Hankin R A
J Public Health Dent. 1977 Summer;37(3):217-23. doi: 10.1111/j.1752-7325.1977.tb02901.x.
This study is based on the Forsyth Dental School experiment, where it was shown that dental hygienists can be trained to perform restorative dental functions which are now the exclusive responsibility of dentists. The focus of the Forsyth study was to determine the length of training time required and to measure the qualitative and quantitative aspects of services carried out by the hygienists. As a follow-up to that study, this paper is concerned with the economic aspects of the personnel substitution suggested by the Forsyth project. The basic hypothesis of the study is that there would be a considerable gain from this change, and that this gain can be measured by estimating the costs of operation in the new setting anc comparing them to costs in the conventional setting. Combining estimated clinic costs and productivity data provides a measure of the per-surface supply price for an amalgam restoration. This estimate is 44 percent lower than usual fees and 29 percent lower than current welfare fees. The magnitude of this difference implies that the introduction of Forsyth clinics would lead to considerable economics in the elivery of these services.
本研究基于福赛思牙科学院的实验，该实验表明，牙科保健员可以接受培训，以执行目前仅由牙医负责的牙齿修复功能。福赛思研究的重点是确定所需的培训时间长度，并衡量保健员提供服务的质量和数量方面。作为该研究的后续行动，本文关注福赛思项目所建议的人员替代的经济方面。该研究的基本假设是，这种改变将带来可观的收益，并且这种收益可以通过估计新环境中的运营成本并将其与传统环境中的成本进行比较来衡量。结合估计的诊所成本和生产率数据，可以得出汞合金修复体每表面供应价格的衡量标准。这一估计比通常费用低44%，比当前福利费用低29%。这种差异的程度意味着引入福赛思诊所将在提供这些服务方面带来可观的经济效益。
