Economics- Based Dental Practice Management
The Club Concept
The word “economics” is derived from the Greek word “Oikonomikos,” composed of two words: oikos, (home) and nomos (management). The word “economics,” then, implies management of the home—tending to needs both physical and psychological. Prof. Abou-Rass believes It is extraordinarily useful to approach practice management from the perspective of household economics. that is, build, manage, and operate the dental practice according to established managerial economic principles to optimally meet the physical and psychological needs of “patients” and the “people” of the practice.
Household Economics Concept
Paul Samuelson, the first American to receive the 1970 Nobel Prize in Economics, defined Economics as: "The study of how people and society end up choosing, with or without the use of money, to employ scarce productive resources that could have alternative uses to produce various commodities over time and distributing them for consumption, now or in the future, among various persons or groups in society. It analyses the costs and benefits of improving patterns of resource allocation." Whereas Macroeconomics is concerned with regional, national or international economics, microeconomics is concerned with "Household Economics," which are the smaller units such as Healthcare Economics. The definition of Household economics includes a land resource that holds a variety of efficient physical resources operated by a group of qualified professionals whose interests are interrelated to produce services or products needed by society in general or the relevant professionals. Therefore, to apply the Household Economics criteria to dentistry, an Economically operated and managed dental practice must have:
I- Real Estate Resources:
Proper real estate location and physical facilities.
II- Physical Resources:
Efficient facilities, dental units, equipment, and supplies
III- Human Resources:
Group of qualified general practitioners, dental specialists, dental hygienists, dental assistants, patient care coordinators, practice managers, back and front office staff whose goals are to produce oral health care services needed by the Public, Society, patients, and other healthcare professionals.
IV- Services or Products:
The Products are Oral health prevention and treatment services Performed by the human resources group.
Prof Abou-Rass has developed a Dental Household Economics Model (DHEM) model, which includes a core listing of positive and negative indicators. The listing items are guidelines to establish, organize, administer, operate, and evaluate the Health status of a dental practice. DHEM can also be used effectively with dental Laboratory, oral healthcare program, or teaching institutions.
Dental Household Economics curriculum
Real Estate Resources
"The three most important considerations in real estate are location, location, location." This statement continues to be real and fundamental to the establishment of successful dental practice.
The dental practice design should meet modernity, safety, and efficiency requirements to promote patient comfort and excellent quality care.
The human resources requirements in dentistry have changed significantly from one dentist's solo practice model's superficial needs and one to the more complex needs and demands of the dental group practice model. The Household Economics model requires that the human resources of modern dental practice include, on a full-time basis, four professional staff teams:
The medical team :
The back office team:
This team is the paramedical staff and should be composed of certified Dental Surgery Assistants (DSA) , assigned to the following duties:
The front offices' team
Should include a team of certified staff assigned to the following duties:
The co-ordination team should include:
There is evidence of continuing self-development courses and on the job in-service training programs.
Services & Products Resources
The medical, front, and back-office staff's collective performance will ultimately determine the economic and professional success or failure of the dental practice.