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Health Services Research (Quality Improvement
(Clinical Audit) (Aim of a…
Health Services Research
Work Place Hazards
Hazards in Dentistry
- Percutaneous exposure incident
- Exposure to infectious agents – disease, bioaerosols
- Musculo‐skeletal disorders
- Radiation
- Biomaterials/ Chemicals
- Eye injury and infections
- Noise/ Hearing
- Dermatitis
Management of Hazards :Hierarchy of Control
- Eliminate
- Remove it from the place of work entirely
- Isolate
- Adopt a procedure that separates the person(s) from the hazard
- Minimise
- Reduce the likelihood it will cause harm
- Monitor – have a plan to check action to manage hazard still in place every 6 months
Examples of Hazard Management
• Safety syringes
• Appropriate sharps disposal
• Hep B vax
• Personal Protective Equipment (PPE)
• Gloves, masks (face seal), eye protection
• Protective barriers for ionising and non‐ionising radiation
• Posture and work habits for MSD
• ‘mercury’ hygiene/protocol
• Hand washing
Responsibilities of employers & employees
- Employers
- Provide and maintain a safe working environment
- Provide appropriate information and training to staff and contractors
- Require accurate reporting, notification, investigation of hazards, incidents and injuries
- Employees
- Report all incidents and injuries or safety concerns
Funding & Delivery
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Structure of the OHC System:
- General: Out-of-Pocket Care for over 18s/ non-basic care for minors
- Children/Adolescents: COHS, Emergency, Special Needs Care
- Emergency Dental Services: ACC funding for injury-related oral trauma
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Workforce Planning
Planning Model
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Requirement
= (at base year) no. different types of services [public v. private], no. workers by occupational category
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Outputs
= projected no. health workers requires; and no service outputs by section, work, location, occupational category
Example: Thailand Dental Workforce Planning
- Projections for 2000-2030
- 1:7000 (using WHO model)
- In NZ we are at 1:2000
Impacts on Planning
- Population demographics
- CWF
- Childhood enrollment/ adolescent utilization
- Professional change: BOH dual grads, training time, CPD
- Organizational change: COHS, access for low income adults, public vs private
Dental workforce in NZ made up of dentists, dental therapists, hygienists, dental technicians and assistants