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Modeling access, cost, and perceived quality: computer simulation benefits orthodontic clinic staffing decisions
J B Montgomery1, G G LaFrancois, M J Perry
1Resoure Management Division, Ireland Army Community Hospital, Fort Knox, KY 40121, USA.
Military Medicine
|March 10, 2000
Summary
Computer simulation optimizes orthodontic clinic staffing. A study recommended one orthodontist and three assistants to maximize patient access and perceived quality while minimizing costs.
Area of Science:
- Healthcare Management
- Operations Research
- Dental Practice Administration
Background:
- Limited financial resources necessitate efficient operational strategies in orthodontic clinics.
- Optimizing staffing levels is crucial for balancing service access, quality, and cost.
- Managerial decision-making requires data-driven insights for effective resource allocation.
Purpose of the Study:
- To determine the optimal staffing mix of orthodontists and dental assistants in an orthodontic clinic.
- To maximize patient access and perceived quality while minimizing operational expenditures.
- To evaluate the effectiveness of computer simulation as a decision support tool for clinic management.
Main Methods:
- Development of a computer simulation model for an orthodontic service.
- Comparison of six different provider and support staff combinations.
- Animated, computer-generated 'what-if' analysis to assess various staffing scenarios.
Main Results:
- The study identified an optimal staffing mix of one orthodontist and three dental assistants.
- Analysis considered clinic workload, size, cost per patient, and cost per quality point.
- Simulation provided data for informed managerial review and decision-making.
Conclusions:
- Computer simulation is a valuable decision support tool for orthodontic clinic management.
- The recommended staffing mix of 1:3 (orthodontist to assistant) offers the best balance of access, quality, and cost.
- Efficient staffing models are essential for financial sustainability and optimal patient care in dental practices.

