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dc.contributor.authorWidström, Eeva
dc.contributor.authorTiira, Hannele
dc.contributor.authorTillberg, Anders
dc.date.accessioned2019-12-10T14:19:57Z
dc.date.available2019-12-10T14:19:57Z
dc.date.issued2019-04-11
dc.description.abstract<i>Objectives</i> - 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.<p> <p><i>Materials and methods</i> - 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.<p> <p><i>Results</i> - 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%).<p> <p><i>Discussion</i> -Public sector employees had little knowledge and understanding of the coming reform and were badly prepared for competition with the private sector.en_US
dc.identifier.citationWidström E, Tiira H, Tillberg A. Public Dental Service personnel facing a major health care reform in Finland. BDJ Open. 2019;5(1)en_US
dc.identifier.cristinIDFRIDAID 1739813
dc.identifier.doi10.1038/s41405-019-0012-1
dc.identifier.issn2056-807X
dc.identifier.urihttps://hdl.handle.net/10037/16879
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalBDJ Open
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical dentistry disciplines: 830en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk odontologiske fag: 830en_US
dc.titlePublic Dental Service personnel facing a major health care reform in Finlanden_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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