Runnells R R
Department of Pathology, University of Utah Medical School, Salt Lake City.
Dent Clin North Am. 1991 Apr;35(2):427-38.
Dentistry has become subject to rapid change in office safety, including infection control and hazards management. This change includes increasingly diverse governmental regulations and compliance with such regulations, influencing the very basics of dental practice. As all practitioners are moving toward compliance, costs are increasing substantially. Various sources estimate such increases at between 12.5% and 19%, and it is doubtful whether third-party reimbursement will offset these additional costs. As practitioners plan methods for offsetting the costs of office safety, consideration should be given to providing patients oral and printed information to preclude misinterpretation of the reasons for fee escalation caused by implementation of chemical hazards communication, infection control, and waste disposal programs mandated by OSHA, EPA, and state or other regulatory authorities. The decade of the 1990s may well become the period of meeting the formidable microbiological and regulatory challenges of the 1980s.
牙科诊所的安全状况，包括感染控制和危害管理，已发生迅速变化。这种变化包括越来越多样的政府法规以及对这些法规的遵守，这影响到了牙科诊疗的基本层面。随着所有从业者都在朝着合规方向发展，成本大幅增加。各种渠道估计此类成本增幅在12.5%至19%之间，而且第三方报销是否会抵消这些额外成本也值得怀疑。当从业者规划抵消诊所安全成本的方法时，应考虑向患者提供口头和书面信息，以避免患者误解因实施由职业安全与健康管理局（OSHA）、美国环境保护局（EPA）以及州或其他监管机构强制要求的化学危害通报、感染控制和废物处理计划而导致费用上涨的原因。20世纪90年代很可能会成为应对20世纪80年代严峻的微生物学和监管挑战的时期。
