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      Planning the oral health workforce: Time for innovation

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          Abstract

          The levels and types of oral health problems occurring in populations change over time, while advances in technology change the way oral health problems are addressed and the ways care is delivered. These rapid changes have major implications for the size and mix of the oral health workforce, yet the methods used to plan the oral health workforce have remained rigid and isolated from planning of oral healthcare services and healthcare expenditures. In this paper, we argue that the innovation culture that has driven major developments in content and delivery of oral health care must also be applied to planning the oral health workforce if we are to develop ‘fit for purpose’ healthcare systems that meet the needs of populations in the 21st century. An innovative framework for workforce planning is presented focussed on responding to changes in population needs, service developments for meeting those needs and optimal models of care delivery.

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          THE INVERSE CARE LAW

          Julian Tudor Hart (1971)
          Article 0 comments Cited 361 times – based on 0 reviews     Review now
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            Ending the neglect of global oral health: time for radical action

            Richard G. Watt, Blánaid Daly, Paul Allison … (2019)
            Oral diseases are a major global public health problem affecting over 3·5 billion people. However, dentistry has so far been unable to tackle this problem. A fundamentally different approach is now needed. In this second of two papers in a Series on oral health, we present a critique of dentistry, highlighting its key limitations and the urgent need for system reform. In high-income countries, the current treatment-dominated, increasingly high-technology, interventionist, and specialised approach is not tackling the underlying causes of disease and is not addressing inequalities in oral health. In low-income and middle-income countries (LMICs), the limitations of so-called westernised dentistry are at their most acute; dentistry is often unavailable, unaffordable, and inappropriate for the majority of these populations, but particularly the rural poor. Rather than being isolated and separated from the mainstream health-care system, dentistry needs to be more integrated, in particular with primary care services. The global drive for universal health coverage provides an ideal opportunity for this integration. Dental care systems should focus more on promoting and maintaining oral health and achieving greater oral health equity. Sugar, alcohol, and tobacco consumption, and their underlying social and commercial determinants, are common risk factors shared with a range of other non-communicable diseases (NCDs). Coherent and comprehensive regulation and legislation are needed to tackle these shared risk factors. In this Series paper, we focus on the need to reduce sugar consumption and describe how this can be achieved through the adoption of a range of upstream policies designed to combat the corporate strategies used by the global sugar industry to promote sugar consumption and profits. At present, the sugar industry is influencing dental research, oral health policy, and professional organisations through its well developed corporate strategies. The development of clearer and more transparent conflict of interest policies and procedures to limit and clarify the influence of the sugar industry on research, policy, and practice is needed. Combating the commercial determinants of oral diseases and other NCDs should be a major policy priority.
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              Global epidemiology of dental caries and severe periodontitis - a comprehensive review.

              Jo E. FRENCKEN, Praveen Sharma, Laura Stenhouse … (2017)
              Dental caries and periodontitis are the most common oral diseases and major causes of tooth loss.
              Article 0 comments Cited 219 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Stephen Birch:
                ORCID: https://orcid.org/0000-0002-1372-0440
                stephen.birch@uq.edu.au
                Journal
                Journal ID (nlm-ta): Community Dent Oral Epidemiol
                Journal ID (iso-abbrev): Community Dent Oral Epidemiol
                Journal ID (doi): 10.1111/(ISSN)1600-0528
                Journal ID (publisher-id): CDOE
                Title: Community Dentistry and Oral Epidemiology
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0301-5661
                ISSN (Electronic): 1600-0528
                Publication date (Electronic): 15 December 2020
                Publication date (Print): February 2021
                Volume: 49
                Issue: 1 ( doiID: 10.1111/cdoe.v49.1 )
                Pages: 17-22
                Affiliations
                [ 1 ] Centre for the Business and Economics of Health University of Queensland Brisbane Queensland Australia
                [ 2 ] Centre for Health Economics University of Manchester Manchester UK
                [ 3 ] Oral Health Services Research Centre Cork University Dental School & Hospital University College Cork Cork Ireland
                [ 4 ] School of Health Sciences Bangor University Bangor UK
                [ 5 ] Department of Global Health Stellenbosch University Cape Town South Africa
                [ 6 ] Faculty of Dentistry Oral & Craniofacial Sciences King's College London London UK
                [ 7 ] Department of Dentistry ‐ Quality and Safety of Oral Healthcare Radboud University Nijmegen The Netherlands
                [ 8 ] School of Dentistry University of Queensland Brisbane Queensland Australia
                [ 9 ] School of Dentistry University of Manchester Manchester UK
                [ 10 ] WHO/PAHO Collaborating Centre on Health Workforce Planning & Research Dalhousie University Halifax NS Canada
                [ 11 ] Centre for Policy Studies Cork University Business School University College Cork Cork Ireland
                Author notes
                [*] [* ] Correspondence

                Stephen Birch, University of Queensland, St Lucia, QLD 4072, Australia.

                Email: stephen.birch@ 123456uq.edu.au

                Author information
                https://orcid.org/0000-0002-1372-0440
                https://orcid.org/0000-0002-8176-3397
                https://orcid.org/0000-0001-5822-1269
                https://orcid.org/0000-0001-5348-5441
                Article
                Publisher ID: CDOE12604
                DOI: 10.1111/cdoe.12604
                PMC ID: 7839544
                PubMed ID: 33325124
                SO-VID: c27593d3-997c-4674-89cd-e4902443e1a7
                Copyright © © 2020 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 01 July 2020
                Date revision received : 01 October 2020
                Date accepted : 09 November 2020
                Page count
                Figures: 0, Tables: 0, Pages: 6, Words: 5251
                Categories
                Subject: Unsolicited Narrative Review
                Subject: Unsolicited Narrative Review
                Custom metadata
                source-schema-version-number 2.0
                cover-date February 2021
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.6 mode:remove_FC converted:27.01.2021

                ScienceOpen disciplines: Dentistry
                Keywords: health,health service needs and demands,policy,population
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: health, health service needs and demands, policy, population

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