Faculty of Medicine and Health, The University of Sydney, Sydney 2006, Australia.
Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide 5005, Australia.
Int J Environ Res Public Health. 2021 Mar 12;18(6):2891. doi: 10.3390/ijerph18062891.
Over the last decade, there has been a renewed interest in oral health workforce planning. The purpose of this review is to examine oral health workforce planning models on supply, demand and needs, mainly in respect to their data sources, modelling technique and use of skill mix. A limited search was carried out on PubMed and Web of Science for published scientific articles on oral health workforce planning models between 2010 to 2020. No restrictions were placed on the type of modelling philosophy, and all studies including supply, demand or needs based models were included. Rapid review methods guided the review process. Twenty-three studies from 15 countries were included in the review. A majority were from high-income countries ( = 17). Dentists were the sole oral health workforce group modelled in 13 studies; only five studies included skill mix (allied dental personnel) considerations. The most common application of modelling was a workforce to population ratio or a needs-based demand weighted variant. Nearly all studies presented weaknesses in modelling process due to the limitations in data sources and/or non-availability of the necessary data to inform oral health workforce planning. Skill mix considerations in planning models were also limited to horizontal integration within oral health professionals. Planning for the future oral health workforce is heavily reliant on quality data being available for supply, demand and needs models. Integrated methodologies that expand skill mix considerations and account for uncertainty are essential for future planning exercises.
在过去的十年中，人们对口腔卫生劳动力规划重新产生了兴趣。本综述的目的是检查口腔卫生劳动力供应、需求和需求规划模型，主要涉及它们的数据来源、建模技术和技能组合的使用。在 PubMed 和 Web of Science 上对 2010 年至 2020 年期间发表的口腔卫生劳动力规划模型的科学文章进行了有限的搜索。未对建模理念的类型施加任何限制，所有包括供应、需求或需求为基础的模型的研究都包括在内。快速审查方法指导了审查过程。从 15 个国家/地区的 23 项研究被纳入审查。其中大多数来自高收入国家（=17）。在 13 项研究中，仅对牙医进行了建模；只有五项研究考虑了技能组合（联合牙科人员）。建模的最常见应用是劳动力与人口的比例或基于需求的需求加权变体。由于数据来源的限制和/或缺乏必要的数据来为口腔卫生劳动力规划提供信息，几乎所有研究都在建模过程中存在弱点。规划模型中的技能组合考虑也仅限于口腔卫生专业人员的横向整合。未来口腔卫生劳动力的规划在很大程度上依赖于供应、需求和需求模型的高质量数据。用于未来规划工作的综合方法，需要扩展技能组合考虑并考虑不确定性。
