title: Modeling access, cost, and perceived quality: computer simulation benefits orthodontic clinic staffing decisions.
abstract: Given limited financial resources, simulation permits a financial analysis of the optimum staffing levels for orthodontists and dental assistants in an orthodontic clinic. A computer simulation provides the information for managerial review. This study, by building a computer simulation of an orthodontic service, set out to determine the most efficient mix between providers and support staff to maximize access, maximize perceived quality, and minimize expenditures. Six combinations of providers and support staff were compared during an animated, computer-generated what-if analysis. Based on the clinic workload and size, on the cost per patient, and on the cost per quality point, the research team recommended a staffing mix of one orthodontist and three assistants. This study shows that computer simulation is an enormous asset as a decision support tool for management.
authors.affiliation: Resoure Management Division, Ireland Army Community Hospital, Fort Knox, KY 40121, USA.
authors.forename: J B
authors.initials: JB
authors.lastname: Montgomery
authors.forename: G G
authors.initials: GG
authors.lastname: LaFrancois
authors.forename: M J
authors.initials: MJ
authors.lastname: Perry
mesh_terms: D000553:Ambulatory Care / Q000523:psychology; D003198:Computer Simulation; D003363:Cost Control; D003661:Decision Support Techniques; D003726:Dental Assistants / Q000600:supply & distribution*; D017598:Efficiency, Organizational; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000191:economics* / Q000592:standards*; D006801:Humans; D007374:Interior Design and Furnishings; D008885:Military Dentistry; D017059:Models, Econometric; D009970:Orthodontics; D010348:Patient Care Team / Q000458:organization & administration; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010561:Personnel Staffing and Scheduling / Q000191:economics* / Q000592:standards*; D011787:Quality of Health Care; D015203:Reproducibility of Results; D014481:United States; D000078329:Workforce; D016526:Workload