Jones Judith A, Snyder John J, Gesko David S, Helgeson Michael J
Dr. Jones is Professor and Associate Dean for Academic Administration, University of Detroit Mercy School of Dentistry; Dr. Snyder is Dental Director and CEO, Permanente Dental Associates in Oregon; Dr. Gesko is Dental Director and Senior Vice President, HealthPartners in Minnesota; and Dr. Helgeson is CEO, Apple Tree Dental in Minnesota.
J Dent Educ. 2017 Sep;81(9):eS21-eS29. doi: 10.21815/JDE.017.029.
Models and systems of the dental care delivery system are changing. Solo practice is no longer the only alternative for graduating dentists. Over half of recent graduates are employees, and more than ever before, dentists are practicing in groups. This trend is expected to increase over the next 25 years. This article examines various models of dental care delivery, explains why it is important to practice in integrated medical-dental teams, and defines person-centered care, contrasting it with patient-centered care. Systems of care in which teams are currently practicing integrated oral health care delivery are described, along with speculation on the future of person-centered care and the team approach. Critical steps in the education of dental and other health care professionals and the development of clinical models of care in moving forward are considered. This article was written as part of the project "Advancing Dental Education in the 21 Century."
牙科护理服务体系的模式和系统正在发生变化。个体执业已不再是刚毕业牙医的唯一选择。近期超过半数的毕业生是雇员，而且牙医们以团队形式执业的情况比以往任何时候都更多。预计这一趋势在未来25年还会加剧。本文探讨了各种牙科护理服务模式，解释了在医疗-牙科综合团队中执业为何重要，并定义了以人为主的护理，将其与以患者为主的护理进行对比。文中描述了目前团队正在实施综合口腔健康护理服务的护理体系，同时对以人为主的护理和团队模式的未来进行了推测。还考虑了牙科及其他医疗保健专业人员教育中的关键步骤以及推进过程中护理临床模式的发展。本文是“21世纪推进牙科教育”项目的一部分。
