Search results
1 – 10 of over 2000David O. Danesh and Thomas P. Huber
The purpose of the paper is to describe the current state of leadership and leader–member exchange (LMX) theory in dentistry and develop a novel conceptual model of LMX to guide…
Abstract
Purpose
The purpose of the paper is to describe the current state of leadership and leader–member exchange (LMX) theory in dentistry and develop a novel conceptual model of LMX to guide future research and highlight the importance of enhancing leadership training for new dentists.
Design/methodology/approach
A literature review exploring leadership in dentistry and LMX in dentistry was completed. The findings were analyzed with framework analysis to develop a novel conceptual model of LMX specific to dentistry.
Findings
LMX theory was applied to leadership in dentistry, including a focus on new dentists, senior dentists, other dental team members and the patient. A new conceptual model of the New Dentist LMX Quartet, which is unique and specific to new dentist teams, was developed.
Research limitations/implications
The study identifies the need for research in LMX in dentistry, contributes a new conceptual model for LMX theory and identifies future research.
Practical implications
Practitioners, policymakers and educators can utilize this information to explore concepts in leadership and improve training and dental practice.
Originality/value
No other studies specifically exploring LMX in dentistry for new dentists exist. The current literature review and conceptual paper begins the conversation on developing understanding of leadership in dentistry through further research.
Details
Keywords
The purpose of this paper is to examine how limited care patients and comprehensive care patients differ in terms of consumers' behavior in the dentist selection process, in order…
Abstract
Purpose
The purpose of this paper is to examine how limited care patients and comprehensive care patients differ in terms of consumers' behavior in the dentist selection process, in order to help healthcare providers and marketers better promote their practice depending on their patient type.
Design/methodology/approach
A survey of 1,150 dental school faculty private practice patients who recently chose their dentist was conducted and 221 responded. The respondents were divided to comprehensive care patients (n=120) and limited care patients (n=90) by self‐perceived need.
Findings
The comprehensive care patients were younger and more likely to be highly educated, have a healthcare related profession, and have private dental insurance (p<0.001). The comprehensive care patients were more likely to use information sources such as clinic website, the internet, and the insurance directory (p<0.05), while the limited care patients were more likely to use other dentists. Comprehensive care patients put more value on attributes such as, the dentist is in my insurance network and convenient physical location (p<0.05). In conclusion, comprehensive care patients and limited care patients differed significantly in characteristics and how and why they chose their dentist.
Originality/value
Healthcare marketers can use this study's findings to better promote their practice by selecting appropriate communication channels and focus on attributes that consumers value the most. It is important to apply different strategies to different consumer groups.
Details
Keywords
Bingjing Mao and Cong Li
Narrative comments about dentists on physician review sites have been documented to increasingly influence people's selection of their dentists. From a communication standpoint…
Abstract
Purpose
Narrative comments about dentists on physician review sites have been documented to increasingly influence people's selection of their dentists. From a communication standpoint, these comments are a type of narrative communication that people share their experiences with dentists by telling stories. Based on the frameworks of rhetoric structure theory and extended elaborated likelihood model, this study aimed to examine the effects of such storytelling from two perspectives including narrative structure and narrative focus.
Design/methodology/approach
A 4 (narrative structure) × 2 (narrative focus) between-subjects experiment was conducted to examine the proposed hypotheses and research questions
Findings
The results showed that a one-sided comprehensive comment focusing on technical competence generated the strongest persuasion effects measured by attitude and behavioral intention. These effects were mediated by perceived narrative credibility and enjoyment.
Originality/value
This study contributes to the extant literature in two ways. First, it extends previous studies of online narrative comments by showing which narrative structure and focus are deemed to be more persuasive when selecting a dentist. Second, it offers a test of two routes of information processing (i.e. cognitive and experiential) to understand the mechanism underlying the effects of narrative comments.
Peer review
The peer-review history for this article is available at: https://publons.com/publon/10.1108/OIR-08-2020-0359
Details
Keywords
Rachela Levy, Bruce Rosen, Michael Wiener and Jonathan Mann
The behaviour of health care professionals is known to be influenced, in part, by their method of remuneration and the financial incentives they face. Describes how the Medical…
Abstract
The behaviour of health care professionals is known to be influenced, in part, by their method of remuneration and the financial incentives they face. Describes how the Medical Corps of the Israel Defence Forces (IDF) went about choosing a reimbursement method to increase incentives for dentists and decrease waiting time for the public. Based on a questionnaire sent to all 23 dentists working in a unique IDF civilian dental clinic, and on other information which was available on the productivity and income of these dentists, a new method of remuneration was suggested and accepted, by which a combined method of fee‐for‐service and salary will be introduced. The base hourly pay and per crown fee were set on levels which provide for a larger compensation range and increase the incentive for improved productivity levels. This suggested method will be investigated further and re‐evaluated one year after its implementation.
Details
Keywords
Rachela Levy, Michael Wiener, Bruce Rosen and Benjamin Gabbay
Documents how the Dental Service of the Israel Defence Forces (IDF)successfully implemented private sector approaches to reimbursement andstaffing in a special project designed to…
Abstract
Documents how the Dental Service of the Israel Defence Forces (IDF) successfully implemented private sector approaches to reimbursement and staffing in a special project designed to improve prosthodontic care for career military personnel. The innovative public‐private synthesis enabled the IDF to relieve bottlenecks and increase productivity while securing high levels of employee and patient satisfaction. The success of the innovation can be attributed, in part, to specific measures taken to adapt private sector practices to the culture and norms of the public sector and to integrate the new program into the broader organizational framework of the IDF Medical Corps. The recruitment of managers appropriate to the various stages of the organizational change cycle also played an important role in the project′s success. The study is based on in‐depth interviews of senior managers within the IDF medical corps, interviews of the managers directly involved in implementing the change, IDF budget reports and productivity analyses, and a survey of front‐line dentists. The analysis will be of interest to managers of public health care systems from around the world, who are looking to the private sector for innovative ideas on how to improve the efficiency of public programmes.
Details
Keywords
Diego Machado Ardenghi, Wolff‐Michael Roth and Lilian Pozzer‐Ardenghi
The purpose of this paper is to investigate the transitions practitioners undergo as they move from dental school to their first job in a dental clinic and their learning in the…
Abstract
Purpose
The purpose of this paper is to investigate the transitions practitioners undergo as they move from dental school to their first job in a dental clinic and their learning in the workplace. The paper aims to investigate their use of ethical principles as they engage in practice, providing a theoretical explanation for the gap practitioners experience when moving from the school to the workplace, and also suggesting some viable alternatives for dental education.
Design/methodology/approach
The database for this study consists of videotaped interviews with dentists. To analyze our data we followed the principles of interaction analysis, analyzing the data both individually and collectively, until some hypotheses were generated. Then, discourse analysis was used to analyze the interviews.
Findings
From an activity theoretical perspective, the results show that dentists can and do learn ethical principles when working in their dental clinics, interacting with patients, and the findings and suggestions are of especial interest for curriculum planning and development in educational institutions.
Practical implications
This study suggests that theoretical discussions about ethics are not enough to provide practitioners with the skills necessary to work ethically when interacting with patients. From the findings a complementary approach to teach ethics in dental schools is suggested.
Originality/value
Workplace learning has become a preferred topic within many disciplines, such as, for example, sociology, education, and anthropology. However, although there is an established field of medical sociology, little if any attention on workplace learning has been paid to the health sciences in general and dentistry in particular.
Details
Keywords
Marie Schacher, Youssef Haïkel, Stéphane Berger, Laurence Schacher and Dominique C. Adolphe
For years, the main reason for using textiles in the health care sector was to protect the patient from the medical staff. Nowadays, the garment has to play another role and…
Abstract
Purpose
For years, the main reason for using textiles in the health care sector was to protect the patient from the medical staff. Nowadays, the garment has to play another role and protect the wearer. For dentists, risks can come from saliva which is considered potentially infectious because it frequently contains blood. This paper aims to define dentist gown specifications according to the new situation, and to propose new garments providing safety protective function as well as comfort.
Design/methodology/approach
Enquiries, direct interviews as well as internet forums have been used to extract dentists' requirements taking into account their need of barrier and their comfort concerns. Studies of the spraying area on the gowns have been performed to define the location of the required protection. A study of the warmer zone of the garment via IR camera has been done. Two prototypes have then been constructed and tested.
Findings
Images of impacts of drops that could cause cross‐infection allow defining the zones which are to be specifically protected. Thermographic images provide maps of hot zones of the garment when worn in working conditions, and information is obtained of desired open space zones which have been designed to create preferential ventilation required for comfort improvement. A second prototype was designed to improve results of the first one.
Practical implications
Replacement of current dentists garment in routine situation.
Originality/value
Dentists' gowns used in dental care have not been studied and not been redesigned yet, whereas new dentists are facing new risks and eagerly looking for personal protective equipment providing safety protective function as well as comfort.
Details
Keywords
Dentists may be seen as the most prominent figures within dentistry. Yet, a number of dental care professionals make significant contributions to the profession. The dental health…
Abstract
Purpose
Dentists may be seen as the most prominent figures within dentistry. Yet, a number of dental care professionals make significant contributions to the profession. The dental health educator (DHE) is one prime example. This teammate is typically a dental nurse who has achieved a post-registration qualification in oral health education (OHE). Through interactions with patients, members of the community and other pertinent stakeholders, the DHE empowers people through promoting the importance of good oral health. The purpose of this paper is to cast light on the unique and invaluable roles that DHEs can play within their organisations.
Design/methodology/approach
This paper aims to share some examples of dentist-DHE collaborations, where OHE initiatives were implemented within an ethnically diverse London Borough in England.
Findings
It was found that such interprofessional, skill-mix efforts were more productive, when the dentist and DHE worked together, rather than the latter working independently.
Originality/value
There exists great potential for DHEs to act as ambassadors for their dental establishments, network and collaborate with other organisations and build worthwhile relations with other healthcare professionals and stakeholders.
Details
Keywords
- Community health workers
- Dental auxiliaries
- Health promotion
- Public health dentistry
- Sociological factors
- Population characteristics
- Culturally competent care
- Interprofessional collaboration
- Dental health educator
- Dentist
- Skill-mix
- Outreach work
- Diverse communities
- Vulnerable and disadvantaged groups
- Inequalities
Alessandra Mazzei, Vincenzo Russo and Alberto Crescentini
The purpose of this paper is to ascertain the most relevant quality factors and communication activities that are suitable as competitive levers in dentistry.
Abstract
Purpose
The purpose of this paper is to ascertain the most relevant quality factors and communication activities that are suitable as competitive levers in dentistry.
Design/methodology/approach
The research is based on a model that highlights the reciprocal influence between patient satisfaction and dentist reputation. The model points out that experience/behaviours, explicit communication and word‐of‐mouth are antecedents of both patient satisfaction and dentist reputation. This research is based on interviews with senior dentists, focus groups with patients and a survey of dentistry patients.
Findings
The most important quality factors for patient satisfaction are the doctor‐patient relationship and the clarity of information about treatment and cost. Key communication levers are first, the implicit communication that arises from successful treatment and overall service quality; second, the explicit communication that arises from interpersonal relations with the dentist and the staff, and the referrals of previous patients.
Practical implications
In order to gain competitive advantages, dentists should achieve an average level of patient satisfaction for “given” and “secondary” factors; to pay careful attention to “strategic factors”; and to explicitly communicate “opportunity factors” since patients are usually unaware of their value. Furthermore, dentists should emphasize interpersonal, experiential and third‐party communication with patients.
Originality/value
The paper puts forward a model that integrates previous service quality and reputation management models, and makes suggestions for the improvement of service quality management and communication in dentistry.
Details
Keywords
This article aims to introduce a two‐dimensional instrument for the measurement of the social capital of professions. On a general level, the social capital of a profession is…
Abstract
Purpose
This article aims to introduce a two‐dimensional instrument for the measurement of the social capital of professions. On a general level, the social capital of a profession is defined as a source of power that allows a profession to further its goals and maintain its professional identity.
Design/methodology/approach
The measure is developed and tested by using data collected among Finnish dentists (N=1,302) in April 2012. The methods employed include confirmatory factor analysis (CFA), mean comparisons (ANOVA and t‐test) and OLS regression. Data analysis is guided by theories of social capital, especially the Putnamian tradition, and the literature on modern professions.
Findings
The first dimension of social capital is social cohesion, which consists of solidarity, trust, identification and commitment to professional ethical principles. The second dimension of social capital is network density, which includes both formal and informal professional networks. Social cohesion and network density are positively correlated. By conceptualizing social capital as an individual‐level attribute, this research shows that the employment of dentists across the public and private sectors increases the social capital of the profession.
Originality/value
Until now no tools have been available for the measurement of the social capital of professions. The article also sheds new light on the nature of modern professions, their associations and sources of power in contemporary societies.
Details