title: The organization and delivery of craniofacial health services: the state of the art.
abstract: The dominant organizational structure providing care for cleft palate and other craniofacial conditions is the health care team. Various types of health care team organization are profiled, including intradisciplinary, multidisciplinary, and interdisciplinary teams. Effective team-based care delivery has the ability to address the fragmentation and dehumanization that can result when a variety of specialists and disciplines are required to provide assessment and technical care. A team's leadership and its hierarchy of professional authority can be expected to affect its ability to function effectively. Health reform and managed care are considered for their impact on the team and on the doctor-patient relationship. Trends in team regionalization, quality assurance, outcomes research, and consumer advocacy are reviewed. The cleft palate and craniofacial team is profiled as an organizational model that is being affected by the forces of health system change.
authors.affiliation: Department of Dental Ecology, University of North Carolina School of Dentistry, Chapel Hill 27599-7450, USA. Ron-Strauss@unc.edu
authors.forename: R P
authors.initials: RP
authors.lastname: Strauss
mesh_terms: D002971:Cleft Lip / Q000175:diagnosis / Q000628:therapy; D002972:Cleft Palate / Q000175:diagnosis / Q000628:therapy; D019465:Craniofacial Abnormalities / Q000175:diagnosis / Q000628:therapy*; D018166:Health Care Reform; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D008329:Managed Care Programs; D008511:Medicine; D017063:Outcome Assessment, Health Care; D010344:Patient Advocacy; D010348:Patient Care Team / Q000145:classification / Q000458:organization & administration* / Q000639:trends; D010817:Physician-Patient Relations; D011785:Quality Assurance, Health Care; D012041:Regional Medical Programs; D013038:Specialization