Isman R
J Public Health Dent. 1977 Summer;37(3):224-34. doi: 10.1111/j.1752-7325.1977.tb02902.x.
This paper has attempted to provide an overview on the subject of performance appraisal of dentists, particularly those in supervisory positions in publicly funded clinical programs. Some of the problems inherent to the definition and measurement of the quality, quantity, and effective management of dental care have been discussed. The qualitative aspects of dental care have been the most thoroughly investigated of the subareas, but primarily with regard to evaluating the care rather than the performance of the person providing it. Less has been written on the quantitative or managerial aspects of appraising a dentist's performance. While further research is certainly indicated about the appropriateness of the measures proposed and their usefulness in identifying and helping to correct performance deficiencies, the intent is to begin using such a system on a pilot basis rather than waiting for the "perfect" program to come along. As long as the scarcity of public resources for dental care persists, public programs ought to use those appropriate means available to demonstrate their accountability in order to ensure optimal use of public dollars.
本文试图对牙医绩效评估这一主题进行概述，特别是那些在公共资助临床项目中担任监督职位的牙医。文中讨论了牙科护理质量、数量及有效管理的定义和衡量所固有的一些问题。牙科护理的质量方面是各子领域中研究最为深入的，但主要是关于评估护理本身，而非提供护理人员的绩效。关于评估牙医绩效的数量或管理方面的著述较少。虽然对于所提议措施的适当性及其在识别和帮助纠正绩效缺陷方面的有用性肯定还需要进一步研究，但目的是开始在试点基础上使用这样一个系统，而不是等待“完美”方案的出现。只要用于牙科护理的公共资源稀缺状况持续存在，公共项目就应该采用那些适当的可用手段来证明其问责制，以确保公共资金的最佳使用。
