Catalanotto Frank A
Dr. Catalanotto is Professor, Department of Community Dentistry and Behavioral Science, University of Florida College of Dentistry.
J Dent Educ. 2017 Sep;81(9):eS11-eS20. doi: 10.21815/JDE.017.028.
This article is based on the following assumptions about dental care in the United States: there is an access to oral health care problem; the number of individuals with dental insurance is increasing; the demographics of the dental profession does not mirror the overall demographics of the U.S. population; and emerging oral health workforce models may help improve access to care. Based on these assumptions, this article explores related licensure and regulatory factors that will influence the education and practice of dentists in the future. The issues discussed are licensure of emerging oral health practitioners, mobility of the dental health care workforce, corporate ownership of dental practices, ethical issues related to use of human subjects in dental licensure examinations, interprofessional education and practice, and health care reform. The licensure and regulatory bodies discussed are the Commission on Dental Accreditation (CODA), state legislatures and boards of dentistry, federal legislative activities, judicial activities, and the Federal Trade Commission. Recommendations based on this discussion are presented. This article was written as part of the project "Advancing Dental Education in the 21 Century."
存在口腔卫生保健可及性问题;拥有牙科保险的人数在增加;牙科行业的人口统计学特征与美国总体人口的人口统计学特征不符;新兴的口腔卫生人力模式可能有助于改善医疗服务的可及性。基于这些假设,本文探讨了未来将影响牙医教育与执业的相关许可和监管因素。所讨论的问题包括新兴口腔卫生从业者的许可、牙科保健人力的流动性、牙科诊所的企业所有权、牙科许可考试中与使用人体受试者相关的伦理问题、跨专业教育与执业以及医疗保健改革。所讨论的许可和监管机构包括牙科认证委员会(CODA)、州立法机构和牙科委员会、联邦立法活动、司法活动以及联邦贸易委员会。文中还给出了基于此次讨论的建议。本文是“推进21世纪牙科教育”项目的一部分。