Evaluation of Dental Service Productivity of Dental Personnel in the Contracted Unit of Primary Care Krasang District, Buriram Province.
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Abstract
Objective: Productivity is the measurement of work capacity by comparing outcomes to the time or cost expended. It serves as a crucial indicator of workforce performance, essential for building various work systems, including oral health services. However, suitable methods for evaluating dental personnel’s performance across a wide range of dental procedures are still lacking. The aim of this study is to assess the productivity of dental services provided by dental personnel at the Contracted Unit of Primary Care (CUP) in Krasang District, Buriram Province. It compares productivity before and after the implementation of the oral health care system, which involved deploying dentists from hospitals to provide specialized dental treatments at Subdistrict Health Promoting Hospitals (SHPHs).
Materials and Methods: Data were collected retrospectively from July 2019 to June 2020 (pre-development) and from July 2021 to June 2022 (post-development). Productivity was calculated using the total number of dental services performed in each activity, weighted by the standard time, as referenced in the Pay for Performance (P4P) manual, and divided by the working hours of dental personnel. It compares productivity before and after the development of the service system, categorized by service groups: the Krasang hospital, the targeted SHPHs where dentists provided services, and other SHPHs.
Results: Productivity was categorized into specialized productivity and general/preventive productivity. The results showed an 11.63% increase in specialized productivity at Krasang hospital, whereas targeted SHPHs achieved specialized productivity of 0.23. Additionally, general/preventive productivity increased across all facility types: 34.48% at the Krasang hospital, 12.63% at targeted SHPHs, and 3.33% at other SHPHs.
Conclusion: Productivity assessment in dental services should distinguish between types of services to better reflect actual work practices and guide service improvement. The oral health service model implemented in Krasang District demonstrated the potential to enhance productivity and improve service delivery across the entire primary care network. This model may serve as a scalable approach for future development of oral health service systems.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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