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Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches

Background: The traditional measure for assessing dental treatment needs and workforce requirements based solely on normative need (NN) has major shortcomings. The sociodental approach (SDA) to assess needs overcomes some of the shortcomings as it combines normative and subjective needs assessments...

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Main Authors: Ab-Murat, N., Sheiham, A., Watt, R., Tsakos, G.
Format: Article
Language:English
Published: BioMed Central 2015
Subjects:
RK Dentistry
Online Access:http://eprints.um.edu.my/13526/1/art%253A10.1186%252Fs12903-015-0015-9.pdf
http://eprints.um.edu.my/13526/
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spelling my.um.eprints.135262015-12-23T01:32:19Z http://eprints.um.edu.my/13526/ Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches Ab-Murat, N. Sheiham, A. Watt, R. Tsakos, G. RK Dentistry Background: The traditional measure for assessing dental treatment needs and workforce requirements based solely on normative need (NN) has major shortcomings. The sociodental approach (SDA) to assess needs overcomes some of the shortcomings as it combines normative and subjective needs assessments and also incorporates behavioural propensity (Sheiham and Tsakos 2007). The objective of this study was to estimate and compare prosthodontic treatment needs and workforce requirements, using the normative and the sociodental approaches for different skill mix models. Methods: A cross-sectional study was conducted on 732 university employees aged 30-54 years. Normative prosthodontic need was assessed using the WHO (1997) method. The SDA includes NN and also considers oral impacts, measured through the OIDP index, and behavioural propensity. Estimates of prosthodontic need and dental workforce requirements using the two methods were compared using McNemar and Wilcoxon Signed Rank test respectively. The dental workforce required for prosthodontic treatment based on NN and SDA approaches were then compared using different workforce skill mix models. Results: The proportion of subjects needing prosthodontic treatment was lower by more than 90% when the SDA was used compared to NN. The number of dentists required for prosthodontic treatment per 100,000 people were 98.8 using NN compared to 2.49 using SDA. Using a skill mix approach, the requirements for dentists per 100,000 people decreased slightly when more denture procedures were delegated to dental therapists. Conclusion: There were very much lower levels of prosthodontic treatment needs and workforce requirements when using the sociodental approach compared to normative methods. BioMed Central 2015 Article PeerReviewed application/pdf en http://eprints.um.edu.my/13526/1/art%253A10.1186%252Fs12903-015-0015-9.pdf Ab-Murat, N. and Sheiham, A. and Watt, R. and Tsakos, G. (2015) Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches. BMC Oral Health, 15 (36). 10.1186/s12903-015-0015-9
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic RK Dentistry
spellingShingle RK Dentistry
Ab-Murat, N.
Sheiham, A.
Watt, R.
Tsakos, G.
Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches
description Background: The traditional measure for assessing dental treatment needs and workforce requirements based solely on normative need (NN) has major shortcomings. The sociodental approach (SDA) to assess needs overcomes some of the shortcomings as it combines normative and subjective needs assessments and also incorporates behavioural propensity (Sheiham and Tsakos 2007). The objective of this study was to estimate and compare prosthodontic treatment needs and workforce requirements, using the normative and the sociodental approaches for different skill mix models. Methods: A cross-sectional study was conducted on 732 university employees aged 30-54 years. Normative prosthodontic need was assessed using the WHO (1997) method. The SDA includes NN and also considers oral impacts, measured through the OIDP index, and behavioural propensity. Estimates of prosthodontic need and dental workforce requirements using the two methods were compared using McNemar and Wilcoxon Signed Rank test respectively. The dental workforce required for prosthodontic treatment based on NN and SDA approaches were then compared using different workforce skill mix models. Results: The proportion of subjects needing prosthodontic treatment was lower by more than 90% when the SDA was used compared to NN. The number of dentists required for prosthodontic treatment per 100,000 people were 98.8 using NN compared to 2.49 using SDA. Using a skill mix approach, the requirements for dentists per 100,000 people decreased slightly when more denture procedures were delegated to dental therapists. Conclusion: There were very much lower levels of prosthodontic treatment needs and workforce requirements when using the sociodental approach compared to normative methods.
format Article
author Ab-Murat, N.
Sheiham, A.
Watt, R.
Tsakos, G.
author_facet Ab-Murat, N.
Sheiham, A.
Watt, R.
Tsakos, G.
author_sort Ab-Murat, N.
title Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches
title_short Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches
title_full Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches
title_fullStr Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches
title_full_unstemmed Treatment needs and skill mix workforce requirements for prosthodontic care: A comparison of estimates using normative and sociodental approaches
title_sort treatment needs and skill mix workforce requirements for prosthodontic care: a comparison of estimates using normative and sociodental approaches
publisher BioMed Central
publishDate 2015
url http://eprints.um.edu.my/13526/1/art%253A10.1186%252Fs12903-015-0015-9.pdf
http://eprints.um.edu.my/13526/
_version_ 1643689575916240896
score 13.211869

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