154 results on '"Bailit HL"'
Search Results
2. Impact of Dental Therapists on Productivity and Finances: III. FQHC-Run, School-Based Dental Care Programs in Connecticut.
- Author
-
Bailit HL, Beazoglou TJ, Devitto J, McGowan T, and Myne-Joslin V
- Published
- 2012
- Full Text
- View/download PDF
3. Dental therapists in general dental practices: an economic evaluation.
- Author
-
Beazoglou TJ, Lazar VF, Guay AH, Heffley DR, and Bailit HL
- Published
- 2012
- Full Text
- View/download PDF
4. Impact of dental therapists on productivity and finances: I. Literature review.
- Author
-
Bailit HL, Beazoglou TJ, Devitto J, McGowan T, and Myne-Joslin V
- Published
- 2012
- Full Text
- View/download PDF
5. Expanded function allied dental personnel and dental practice productivity and efficiency.
- Author
-
Beazoglou TJ, Chen L, Lazar VF, Brown LJ, Ray SC, Heffley DR, Berg R, and Bailit HL
- Published
- 2012
- Full Text
- View/download PDF
6. Dental school patients with limited English proficiency: the California experience.
- Author
-
Itaya LE, Glassman P, Gregorczyk S, and Bailit HL
- Published
- 2009
- Full Text
- View/download PDF
7. Introduction to the Macy study report.
- Author
-
Formicola AJ, Bailit HL, Beazoglou TJ, Tedesco LA, and Macy Study Team
- Published
- 2008
8. The fundamental financial problems of dental education and their impact on education, operations, scholarship, and patient care.
- Author
-
Bailit HL
- Published
- 2008
- Full Text
- View/download PDF
9. Childhood asthma in an urban community: prevalence, care system, and treatment.
- Author
-
Cloutier MM, Wakefield DB, Hall CB, Bailit HL, Cloutier, Michelle M, Wakefield, Dorothy B, Hall, Charles B, and Bailit, Howard L
- Abstract
Objectives: We describe the system of asthma care in Hartford, CT, an urban, minority community.Methods: The health field concept was used to organize factors influencing asthma prevalence and severity. Data were obtained from national, state, and municipal reports, and from surveys of children in Hartford seeking medical care in an asthma program called Easy Breathing.Results: Between June 1, 1998, and May 1, 2000, 21% of children receiving Medicaid in Hartford did not file a medical claim. Between 1998 and 2000, the number of providers in Hartford decreased by 37% while the number of outpatient visits increased by 8%. Using claims data, we found the following: 19.0% of Hartford children had asthma (data from the International Classification of Disease, ninth revision, and the National Drug Code); and 12% of children with asthma filled a prescription for inhaled corticosteroid therapy, 83% for a bronchodilator, and 36% for an oral corticosteroid. Children with asthma were more likely to be hospitalized (10% vs 5%, respectively) and to visit an emergency department (45% vs 29%, respectively), and, on average, they had more hospital days (0.603 vs 0.415 days per child, respectively) and more outpatient visits per year (4.7 vs 2.5 visits, respectively) compared to children without asthma. Asthma prevalence in the 6,643 children surveyed in the Easy Breathing program was 41%. Persistent asthma was diagnosed in 50% of the children with asthma. Asthma prevalence varied by ethnic origin, age, and gender, and was highest in Hispanic/Puerto Rican children, in children 5 to 10 years of age, in boys up to 10 years of age, and in girls after 15 years of age.Conclusion: Improved personal behaviors and medical care will have a limited sustained impact on childhood asthma until basic environmental issues are modified. The health field concept provides a mechanism with which to address the issues surrounding asthma in urban communities. [ABSTRACT FROM AUTHOR]- Published
- 2002
- Full Text
- View/download PDF
10. Introduction
- Author
-
Bailit Hl and Silversin Jb
- Subjects
Psychiatry and Mental health ,Medical education ,Oral health ,Psychology ,General Psychology ,Research review - Published
- 1981
11. Future financing of health care
- Author
-
Bailit Hl
- Subjects
Economic growth ,Health economics ,business.industry ,Dental economics ,Health care ,Reimbursement Mechanism ,MEDLINE ,Cost control ,General Medicine ,business - Published
- 1986
12. The need and demand for periodontal services: implications for dental practice and education
- Author
-
Bailit, HL and Manning, W
- Published
- 1988
- Full Text
- View/download PDF
13. Corporate control of health care: impact on medicine and dentistry
- Author
-
Bailit, HL and Bailit, JL
- Published
- 1988
- Full Text
- View/download PDF
14. Oral health status in the United States: will improved health lead to decreased demand for dental services?
- Author
-
Davies, AR, Bailit, HL, and Holtby, S
- Published
- 1985
- Full Text
- View/download PDF
15. The effect of cost sharing on the quality of dental care
- Author
-
Bailit, HL, Brook, RH, Kamberg, CJ, Goldberg, GA, Spolsky, V, Camp, P, Cantrell, C, Hanley, J, Black, A, and Newhouse, JP
- Published
- 1984
- Full Text
- View/download PDF
16. Issues in regulating quality of care and containing costs within private sector policy
- Author
-
Bailit, HL
- Published
- 1980
- Full Text
- View/download PDF
17. Costing out care: when antihistamines go to work.
- Author
-
Cockburn IM, Bailit HL, Berndt ER, and Finkelstein SN
- Published
- 1999
18. Senior dental students' impact on dental school clinic revenues: the effect of community-based dental education.
- Author
-
Bailit HL and McGowan TL
- Published
- 2011
- Full Text
- View/download PDF
19. Community-based dental education and community clinic finances.
- Author
-
Le H, McGowan TL, and Bailit HL
- Published
- 2011
20. Assessment of the Dental Pipeline program from the external reviewers and National Program Office.
- Author
-
Kuthy RA, Woolfolk M, Bailit HL, Formicola AJ, and D'Abreu KC
- Published
- 2009
- Full Text
- View/download PDF
21. Advancing Dental Education in the 21 st Century: Developing the Phase 2 Strategic Analysis and Recommendations.
- Author
-
Bailit HL and Formicola AJ
- Subjects
- Forecasting, Guidelines as Topic, United States, Education, Dental organization & administration, Education, Dental standards
- Published
- 2018
- Full Text
- View/download PDF
22. Advancing Dental Education in the 21st Century: Phase 2 Report on Strategic Analysis and Recommendations.
- Author
-
Formicola AJ, Bailit HL, Weintraub JA, Fried JL, and Polverini PJ
- Subjects
- Dentistry organization & administration, Dentistry trends, Forecasting, Humans, Strategic Planning, United States, Education, Dental organization & administration, Education, Dental trends
- Abstract
In Phase 1 of the "Advancing Dental Education in the 21st Century" project, research was conducted and published on a number of serious challenges facing dental and allied dental education, both presently and projected to 2040. Those findings informed the strategic analysis and recommendations developed in Phase 2 of the project. This report provides an overview of the Phase 2 conclusions and presents recommendations to address the challenges identified. The recommendations propose ways to educate a workforce prepared to meet the oral health needs of the population; develop a sustainable economic model that allows schools to meet their education, research, and service missions; make dental and allied dental education and practice an integral part of the larger health education and delivery systems; and keep dentistry advancing as a "learned" profession. This report begins with an Executive Summary and then presents the strategic analysis of challenges facing dental schools and allied dental programs and provides a brief explanation of the rationale for each recommendation. Two appendices are included with the report: the first summarizes discussions held at the national conference to consider the recommendations; and the second provides additional documentation of calculations used to estimate the number of new dental graduates needed in 2040.
- Published
- 2018
- Full Text
- View/download PDF
23. Pay-for-performance incentive program in a large dental group practice.
- Author
-
Conrad DA, Milgrom P, Shirtcliff RM, Bailit HL, Ludwig S, Dysert J, Allen G, and Cunha-Cruz J
- Subjects
- Group Practice, Dental, Humans, Medicaid, Motivation, United States, Group Practice, Reimbursement, Incentive
- Abstract
Background: Dentists increasingly are employed in large group practices that use financial incentive systems to influence provider performance. The authors describe the design and initial implementation of a pay-for-performance (P4P) incentive program for a large capitated Oregon group dental practice that cares primarily for patients receiving Medicaid. The authors do not assess the effectiveness of the incentive system on provider and staff member performance., Methods: The data come from use of care files and integrated electronic health records, provider and staff member surveys, and interviews and community surveys from 6 counties. Quarterly individual- and team-level incentives focused on 3 performance metrics., Results: The program was challenged by many complex administrative issues. The key issues included designing a P4P system for different types of providers and administrative staff members who were employed centrally and in different communities, setting realistic performance metrics, building information systems that provided timely information about performance, and educating and gaining the support of a diverse workforce. Adjustments are being made in the incentive scheme to meet these challenges., Conclusions: This is the first report of a P4P compensation system for dental care providers and supporting staff members. The complex administrative challenges will require several years to address., Practical Implications: Large, capitated dental practice organizations will employ more dental care providers and administrative staff members to care for patients who receive Medicaid and patients who are privately insured. It is critical to design and implement a P4P system that the workforce supports., (Copyright © 2018 American Dental Association. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
24. The Oral Health Care Delivery System in 2040: Executive Summary.
- Author
-
Bailit HL
- Subjects
- Forecasting, Humans, Oral Health, United States, Delivery of Health Care trends, Dental Care trends, Dental Health Services trends, Education, Dental trends
- Abstract
This executive summary for Section 4 of the "Advancing Dental Education in the 21
st Century" project examines the projected oral health care delivery system in 2040 and the likely impact of system changes on dental education. Dental care is at an early stage of major changes with the decline in solo practice and increase in large group practices. These groups are not consolidated at the state level, but further consolidation is expected as they try to increase their negotiating leverage with dental insurers. At this time, there is limited integration of medical and dental care in terms of financing, regulation, education, and delivery. This pattern may change as health maintenance organizations and integrated medical systems begin to offer dental care to their members. By 2040, it is expected that many dentists will be employed in large group practices and working with allied dental staff with expanded duties and other health professionals, and more dental graduates will seek formal postdoctoral training to obtain better positions in group practices.- Published
- 2017
- Full Text
- View/download PDF
25. Trends in Financing Dental Education, 2004-05 to 2011-12.
- Author
-
Bailit HL and Beazoglou T
- Subjects
- Education, Dental statistics & numerical data, Financing, Personal, Humans, Schools, Dental statistics & numerical data, United States, Education, Dental economics, Fees and Charges, Financial Support, Schools, Dental economics
- Abstract
This article examines dental school financial trends from 2004-05 to 2011-12, based on data from the American Dental Association (ADA) annual financial survey completed by all U.S. dental schools. For public schools, revenues from tuition and fees increased 68.6%, and state support declined 17.2% over the examined period. For private schools, revenues from tuition and fees increased 38.9%, and university indirect subsidies declined 77.9% over the same period. The major factors affecting dental school expenditures were the number of students and postdoctoral students, faculty practice, and research. The findings suggest that dental schools are now more dependent financially on tuition and fees than in the past. Schools have been able to pass on increases in operating costs to students and specialty postdoctoral students. Now that growth in dentists' incomes is slowing and student debt is at an all-time high, this financing strategy may not be sustainable in the long run. This article was written as part of the project "Advancing Dental Education in the 21
st Century."- Published
- 2017
- Full Text
- View/download PDF
26. Estimating the Number of Dentists Needed in 2040.
- Author
-
Eklund SA and Bailit HL
- Subjects
- Dentists statistics & numerical data, Health Expenditures trends, Humans, Oral Health trends, United States, Dentists supply & distribution, Education, Dental trends
- Abstract
Numerous factors that underlie the need for dentists are undergoing significant changes. Three factors are especially important: 1) improvements in oral health; 2) lower expenditures per patient per year, giving dentists the incentive to treat more patients to maintain incomes that justify their investment in dental education and practice; and 3) dental schools' producing new dentists at a faster rate than the growth in the population. If these trends continue, there is likely to be a dentist surplus of between 32% and 110% by 2040. A major challenge for dental schools is to adjust the production of dentists before 2040 and not wait for market forces to reduce the surplus. Whether there will be a painful market-based solution to the problem, as there was in the 1980s, or whether a more orderly path can be found is one of the key challenges of the project "Advancing Dental Education in the 21
st Century," for which this article was written.- Published
- 2017
- Full Text
- View/download PDF
27. How Many Dentists Are Needed in 2040: Executive Summary.
- Author
-
Bailit HL
- Subjects
- Dental Care trends, Dental Health Services trends, Health Policy, Health Services Needs and Demand trends, Humans, Oral Health trends, Practice Management, Dental trends, Technology, Dental trends, United States, Dentists supply & distribution, Education, Dental trends
- Abstract
Five background articles in Section 2 of the "Advancing Dental Education in the 21
st Century" project examined some of the factors likely to impact the number of dentists needed in 2040: 1) the oral health of the population, 2) changes in the utilization of dental services, 3) new technologies, 4) the growth of large capitated dental group practices, and 5) the demand for dental care. With this information, a sixth background article estimated the number of dentists needed in 2040 compared to the number expected if current trends continue. This executive summary provides an overview of findings from these six articles. The data indicate major improvements in oral health, especially in upper income groups that account for 65% of practice revenues. At the same time, per capita utilization of restorative and prosthetic services has declined dramatically. No major new technologies are likely to impact the need for dentists by 2040. In a large capitated group practice, full-time general dentists treated an average of 2,100 patients per year; solo general dentists averaged 1,350. Based on the examined factors, growth in demand for traditional forms of care may slow substantially, raising the potential for a surplus of dentists in 2040. If these trends continue, the key national policy issue then would be: should schools reduce the number of graduates before market forces require them to downsize or close, or are other alternatives available?- Published
- 2017
- Full Text
- View/download PDF
28. Are Dental Schools Part of the Safety Net?
- Author
-
Bailit HL
- Subjects
- Education, Dental statistics & numerical data, Health Services Accessibility, Humans, Internship and Residency, Poverty, United States, Community Dentistry education, Community Dentistry statistics & numerical data, Dental Clinics statistics & numerical data, Healthcare Disparities statistics & numerical data, Schools, Dental statistics & numerical data
- Abstract
This article examines the current safety net activities of dental schools and reviews strategies by which schools could care for more poor and low-income patients. The primary data come from the annual Survey of Dental Education, a joint American Dental Education Association (ADEA) and American Dental Association (ADA) activity. The analyses use descriptive statistics and are intended to give ballpark estimates of patients treated under varying clinical scenarios. Some 107.4 million people are underserved in comparison to utilization rates for middle-income Americans. In 2013-14, pre- and postdoctoral students treated about 1,176,000 disadvantaged patients. This is an estimate; the actual value may be 25% above or below this number. The impact of potential strategies for schools to provide more care to poor and low-income patients are discussed; these are larger class size, more community-based education, a required one-year residency program, and schools' becoming part of publicly funded safety net clinics. While dental schools cannot solve the access problem, they could have a major impact if the payment and delivery strategies discussed were implemented. This article was written as part of the project "Advancing Dental Education in the 21
st Century."- Published
- 2017
- Full Text
- View/download PDF
29. Dental Group Practice and the Need for Dentists.
- Author
-
Gesko DS and Bailit HL
- Subjects
- Dental Hygienists statistics & numerical data, Humans, Male, Minnesota, Practice Management, Dental, Workforce, General Practice, Dental statistics & numerical data, Group Practice, Dental statistics & numerical data, Private Practice statistics & numerical data
- Abstract
This study compared the number of patients treated per year by general dentists and dental hygienists in solo practice and by those employed by a large group practice. Information on the annual number of patient visits to solo general dental practitioners comes from the 2013 American Dental Association (ADA) Survey of Dental Practice. Patient visits were divided by 2.5 to estimate the number of patients treated annually. The data on group practices come from HealthPartners (HP) of Minnesota, a large not-for-profit medical and dental Health Maintenance Organization that accepts insurance contracts based on global budgets and is financially at risk. In 2013, solo general dentists averaged 1,350 patients, while the average HP general dentist treated 2,052 patients. HP general dentists thus treated over 700 more patients annually than did solo practitioners. This large difference has major implications for the future of the dental delivery system and dental education. This article was written as part of the project "Advancing Dental Education in the 21
st Century."- Published
- 2017
- Full Text
- View/download PDF
30. Introduction to "Advancing Dental Education in the 21 st Century" Project.
- Author
-
Bailit HL and Formicola AJ
- Abstract
In 1926, the Carnegie Foundation for the Advancement of Teaching published a report prepared by William J. Gies, PhD, a professor of biochemistry and founder of the Columbia University College of Dental Medicine. The Gies report examined the current status of dental education in the United States and Canada and made recommendations for a new direction. This report led to major improvements in dental education and research and was a critical factor in making dentistry a learned profession. Dental and allied dental education are now challenged by a new set of issues related to financing education, improved oral health, more effective treatment technologies, and a rapidly changing delivery system. In an effort to meet these challenges, this strategic planning project first examined the current status and future trends that are likely to impact the dental profession over the next 25 years. The project was organized into six sections, and 50 authors were invited to prepare 38 articles to address these issues. The executive summaries for each section are being published in the August and September 2017 issues of the Journal of Dental Education, and the background articles are being published in online supplements to those issues. In the next phase of the project, information from the articles will be used to make strategic recommendations to assist dental schools and allied dental education programs in preparing graduates for practice in 2040 and to meet their institutions' missions for scholarship and service. This introduction presents the project rationale, provides a list of the published articles, and acknowledges the organizations that supported this effort., (© American Dental Education Association.)
- Published
- 2017
- Full Text
- View/download PDF
31. Population-centered Risk- and Evidence-based Dental Interprofessional Care Team (PREDICT): study protocol for a randomized controlled trial.
- Author
-
Cunha-Cruz J, Milgrom P, Shirtcliff RM, Bailit HL, Huebner CE, Conrad D, Ludwig S, Mitchell M, Dysert J, Allen G, Scott J, and Mancl L
- Subjects
- Adolescent, Child, Child, Preschool, Cooperative Behavior, Cost-Benefit Analysis, Delivery of Health Care, Integrated economics, Dental Caries diagnosis, Dental Caries economics, Dental Caries epidemiology, Dental Health Services economics, Female, Health Care Costs, Health Services Accessibility economics, Healthcare Disparities, Humans, Infant, Infant, Newborn, Male, Medicaid, Oral Health, Oregon epidemiology, Patient Care Team economics, Poverty, Pregnancy, Prevalence, Referral and Consultation, Reimbursement, Incentive, Research Design, Rural Health, Time Factors, Treatment Outcome, United States epidemiology, Young Adult, Delivery of Health Care, Integrated organization & administration, Dental Caries therapy, Dental Health Services organization & administration, Health Services Accessibility organization & administration, Interdisciplinary Communication, Patient Care Team organization & administration
- Abstract
Background: To improve the oral health of low-income children, innovations in dental delivery systems are needed, including community-based care, the use of expanded duty auxiliary dental personnel, capitation payments, and global budgets. This paper describes the protocol for PREDICT (Population-centered Risk- and Evidence-based Dental Interprofessional Care Team), an evaluation project to test the effectiveness of new delivery and payment systems for improving dental care and oral health., Methods/design: This is a parallel-group cluster randomized controlled trial. Fourteen rural Oregon counties with a publicly insured (Medicaid) population of 82,000 children (0 to 21 years old) and pregnant women served by a managed dental care organization are randomized into test and control counties. In the test intervention (PREDICT), allied dental personnel provide screening and preventive services in community settings and case managers serve as patient navigators to arrange referrals of children who need dentist services. The delivery system intervention is paired with a compensation system for high performance (pay-for-performance) with efficient performance monitoring. PREDICT focuses on the following: 1) identifying eligible children and gaining caregiver consent for services in community settings (for example, schools); 2) providing risk-based preventive and caries stabilization services efficiently at these settings; 3) providing curative care in dental clinics; and 4) incentivizing local delivery teams to meet performance benchmarks. In the control intervention, care is delivered in dental offices without performance incentives. The primary outcome is the prevalence of untreated dental caries. Other outcomes are related to process, structure and cost. Data are collected through patient and staff surveys, clinical examinations, and the review of health and administrative records., Discussion: If effective, PREDICT is expected to substantially reduce disparities in dental care and oral health. PREDICT can be disseminated to other care organizations as publicly insured clients are increasingly served by large practice organizations., Trial Registration: ClinicalTrials.gov NCT02312921 6 December 2014. The Robert Wood Johnson Foundation and Advantage Dental Services, LLC, are supporting the evaluation.
- Published
- 2015
- Full Text
- View/download PDF
32. Federally qualified health center dental clinics: financial information.
- Author
-
Bailit HL, Devitto J, Myne-Joslin R, Beazoglou T, and McGowan T
- Subjects
- Dental Health Services economics, United States, Dental Health Services organization & administration
- Abstract
Objective: Federally Qualified Health Center (FQHC) dental clinics are a major component of the dental safety net system, providing care to 3.75 million patients annually. This study describes the financial and clinical operations of a sample of FQHCs., Methods: In cooperation with the National Network for Oral Health Access, FQHC dental clinics that could provide 12 months of electronic dental record information were asked to participate in the study., Results: Based on data from 28 dental clinics (14 FQHCs), 50 percent of patients were under 21 years of age. The primary payers were Medicaid (72.4 percent) and sliding-scale/self-pay patients (17.5 percent). Sites averaged 3.1 operatories, 0.66 dental hygienists, and 1.9 other staff per dentist. Annually, each FTE dentist and hygienist provided 2,801 and 2,073 patient visits, respectively. Eighty percent of services were diagnostic, preventive, and restorative. Patient care accounted for 82 percent of revenues, and personnel (64.2 percent) and central administration (13.4 percent) accounted for most expenses., Conclusion: Based on a small convenience sample of FQHC dental clinics, this study presents descriptive data on their clinical and financial operations. Compared with data from the UDS (Uniform Data System) report, study FQHCs were larger in terms of space, staff, and patients served. However, there was substantial variation among clinics for almost all measures. As the number and size of FQHC dental clinics increase, the Health Resources and Services Administration needs to provide them access to comparative data that they can use to benchmark their operations., (© 2013 American Association of Public Health Dentistry.)
- Published
- 2013
- Full Text
- View/download PDF
33. Impact of dental therapists on productivity and finances: II. Federally Qualified Health Centers.
- Author
-
Beazoglou TJ, Bailit HL, DeVitto J, McGowan T, and Myne-Joslin V
- Subjects
- Adult, Child, Community Health Centers economics, Community Health Centers organization & administration, Connecticut, Cost Savings, Dental Amalgam economics, Dental Auxiliaries economics, Dental Clinics economics, Dental Hygienists economics, Dental Hygienists organization & administration, Dental Pulp Capping economics, Dental Restoration, Permanent economics, Fees, Dental, Financial Management organization & administration, Financing, Personal economics, Health Services Accessibility economics, Health Services Needs and Demand, Humans, Insurance, Dental economics, Medicaid economics, Medicaid organization & administration, Models, Economic, Poverty, Pulpotomy economics, Salaries and Fringe Benefits economics, Tooth Extraction economics, United States, Wisconsin, Dental Auxiliaries organization & administration, Dental Clinics organization & administration, Efficiency, Organizational, Financial Management economics
- Abstract
This article estimates the impact of dental therapists treating children on Federally Qualified Health Center (FQHC) dental clinic finances and productivity. The analysis is based on twelve months of patient visit and financial data from large FQHC dental clinics (multiple delivery sites) in Connecticut and Wisconsin. Assuming dental therapists provide restorative, extraction, and pulpal services and dental hygienists continue to deliver all hygiene services, the maximum reduction in costs is about 6 percent. The limited impact of dental therapists on FQHC dental clinic finances is because 1) dental therapists only account for 17 percent of children services and 2) dentists are responsible for only 25 percent of clinic expenses and cost reductions are related to the difference between dental therapist and dentist wage rates.
- Published
- 2012
34. Community-based dental education: history, current status, and future.
- Author
-
Formicola AJ and Bailit HL
- Subjects
- Attitude of Health Personnel, Clinical Competence, Community Dentistry economics, Community Dentistry history, Community-Institutional Relations, Cultural Diversity, Curriculum, Education, Dental economics, Education, Dental history, Financing, Government, Forecasting, History, 20th Century, History, 21st Century, Humans, Internship and Residency organization & administration, Medically Underserved Area, Models, Educational, Preceptorship history, Training Support, United States, Community Dentistry education, Education, Dental organization & administration
- Abstract
This article examines the history, current status, and future direction of community-based dental education (CBDE). The key issues addressed include the reasons that dentistry developed a different clinical education model than the other health professions; how government programs, private medical foundations, and early adopter schools influenced the development of CBDE; the societal and financial factors that are leading more schools to increase the time that senior dental students spend in community programs; the impact of CBDE on school finances and faculty and student perceptions; and the reasons that CBDE is likely to become a core part of the clinical education of all dental graduates.
- Published
- 2012
35. Assessing the impact of community-based education on dental school finances: introduction to the report.
- Author
-
Bailit HL and McGowan TL
- Subjects
- Clinical Competence, Community Health Services, Dental Clinics economics, Efficiency, Health Services Accessibility, Healthcare Disparities, Humans, Income, Preceptorship, Schools, Dental organization & administration, Community Dentistry education, Community-Institutional Relations, Education, Dental economics, Schools, Dental economics
- Published
- 2011
36. Dental school and community clinic financial arrangements.
- Author
-
Piskorowski W, Bailit HL, McGowan TL, and Krell RE
- Subjects
- Community Dentistry economics, Community Dentistry education, Community-Institutional Relations, Contracts, Curriculum, Education, Dental economics, Financial Management economics, Financial Support, Humans, Income, Michigan, Negotiating, Preceptorship economics, Private Practice economics, Community Health Services economics, Dental Clinics economics, Schools, Dental economics
- Abstract
In community-based dental education programs, student-provided services can be an important source of community clinic and practice revenues. The University of Michigan School of Dentistry has developed a revenue-sharing arrangement with multiple community clinics and practices. During their ten-week externship, senior students produce at least $800 a day in patient care revenues, and the school receives an average of $165 per student per day from community sites. These funds are used to cover program costs and enrich the curriculum. Revenue-sharing with community clinics and practices helps to ensure program longevity and is an increasingly significant source of school revenues.
- Published
- 2011
37. Policy implications of assessing the impact of community-based education on dental school finances.
- Author
-
Brown LJ and Bailit HL
- Subjects
- Clinical Competence, Community Dentistry economics, Community Health Services economics, Community Health Services organization & administration, Community-Institutional Relations, Costs and Cost Analysis, Dental Clinics economics, Dental Clinics organization & administration, Efficiency, Organizational, Financial Management organization & administration, Financial Support, Humans, Income, Preceptorship economics, Schools, Dental economics, Community Dentistry education, Education, Dental economics, Financial Management economics, Policy Making, Schools, Dental organization & administration
- Abstract
Dental schools are hard pressed to find the resources to adequately fund their mission of education, research, and service. Over the years, schools have tried to make up for the loss in public funds by increasing student tuition, increasing enrollment, and reducing the growth in faculty and staff salaries and program costs. Unfortunately, these strategies have not solved the financial problems. Declining resources are threatening the future of dental education. Data presented in this report attempt to answer the following question: will community-based dental education restore the fiscal health of dental schools and provide students an equal or better education? By reducing the number of chairs per student and developing revenue-sharing relationships with community clinics, community-based dental education offers a realistic option for putting dental schools on a solid financial footing.
- Published
- 2011
38. Preface: about the dental Pipeline program.
- Author
-
Bailit HL and Formicola AJ
- Subjects
- California, Community-Institutional Relations, Education, Dental methods, Foundations, Health Services Accessibility, Humans, Medically Underserved Area, Models, Educational, Schools, Dental, Training Support, United States, Workforce, Community Dentistry education, Dental Care, Education, Dental organization & administration, Healthcare Disparities, Minority Groups education
- Published
- 2010
39. Financial impact of community-based dental education.
- Author
-
Bailit HL
- Subjects
- Community-Institutional Relations, Education, Dental methods, Efficiency, Organizational, Financing, Government, Humans, Income, Training Support, United States, Community Dentistry education, Community Health Centers economics, Education, Dental economics, Financial Management, Schools, Dental economics
- Abstract
The financial impact of community-based dental education on dental school and community clinic budgets is a major issue. The evidence suggests that community experiences for dental students of fifty or more days, if effectively managed, can increase school net revenues due to the following factors: 1) the community rotations increase student productivity, approximating the loss of dental school clinical income; 2) the reallocation of unused clinical resources at the dental school reduces student clinic deficits; 3) schools and federally qualified health centers (FQHCs) that share surplus student patient revenues generate additional net income; and 4) enrollment of more students without additional new facilities and faculty increases total school tuition revenues. For FQHC dental clinics, student rotations increase the number of patients treated and may generate surplus revenues. Community-based dental education also provides schools and clinics important non-financial advantages.
- Published
- 2010
40. Organization and management of community-based dental education programs: an overview from the dental Pipeline program.
- Author
-
Bailit HL
- Subjects
- Community-Institutional Relations, Cultural Competency, Humans, Internship and Residency, Program Development, Schools, Dental organization & administration, Social Values, Students, Dental, United States, Community Dentistry education, Dental Clinics organization & administration, Education, Dental organization & administration, Healthcare Disparities, Training Support
- Abstract
Disparities in access to dental care are a major problem in the United States. Effectively run community-based dental education programs can make a significant contribution to reducing access disparities and at the same time enrich the educational experiences of dental students and residents. For complex historical reasons, dental schools did not base their clinical training programs in community hospitals and clinics like the other health professions. Now, because of trends in school finances, changes in societal values, and limitations in current educational experiences, schools are increasing the time students spend in community clinics. This is likely to continue. The chapters in the first section of the report on the Pipeline, Profession, and Practice: Community-Based Dental Education program--for which this chapter serves as an introduction-provide detailed information on the operation of community-based education programs.
- Published
- 2010
41. The Dental Pipeline program: the National Program Office perspective.
- Author
-
Bailit HL, Formicola AJ, D'Abreu KC, Bau I, Zamora G, and Stavisky JS
- Subjects
- Advisory Committees, Clinical Competence, Cultural Competency, Curriculum, Dental Care, Dental Clinics, Foundations, Health Services Accessibility, Humans, Internship and Residency, Medically Underserved Area, Personnel Selection, Preceptorship, Program Evaluation, Schools, Dental economics, Schools, Dental organization & administration, Societies, Dental, Students, Dental, Training Support, United States, Community Dentistry education, Education, Dental, Minority Groups education
- Published
- 2009
42. Assessing the cultural competency of dental students and residents.
- Author
-
Gregorczyk SM and Bailit HL
- Subjects
- Competency-Based Education methods, Education, Medical methods, Humans, Competency-Based Education standards, Cultural Competency education, Education, Medical standards, Educational Measurement methods, Surveys and Questionnaires standards
- Abstract
This article presents a literature review of cultural competency education in the health professions (dentistry, dental hygiene, medicine, and nursing) with specific reference to methods of evaluating student and resident knowledge of cultural competency concepts and practices and clinical performance. Some important barriers to developing evaluation instruments are the following: 1) little consensus on core competency knowledge; 2) erroneous notions of race; and 3) stereotyping the behavior of racial groups. The relative advantages of the different examination methods now used to evaluate students and residents (qualitative, quantitative, practical, and self-evaluation) are reviewed, and recommendations are made regarding three instruments that schools can use to assess student knowledge and clinical performance.
- Published
- 2008
43. Evolution of dental school clinics as patient care delivery centers.
- Author
-
Formicola AJ, Myers R, Hasler JF, Peterson M, Dodge W, Bailit HL, Beazoglou TJ, and Tedesco LA
- Subjects
- Clinical Clerkship organization & administration, Dental Clinics organization & administration, Dental Clinics statistics & numerical data, Group Practice, Dental, Humans, Kentucky, Maryland, New York City, Organizational Case Studies, Organizations, Nonprofit organization & administration, Patient-Centered Care, Quality Assurance, Health Care, Schools, Dental organization & administration, Delivery of Health Care, Dental Clinics trends, Education, Dental methods, Models, Educational, Schools, Dental trends
- Abstract
Dental school clinics, originally envisioned as closely similar to private practice, evolved instead as teaching clinics. In the former, graduate and licensed dentists perform the treatment while undergraduate dental students are assigned treatment within their capabilities. In the latter, dental students provide the treatment under faculty supervision. It is generally recognized that the care provided by the teaching clinics is inefficient. However, in the last quarter of the twentieth century, dental school clinics began to pay much more attention to how treatment is rendered. The comprehensive care movement and quality assurance systems are leading towards more efficient patient-centered care. Case studies at the University of Maryland, Columbia University, and University of Louisville describe activities to make their clinic programs more efficient and patient-friendly. This article explores whether the potential exists for faculty to take a direct patient care delivery role in dental clinics in order for those clinics to become efficient patient care delivery systems as originally envisioned in the early part of the twentieth century.
- Published
- 2008
44. Financing clinical dental education.
- Author
-
Bailit HL, Beazoglou TJ, Formicola AJ, and Tedesco LA
- Subjects
- Clinical Clerkship, Community Health Services organization & administration, Dental Clinics organization & administration, Faculty, Dental, Humans, Internship and Residency, Patient-Centered Care, Preceptorship, United States, Community Health Services economics, Dental Clinics economics, Education, Dental economics, Financial Support, Models, Educational
- Abstract
Many reports have documented the growing financial challenges faced by dental schools. This article examines the financial implications of two new models of dental education: 1) seniors spend 70 percent of their time in community clinics and practices, providing general dental care to underserved patients, and 2) schools develop patient-centered clinics where teams of faculty, residents, and senior students provide care to patients. We estimate that the average dental school will generate new net revenues of about $2.7 million per year from the community-based educational programs for senior students and about $14 million per year from patient-centered care clinics. These are upper boundary estimates and vary greatly by school. The organizational and financial challenges of moving to these new educational models are discussed.
- Published
- 2008
45. The Macy study: a framework for consensus.
- Author
-
Formicola AJ, Bailit HL, Beazoglou TJ, and Tedesco LA
- Subjects
- Consensus, Financing, Government, Foundations, Humans, Organizational Innovation, United States, Models, Educational, Schools, Dental economics
- Published
- 2008
46. The interrelationship of accreditation and dental education: history and current environment.
- Author
-
Formicola AJ, Bailit HL, Beazoglou TJ, and Tedesco LA
- Subjects
- History, 19th Century, History, 20th Century, Humans, Schools, Dental history, Social Change, Social Environment, United States, Accreditation history, Education, Dental standards, Schools, Dental standards
- Published
- 2008
47. Models for funding clinical dental education: what's likely and what's not.
- Author
-
Bailit HL
- Subjects
- Education, Dental organization & administration, Faculty, Dental statistics & numerical data, Humans, Models, Educational, Patient-Centered Care organization & administration, Students, Dental, United States, Workforce, Community Health Services organization & administration, Dental Clinics organization & administration, Education, Dental economics, Models, Economic, Schools, Dental organization & administration
- Published
- 2008
48. U.S. state-supported dental schools: financial projections and implications.
- Author
-
Bailit HL, Beazoglou TJ, Formicola AJ, Tedesco LA, Brown LJ, and Weaver RG
- Subjects
- Career Choice, Faculty, Dental supply & distribution, Humans, Research Support as Topic, Salaries and Fringe Benefits, Training Support, United States, Universities, Education, Dental economics, Financing, Government trends, Public Sector economics, Schools, Dental economics
- Abstract
This article examines the impact of financial trends in state-supported dental schools on full-time clinical faculty; the diversity of dental students and their career choices; investments in physical facilities; and the place of dentistry in research universities. The findings of our study are the following: the number of students per full-time clinical faculty member increased; the three schools with the lowest revenue increases lost a third of their full-time clinical faculty; more students are from wealthier families; most schools are not able to adequately invest in their physical plant; and more than half of schools have substantial NIH-funded research programs. If current trends continue, the term "crisis" will describe the situation faced by most dental schools. Now is the time to build the political consensus needed to develop new and more effective strategies to educate the next generation of American dentists and to keep dental education primarily based in research universities. The future of the dental profession and the oral health of the American people depend on it.
- Published
- 2008
49. Financing clinical dental education.
- Author
-
Bailit HL, Beazoglou TJ, Formicola AJ, and Tedesco L
- Subjects
- Community Health Services economics, Dental Clinics economics, Faculty, Dental, General Practice, Dental economics, Health Services Accessibility economics, Humans, Income, Internship and Residency economics, Medically Underserved Area, Models, Economic, Patient Care Team economics, Patient-Centered Care economics, Preceptorship economics, Private Practice economics, Students, Dental, United States, Education, Dental economics, Financial Management economics, Schools, Dental economics
- Abstract
Many reports have documented the growing financial challenges faced by dental schools. This article examines the financial implications of two new models of dental education: 1) seniors spend 70 percent of their time in community clinics and practices, providing general dental care to underserved patients, and 2) schools develop patient-centered clinics where teams of faculty, residents, and senior students provide care to patients. We estimate that the average dental school will generate new net revenues of about $2.7 million per year from the community-based educational programs for senior students and about $14 million per year from patient-centered care clinics. These are upper boundary estimates and vary greatly by school. The organizational and financial challenges of moving to these new educational models are discussed.
- Published
- 2007
50. Evolution of dental school clinics as patient care delivery centers.
- Author
-
Formicola AJ, Myers R, Hasler JF, Peterson M, Dodge W, Bailit HL, Beazoglou T, and Tedesco LA
- Subjects
- Comprehensive Dental Care organization & administration, Dental Clinics statistics & numerical data, Dental Clinics trends, Humans, Kentucky, Maryland, New York City, Organizational Case Studies, Organizational Innovation, Private Practice, Quality Assurance, Health Care, Delivery of Health Care organization & administration, Dental Clinics organization & administration, Faculty, Dental statistics & numerical data, Patient-Centered Care organization & administration, Schools, Dental organization & administration
- Abstract
Dental school clinics, originally envisioned as closely similar to private practice, evolved instead as teaching clinics. In the former, graduate and licensed dentists perform the treatment while undergraduate dental students are assigned treatment within their capabilities. In the latter, dental students provide the treatment under faculty supervision. It is generally recognized that the care provided by the teaching clinics is inefficient. However, in the last quarter of the twentieth century, dental school clinics began to pay much more attention to how treatment is rendered. The comprehensive care movement and quality assurance systems are leading towards more efficient patient-centered care. Case studies at the University of Maryland, Columbia University, and University of Louisville describe activities to make their clinic programs more efficient and patient-friendly. This article explores whether the potential exists for faculty to take a direct patient care delivery role in dental clinics in order for those clinics to become efficient patient care delivery systems as originally envisioned in the early part of the twentieth century.
- Published
- 2006
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.