Cargando…
Developments in oral health care in the Netherlands between 1995 and 2018
BACKGROUND: Over the past several decades, changes in legislation and regulations have been implemented in oral health care in the Netherlands. In 1995, for example, a major transformation in the funding of oral health care was implemented, after which most oral health care for adults was no longer...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7346473/ https://www.ncbi.nlm.nih.gov/pubmed/32641034 http://dx.doi.org/10.1186/s12903-020-01174-8 |
_version_ | 1783556415226380288 |
---|---|
author | den Boer, Joost C. L. van der Sanden, Wil J. M. Bruers, Josef J. M. |
author_facet | den Boer, Joost C. L. van der Sanden, Wil J. M. Bruers, Josef J. M. |
author_sort | den Boer, Joost C. L. |
collection | PubMed |
description | BACKGROUND: Over the past several decades, changes in legislation and regulations have been implemented in oral health care in the Netherlands. In 1995, for example, a major transformation in the funding of oral health care was implemented, after which most oral health care for adults was no longer covered by national insurance. In 1997, the Individual Healthcare Professions Act, in which the authorizations of care providers were described, was established. The Healthcare Quality, Complaints and Disputes Act, established in 2016, concerns the accountability of professional behavior. Regulations concerning employment have changed several times since 1995. These changes have affected the work and practice situation of oral health care providers. METHODS: Data from many publicly available sources were gathered and combined with internal reports mainly derived from the Data Stations project of the Royal Dutch Dental Association. This project was established in 1995 and, since its initiation, 6716 dentists have participated an average of 6.7 times. RESULTS: Between 1995 and 2018, nearly all professional groups in oral health care increased, particularly those of dental hygienists and prevention assistants. The number of dental practices decreased, but practices got larger in terms of dental units, number of patients, and personnel. The percentage of inhabitants visiting oral health care professionals remained unchanged, but the type of care provided moved towards more prevention. Oral health care providers exploited new opportunities to enhance and express their professional behavior. CONCLUSIONS: Oral health care in the Netherlands has evolved in recent years toward more collaboration in teams, and professions have established institutions to promote the quality and safety of care. Greater emphasis has been placed on prevention of dental diseases. These processes were influenced by new legislation and regulations, demographic changes within professional groups, and other social developments. |
format | Online Article Text |
id | pubmed-7346473 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73464732020-07-14 Developments in oral health care in the Netherlands between 1995 and 2018 den Boer, Joost C. L. van der Sanden, Wil J. M. Bruers, Josef J. M. BMC Oral Health Research Article BACKGROUND: Over the past several decades, changes in legislation and regulations have been implemented in oral health care in the Netherlands. In 1995, for example, a major transformation in the funding of oral health care was implemented, after which most oral health care for adults was no longer covered by national insurance. In 1997, the Individual Healthcare Professions Act, in which the authorizations of care providers were described, was established. The Healthcare Quality, Complaints and Disputes Act, established in 2016, concerns the accountability of professional behavior. Regulations concerning employment have changed several times since 1995. These changes have affected the work and practice situation of oral health care providers. METHODS: Data from many publicly available sources were gathered and combined with internal reports mainly derived from the Data Stations project of the Royal Dutch Dental Association. This project was established in 1995 and, since its initiation, 6716 dentists have participated an average of 6.7 times. RESULTS: Between 1995 and 2018, nearly all professional groups in oral health care increased, particularly those of dental hygienists and prevention assistants. The number of dental practices decreased, but practices got larger in terms of dental units, number of patients, and personnel. The percentage of inhabitants visiting oral health care professionals remained unchanged, but the type of care provided moved towards more prevention. Oral health care providers exploited new opportunities to enhance and express their professional behavior. CONCLUSIONS: Oral health care in the Netherlands has evolved in recent years toward more collaboration in teams, and professions have established institutions to promote the quality and safety of care. Greater emphasis has been placed on prevention of dental diseases. These processes were influenced by new legislation and regulations, demographic changes within professional groups, and other social developments. BioMed Central 2020-07-08 /pmc/articles/PMC7346473/ /pubmed/32641034 http://dx.doi.org/10.1186/s12903-020-01174-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article den Boer, Joost C. L. van der Sanden, Wil J. M. Bruers, Josef J. M. Developments in oral health care in the Netherlands between 1995 and 2018 |
title | Developments in oral health care in the Netherlands between 1995 and 2018 |
title_full | Developments in oral health care in the Netherlands between 1995 and 2018 |
title_fullStr | Developments in oral health care in the Netherlands between 1995 and 2018 |
title_full_unstemmed | Developments in oral health care in the Netherlands between 1995 and 2018 |
title_short | Developments in oral health care in the Netherlands between 1995 and 2018 |
title_sort | developments in oral health care in the netherlands between 1995 and 2018 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7346473/ https://www.ncbi.nlm.nih.gov/pubmed/32641034 http://dx.doi.org/10.1186/s12903-020-01174-8 |
work_keys_str_mv | AT denboerjoostcl developmentsinoralhealthcareinthenetherlandsbetween1995and2018 AT vandersandenwiljm developmentsinoralhealthcareinthenetherlandsbetween1995and2018 AT bruersjosefjm developmentsinoralhealthcareinthenetherlandsbetween1995and2018 |