Goodman H S, Weyant R J
University of Michigan, Program in Dental Public Health, Ann Arbor.
J Public Health Dent. 1990 Winter;50(1):48-63. doi: 10.1111/j.1752-7325.1990.tb03558.x.
Dental personnel planning is important in formulating policy in dental education, dental public health programs, and dental care delivery systems. The purpose of this literature review is to illustrate the use of dentist-to-population ratios, need-based models, and demand-based models in the determination of appropriate supply of dental personnel. A historical perspective is provided that demonstrates how political manipulation and subjectivity have characterized the use of these models by organized dentistry, the federal government, and others. The lack of pertinent data and the inability to predict economic, social, political, and epidemiologic trends weaken the applicability of each model in determining future personnel levels. Considering the long-term consequences of the use of each model in personnel planning, caution is urged in using any of the presently available models.
牙科人员规划对于制定牙科教育、牙科公共卫生项目及牙科护理服务体系的政策而言至关重要。本综述的目的在于阐述牙医与人口比例、基于需求的模型以及基于需求的模型在确定牙科人员合理供给方面的应用。文中提供了一个历史视角，展示了有组织的牙科行业、联邦政府及其他各方在使用这些模型时是如何体现出政治操纵和主观性的。相关数据的匮乏以及预测经济、社会、政治和流行病学趋势的能力不足，削弱了每种模型在确定未来人员水平方面的适用性。鉴于在人员规划中使用每种模型的长期后果，在使用任何现有的模型时都需谨慎。
