PMID: 24352309Dec 20, 2013Paper

Lead dentists in the public dental service in Finland during a major reform

Oral Health and Dental Management
Paula Alestalo, E Widström

Abstract

A major reform of dental care was conducted in Finland in 2001-2002. As a result, care from the Public Dental Service (PDS) was for first time made available to adults born before 1956 and the reimbursement of basic dental care in the private sector by the National Insurance Institution was extended to cover all adult age groups. To survey how the position and role of the lead dentists in the PDS and their leadership role had changed during the eight years since the reform was introduced. Data on leadership qualities and styles and proceedings of the implementation process of the reform were collected from the lead PDS dentists (n=161) in 2011 using an e-mailed questionnaire. Comparisons were made with a previous study performed in 2003. The response rates were the same, 73%, in both years. Factor analysis, chi-square and non parametric tests were used in analysis. The number of lead dentists had fallen by 39% as the sizes of the PDS units had increased. Only a third (30%) had applied for the leadership position and 17% were full-time lead dentists (usually in units having 40,000 or more inhabitants). Although most respondents (72%) felt that they were good goal-oriented managers, and almost all (94%) that they were good people...Continue Reading

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