Public Dental Service personnel facing a major health care reform in Finland
OBJECTIVES: A health care reform will replace the health care and social services centred on public provision with a market-oriented system and enhanced competition between public and private sectors. The aim was to ascertain Public Dental Services (PDS) changes personnel anticipated and how dental...
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ftpubmed:oai:pubmedcentral.nih.gov:6459875 2023-05-15T17:42:34+02:00 Public Dental Service personnel facing a major health care reform in Finland Widström, Eeva Tiira, Hannele Tillberg, Anders 2019-04-11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459875/ http://www.ncbi.nlm.nih.gov/pubmed/30993006 https://doi.org/10.1038/s41405-019-0012-1 en eng Nature Publishing Group UK http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459875/ http://www.ncbi.nlm.nih.gov/pubmed/30993006 http://dx.doi.org/10.1038/s41405-019-0012-1 © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. CC-BY Article Text 2019 ftpubmed https://doi.org/10.1038/s41405-019-0012-1 2019-04-21T00:32:06Z OBJECTIVES: A health care reform will replace the health care and social services centred on public provision with a market-oriented system and enhanced competition between public and private sectors. The aim was to ascertain Public Dental Services (PDS) changes personnel anticipated and how dental services in the new “public” undertakings could be made more cost-efficient. MATERIALS AND METHODS: An electronic questionnaire was sent to the Chief Dentists of a random sample of 12 PDS units in southern and northern Finland for distribution to their personnel; 71.0% responded. RESULTS: Most respondents (64.3%) believed that their PDS unit would not change. However, 45.4% foresaw a merger with another unit. More dentists (51.2%) were aware of market- and competition-oriented organisational forms to be introduced in the public sector than dental hygienists (35.0%) and dental assistants (27.3%; p < 0.01). Only 12.4% thought of moving to the private sector. To increase cost-efficiency in the new system, a majority suggested improvement in preventive care (79.8%) and increased use of dental hygienists (75.7%). A smaller proportion suggested longer opening hours (23.1%), higher patient fees (17.9%) or more paying patients (12.4%). DISCUSSION: Public sector employees had little knowledge and understanding of the coming reform and were badly prepared for competition with the private sector. Text Northern Finland PubMed Central (PMC) BDJ Open 5 1 |
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Article Widström, Eeva Tiira, Hannele Tillberg, Anders Public Dental Service personnel facing a major health care reform in Finland |
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Article |
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OBJECTIVES: A health care reform will replace the health care and social services centred on public provision with a market-oriented system and enhanced competition between public and private sectors. The aim was to ascertain Public Dental Services (PDS) changes personnel anticipated and how dental services in the new “public” undertakings could be made more cost-efficient. MATERIALS AND METHODS: An electronic questionnaire was sent to the Chief Dentists of a random sample of 12 PDS units in southern and northern Finland for distribution to their personnel; 71.0% responded. RESULTS: Most respondents (64.3%) believed that their PDS unit would not change. However, 45.4% foresaw a merger with another unit. More dentists (51.2%) were aware of market- and competition-oriented organisational forms to be introduced in the public sector than dental hygienists (35.0%) and dental assistants (27.3%; p < 0.01). Only 12.4% thought of moving to the private sector. To increase cost-efficiency in the new system, a majority suggested improvement in preventive care (79.8%) and increased use of dental hygienists (75.7%). A smaller proportion suggested longer opening hours (23.1%), higher patient fees (17.9%) or more paying patients (12.4%). DISCUSSION: Public sector employees had little knowledge and understanding of the coming reform and were badly prepared for competition with the private sector. |
format |
Text |
author |
Widström, Eeva Tiira, Hannele Tillberg, Anders |
author_facet |
Widström, Eeva Tiira, Hannele Tillberg, Anders |
author_sort |
Widström, Eeva |
title |
Public Dental Service personnel facing a major health care reform in Finland |
title_short |
Public Dental Service personnel facing a major health care reform in Finland |
title_full |
Public Dental Service personnel facing a major health care reform in Finland |
title_fullStr |
Public Dental Service personnel facing a major health care reform in Finland |
title_full_unstemmed |
Public Dental Service personnel facing a major health care reform in Finland |
title_sort |
public dental service personnel facing a major health care reform in finland |
publisher |
Nature Publishing Group UK |
publishDate |
2019 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459875/ http://www.ncbi.nlm.nih.gov/pubmed/30993006 https://doi.org/10.1038/s41405-019-0012-1 |
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Northern Finland |
genre_facet |
Northern Finland |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459875/ http://www.ncbi.nlm.nih.gov/pubmed/30993006 http://dx.doi.org/10.1038/s41405-019-0012-1 |
op_rights |
© The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
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CC-BY |
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https://doi.org/10.1038/s41405-019-0012-1 |
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