (PSM in Poland in the post mass-media era, characterized by participatory culture and network practices. Referencing the findings of the “Democratization of media policy in the digital ecosystems” (2014–2015 research project, the study aims to map the effectiveness of existing tools, practices and attitudes toward opening-up Polish public media enterprises to the public. Examination of media regulation, grey literature (corporate documentation, strategies, reports and civil society initiatives are likely to indicate the ways and extent to which members of the public might currently participate in the decision-making and control. On the basis of hypotheses that public media enterprises in Poland are not fully prepared for the multi-stakeholder and advanced model of PSM, the study takes into account potential systemic/regulatory, organizational and social barriers for change. The salient questions to be addressed are: What are the strategies and practices through which members of civil society might get involved? At what stages are the publics able to engage? How can PSM take advantage of the development of online tools offering space for interaction and collaboration? How is it possible to make the public more active and interested in governance and participation?

  5. Comparing dental and pharmacy students′ perceptions on public health and preventive health care course

    Directory of Open Access Journals (Sweden)

    Aliye Mandiracioglu

    2012-01-01

    Full Text Available Objectives : A Public health course has an important role in the undergraduate education of pharmacy and dentistry in terms of emphasizing preventive care. The purpose of this study is to evaluate the views of pharmacy and dentistry students on a public health course and preventive health care. Methods: 173 students enrolled at Ege University, Faculties of Pharmacy and Dentistry completed a SWOT (Strengths, Weaknesses, Opportunities, and Threats analysis and replied to 18 Likert type question to determine their perceptions on a public health course and preventive health care. The comments of the students were reviewed and categorized into key themes. Results: SWOT analysis and the results of quantitative Likert type questions supported each other. According to the quantitative results, there was no significant difference between the scores of students from both schools in terms of their statements about the public health course and preventive care. Both groups of students mentioned the contribution of the public health course to their professions in the future. They also appreciated the importance of preventive care in the health services.

  6. Comparing Dental and Pharmacy Students’ Perceptions on Public Health and Preventive Health Care Course

    Science.gov (United States)

    Mandiracioglu, Aliye; Dogan, Fethi

    2012-01-01

    Objectives: A Public health course has an important role in the undergraduate education of pharmacy and dentistry in terms of emphasizing preventive care. The purpose of this study is to evaluate the views of pharmacy and dentistry students on a public health course and preventive health care. Methods: 173 students enrolled at Ege University, Faculties of Pharmacy and Dentistry completed a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis and replied to 18 Likert type question to determine their perceptions on a public health course and preventive health care. The comments of the students were reviewed and categorized into key themes. Results: SWOT analysis and the results of quantitative Likert type questions supported each other. According to the quantitative results, there was no significant difference between the scores of students from both schools in terms of their statements about the public health course and preventive care. Both groups of students mentioned the contribution of the public health course to their professions in the future. They also appreciated the importance of preventive care in the health services. PMID:22347604

  7. Cost analysis of periodontitis management in public sector specialist dental clinics.

    Science.gov (United States)

    Mohd-Dom, Tuti; Ayob, Rasidah; Mohd-Nur, Amrizal; Abdul-Manaf, Mohd R; Ishak, Noorlin; Abdul-Muttalib, Khairiyah; Aljunid, Syed M; Ahmad-Yaziz, Yuhaniz; Abdul-Aziz, Hanizah; Kasan, Noordin; Mohd-Asari, Ahmad S

    2014-05-20

    The objective of this paper is to quantify the cost of periodontitis management at public sector specialist periodontal clinic settings and analyse the distribution of cost components. Five specialist periodontal clinics in the Ministry of Health represented the public sector in providing clinical and cost data for this study. Newly-diagnosed periodontitis patients (N = 165) were recruited and followed up for one year of specialist periodontal care. Direct and indirect costs from the societal viewpoint were included in the cost analysis. They were measured in 2012 Ringgit Malaysia (MYR) and estimated from the societal perspective using activity-based and step-down costing methods, and substantiated by clinical pathways. Cost of dental equipment, consumables and labour (average treatment time) for each procedure was measured using activity-based costing method. Meanwhile, unit cost calculations for clinic administration, utilities and maintenance used step-down approach. Patient expenditures and absence from work were recorded via diary entries. The conversion from MYR to Euro was based on the 2012 rate (1€ = MYR4). A total of 2900 procedures were provided, with an average cost of MYR 2820 (€705) per patient for the study year, and MYR 376 (€94) per outpatient visit. Out of this, 90% was contributed by provider cost and 10% by patient cost; 94% for direct cost and 4% for lost productivity. Treatment of aggressive periodontitis was significantly higher than for chronic periodontitis (t-test, P = 0.003). Higher costs were expended as disease severity increased (ANOVA, P = 0.022) and for patients requiring surgeries (ANOVA, P economic burden of periodontitis management and performing economic evaluation of the specialist periodontal programme.

  8. New Public Management or Mismanagement? The Case of Public Service Agency of Indonesia

    Directory of Open Access Journals (Sweden)

    JIN-WOOK CHOI

    2016-02-01

    Full Text Available In line with the new public management (NPM, a public service agency (PSA is considered as an alternative to replace the government-led public service delivery in a more efficient and effective way. At the same time, a PSA mechanism can deliver public service with better quality. To meet these ends, a PSA is granted with operational flexibility and autonomy particularly in managing finance and personnel. However, the PSA system has not yielded the expected benefits in Indonesia. On the contrary, PSAs have been regarded to cause financial burdens to the Government of Indonesia. This paper explores the current conditions of three key institutional bases of PSAs in Indonesia including PSA governance, financial management and performance management. The notable challenges related to the three dimensions in the Indonesia’s PSAs include the weak PSA governance structure, and an inappropriate balance between flexibility and autonomy on the one hand and accountability and performance on the other in managing a PSA. Focusing on these challenges, this paper draws the following policy suggestions for Indonesia to improve the efficient operation of the PSA system: rebuild the PSA governance on a firm and clear legal base, absorb diverse stakeholders and outside experts in the PSA governance decision-making; monitor and evaluate the PSA’s financial flexibility and autonomy through vigilant internal and external monitoring mechanisms; redesign performance appraisal to set up right appraisal structure, process, and performance criteria; and link the results of performance appraisal to relevant rewards and punishment.

  9. Equity, public policy and outpatient specialty mental health services.

    Science.gov (United States)

    Savoca, E

    1993-01-01

    This study provides evidence on the role of the public sector in the allocation of ambulatory specialty mental health services across income groups in the adult population. Results suggest that in the early to mid-1980s, the tax and transfer system effectively lowered the price of services to the poor and the rich, thus causing the highest use by persons at the extreme ends of the income distribution. High utilization at the low end of the income scale can be largely attributed to publicly provided insurance. A comparison of demand prior to the Medicaid cuts brought on by the Omnibus Budget and Reconciliation Act (OBRA) of 1981 with post-OBRA estimates reveals the extreme sensitivity of demand to changes in coverage. Among upper income groups the results imply that the implicit price of specialty mental health care falls as income rises. This finding is consistent with the hypothesis that the government's exclusion of health benefits and expenditures from taxation effectively lowers the price of medical services to individuals in high marginal income tax brackets. It also suggests that recent proposals to limit the tax exclusion of employer-paid premiums may lead to a more equitable distribution of resources in the specialty mental health sector.

  10. [Epidemiological surveillance of dental fluorosis in a city with a tropical climate with a fluoridated public drinking water supply].

    Science.gov (United States)

    de Moura, Marcoeli Silva; Barbosa, Pablo Renan Ribeiro; Nunes-Dos-Santos, Danila Lorena; Dantas-Neta, Neusa Barros; Moura, Lúcia de Fátima Almeida de Deus; de Lima, Marina de Deus Moura

    2016-04-01

    The scope of this study was to evaluate the prevalence and severity of dental fluorosis among 11 to 14-year-old schoolchildren in Teresina, Piauí, Brazil, which is a tropical city with a fluoridated public drinking water supply. It involved a cross-sectional observational study on a sample of 571 students in public and private schools. Informed Consent forms were approved for the data collection and the exams were conducted at the schools. Data were recorded on a questionnaire answered by the parents, regarding the socioeconomic and demographic characteristics and oral hygiene habits of the sample. The dental exam was performed qualified dental sugeons. The Thylstrup-Fejerskov (TF) index was used. The prevalence of fluorosis was 77.9%, and only 12.5% of the affected children had TF ≥ grade 3 (with aesthetic damage). The premolars were the teeth most affected by fluorosis. Among the students with the highest severity of fluorosis, 98.6% belonged to the lowest social bracket (> B2), 91.5% were born and had always lived in Teresina, 94.4% consumed water from the fluoridated public supply, 76% used toothpaste for children and 64% of mothers reported that they swallowed toothpaste. The prevalence of fluorosis was high, though the severity was low in individuals exposed to fluoridation since birth.

  11. Performance Evaluation of Public Services: A Development of Public Services Quality Measurement and Customer Satisfaction Model on Three Cities in Java

    Directory of Open Access Journals (Sweden)

    Gita Gayatri

    2009-12-01

    Full Text Available Decentralization in Indonesia was meant to aid in the shifting of power from the central government to local governments, with the main aim to increase public services towards a more expeditious, efficient, flexible, and high quality of services, changing the paradigm from a ‘served bureaucracy’ towards a ‘bureaucracy that serves’. This research will evaluate: first, the perception of public service consumers towards the quality of public/government services, second, the perceived value received from public services, as well as third, the measurement of their satisfaction level resulting from the quality of services delivered by local governments at city level in the three areas of the Java Island. The research will use triangulation methods: qualitative research will be conducted using focus group discussions whereas quantitative research will be conducted using surveys.The findings are: first, the ten dimensions of service quality for the public sector -i.e. tangibility, reliability, responsiveness, credibility, competence, understanding customers, access, security, communication, and courtesy- were all proven to form the service quality construct in the public service quality. Moreover the proposed model that depicts the relationship between public service quality, perceived value and satisfaction was also confirmed; hence provide an evaluation tool for public services in city level.

  12. THE INFLUENCE OF MARKETING PUBLIC RELATION AND SERVICE QUALITY ON CORPORATE IMAGE THROUGH PUBLIC OPINION: STUDIES AT MANDIRI BANK

    Directory of Open Access Journals (Sweden)

    Vera Suciyati

    2015-09-01

    Full Text Available This research aims to analyze the influence of marketing public relation and service quality at Bank Mandiri on corporate image through public. Convenience sampling method has been selected in order to obtain the data in this study. The analysis method that used was the path analysis. The research result had shown that: marketing public relation and service quality have significant influence simultaneously and partially on public opinion on the first structure equation. The second structure equation shows that: marketing public relation, service quality had significant influence simultaneously on corporate image. The service quality have not partially the quality of service have not influence significant partially on corporate, but variable marketing and public relation have  partially influential public opinion influence significant partially on corporate image.DOI: 10.15408/etk.v12i2.1916

  13. 76 FR 40937 - Public Availability of National Labor Relations Board's FY 2010 Service Contract Inventory

    Science.gov (United States)

    2011-07-12

    ... From the Federal Register Online via the Government Publishing Office NATIONAL LABOR RELATIONS BOARD Public Availability of National Labor Relations Board's FY 2010 Service Contract Inventory AGENCY: National Labor Relations Board. ACTION: Notice of public availability of FY 2010 Service...

  14. 76 FR 26296 - Public Availability of Federal Labor Relations Authority FY 2010 Service Contract Inventory

    Science.gov (United States)

    2011-05-06

    ... From the Federal Register Online via the Government Publishing Office FEDERAL LABOR RELATIONS AUTHORITY Public Availability of Federal Labor Relations Authority FY 2010 Service Contract Inventory AGENCY: Federal Labor Relations Authority. ACTION: Notice of Public Availability of FY 2010 Service...

  15. 77 FR 5062 - Public Availability of National Labor Relations Board's FY 2011 Service Contract Inventory

    Science.gov (United States)

    2012-02-01

    ... From the Federal Register Online via the Government Publishing Office NATIONAL LABOR RELATIONS BOARD Public Availability of National Labor Relations Board's FY 2011 Service Contract Inventory AGENCY: National Labor Relations Board. ACTION: Notice of public availability of FY 2011 Service...

  16. 77 FR 1689 - Public Availability of Federal Labor Relations Authority FY 2011 Service Contract Inventory

    Science.gov (United States)

    2012-01-11

    ... From the Federal Register Online via the Government Publishing Office FEDERAL LABOR RELATIONS AUTHORITY Public Availability of Federal Labor Relations Authority FY 2011 Service Contract Inventory AGENCY: Federal Labor Relations Authority. ACTION: Notice of Public Availability of FY 2011 Service...

  17. The Role of Public Relations in the Delivery of Forestry Services in Ghana

    National Research Council Canada - National Science Library

    Kofi Ampadu Boateng; Petra Hlaváčková

    2017-01-01

    .... There are, however, few researches relating to public relations and delivery of forestry services. The aim of this study was to examine the role public relations play in the delivery of forestry services with Ghana as case study...

  18. Web Services as Public Services: Are We Supporting Our Busiest Service Point?

    Science.gov (United States)

    Riley-Huff, Debra A.

    2009-01-01

    This article is an analysis of academic library organizational culture, patterns, and processes as they relate to Web services. Data gathered in a research survey is examined in an attempt to reveal current departmental and administrative attitudes, practices, and support for Web services in the library research environment. (Contains 10 tables.)

  19. Integrated Approach of the Citizen’s Role in Relation to the Public Services

    OpenAIRE

    Lucica MATEI; Ani MATEI

    2010-01-01

    The paper achieves an integrated, interdisciplinary approach of the citizens’ roles related to public service providers. The contemporary public service development awards multiple roles to the citizen, interacting with the activities of design, decision-making, production, delivery or assessment, specific for various stages of the life cycle of the public services. Such an approach substantiates the public marketing strategies and it integrates aspects concerning service delivery in th...

  20. The Public Service Bargains of Danish Permanent Secretaries

    DEFF Research Database (Denmark)

    Hansen, Morten Balle; Salomonsen, Heidi Houlberg

    2011-01-01

    permanent secretaries primarily reflects elements of a managerial role as prescribed in many of the New Public Management reforms or whether their role as policy adviser is as important as their role as manager, as is formally prescribed. The PSB is assessed in terms of the typology of Hood and Lodge......, including the dimensions: reward, competency, loyalty and responsibility. The analysis demonstrates that although elements of a managerial bargain have entered the role of Danish permanent secretaries, it is not more salient than the advisory aspect of the PSB.......Danish permanent secretaries, top civil servants in the Danish state administration, are formally both administrative heads of their ministries as well as prime advisers to Danish ministers. In this article we analyse whether and how the public service bargain (PSB) (Hood and Lodge, 2006) of Danish...