Sultanate of Oman: building a dental workforce

Human Resources for Health

Nairn HF Wilson³  Sivakumar Manickam¹  Jennifer E Gallagher² 

[1] Oman Dental College, Muscat, 116, Sultanate of Oman;Division of Population and Patient Health, King’s College London Dental Institute at Guy’s, King’s College and St Thomas’s Hospitals, Denmark Hill Campus, Bessemer Road, London SE5 9RS, UK;King’s College London Dental Institute, Guy’s Campus, London SE1 9RT, UK

关键词: Workforce planning;    Dental therapist;    Dental hygienist;    Dentist;    Dental team;    Dental professionals;    Human resources for health;    Workforce;    Dental students;    Oman;   

Others  :  1219196
DOI  :  10.1186/s12960-015-0037-z

 received in 2015-02-09, accepted in 2015-05-24,  发布年份 2015

【 摘 要 】

Background

A medium- and long-term perspective is required in human resource development to ensure that future needs and demands for oral healthcare are met by the most appropriate health professionals. This paper presents a case study of the Sultanate of Oman, one of the Gulf States with a current population of 3.8 million, which has initiated dental training through the creation of a dental college.

Objectives

The objectives of this paper are first to describe trends in the dental workforce in Oman from 1990 to date and compare the dental workforce with its medical counterparts in Oman and with other countries, and second, to consider future dental workforce in the Sultanate.

Methods

Data were collected from published sources, including the Ministry of Health (MoH), Ministry of Manpower (MoM), and Ministry of National Economy (MoNE)-Sultanate of Oman; the World Health Organization (WHO); World Bank; and the Central Intelligence Agency (CIA). Dentist-to-population ratios were compared nationally, regionally and globally for medicine and dentistry. Dental graduate outputs were mapped onto the local supply. Future trends were examined using population growth predictions, exploring the expected impact in relation to global, regional and European workforce densities.

Results

Population growth in Oman is increasing at a rate of over 2% per year. Oman has historically been dependent upon an expatriate dental workforce with only 24% of the dentist workforce Omani in 2010 (n = 160). Subsequent to Oman Dental College (ODC) starting to qualify dental (BDS) graduates in 2012, there is an increase in the annual growth of the dentist workforce. On the assumption that all future dental graduates from ODC have an opportunity to practise in Oman, ODC graduates will boost the annual Omani dentist growth rate starting at 28% per annum from 2012 onwards, building capacity towards global (n = 1711) and regional levels (Gulf State: n = 2167) in the medium term.

Conclusion

The output of dental graduates from Oman Dental College is improving the dentist-to-population ratio and helping the Sultanate to realize its aim of developing an Omani-majority dental workforce. The implications for retention of dentists and team training are discussed.

【 授权许可】

   
2015 Gallagher et al.

【 图 表 】

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【 参考文献 】

• [1]WHO global atlas of the health workforce. WHO, Geneva; 2012.
• [2]Alliance GHW. Strategy 2013–16: advancing health workforce agenda within universal health coverage. WHO, Geneva; 2012.
• [3]Gallagher JE. Dentists. In: International encyclopaedia of public health. Heggenhougen K, Quah S, editors. Academic press, San Diego; 2008: p.126-136.
• [4]Gallagher JE. Dentists. In: International encyclopaedia of public health. Heggenhougen K, Quah S, editors. Academic press, San Diego; 2008: p.120-136.
• [5]Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C et al.. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2197-2223.
• [6]Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M et al.. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2163-2196.
• [7]Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A et al.. Global burden of oral conditions in 1990–2010: a systematic analysis. J. Dent. Res. 2013; 92(7):592-597.
• [8]Yamalik N, Ensaldo-Carrasco E, Cavalle E, Kell K. Oral health workforce planning part 2: figures, determinants and trends in a sample of World Dental Federation member countries. Int. Dent. J. 2014; 64(3):117-126.
• [9]Yamalik N, Ensaldo-Carrasco E, Bourgeois D. Oral health workforce planning part 1: data available in a sample of FDI member countries. Int. Dent. J. 2013; 63(6):298-305.
• [10]Gallagher JE, Wilson NHF. The future dental workforce? Br. Dent. J. 2009; 206(4):195-199.
• [11]Population changes over two decades. The Times of Oman, Oman; 2014.
• [12]Cowpe J, Plasschaert A, Harzer W, Vinkka-Puhakka H, Walmsley AD. Profile and competences for the graduating European dentist – update 2009. Eur. J. Dent. Educ. 2010; 14(4):193-202.
• [13]CIA. CIA world fact book, 2010. 2013. [https://www.cia.gov/library/publications/the-world-factbook/fields/2010.html] Accessed 20/08/2013.
• [14]Health facts 2012. MoH, Muscat; 2013.
• [15]Sultanate of Oman Ministry of Health. Communicable disease control in the Sultanate of Oman [http://www.moh.gov.om/en/nv_menu.php?o=reports/comm.htm] Accessed 02.09.2014.
• [16]Williams DM. Reducing inequalities in oral disease. Br. Dent. J. 2011; 210(9):393.
• [17]United Nations. Political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases. New York: United National General Assembly; Resolution A/RES/66/2; 2011. [http://www.un.org/en/ga/search/view_doc.asp?symbol=%20A/RES/66/2] Accessed 06.06.2015.
• [18]Al-Bulushi S. Oral health and workforce issues – reflections from Oman 20/8/2013. Report published by World Federation of Public Health Associations; 2013. [http://www.wfpha.org/tl_files/doc/about/OHWG/Al_Bulushi.ppt] Accessed 20.08.2013.
• [19]Oral Health Country Area Profile Project - Oman [http://www.mah.se/CAPP/Country-Oral-Health-Profiles/EMRO/Oman/Oral-Diseases/Dental-Caries/] Accessed 28.05.2013.
• [20]Oral Health Country Area Profile Project [http://www.mah.se/CAPP/Country-Oral-Health-Profiles/] Accessed 28.05.2013.
• [21]Al-lsmaily M, Ai-Khussaiby A, Chestnutt IG, Stephen KW, Ai-Riyami A, Abbas M et al.. The oral health status of Omani 12-year-olds–a national survey. Community Dent. Oral Epidemiol. 1996; 24(5):362-363.
• [22]Al-Ismaily M, Al-Busaidy K, Al-Khussaiby A. The progression of dental disease in Omani schoolchildren. Int. Dent. J. 2004; 54(S6):409-410.
• [23]Ministry of Health Sultanate of Oman. Manual on guidelines for preventive school oral health programme; 2005 [http://www.moh.gov.om/en/nv_menu.php?o=reports/comm.htm] Accessed 28.05.2013.
• [24]Health profession education in Oman: health vision 2050. MoH, Muscat; 2014.
• [25]Al RA. Health vision 2050 Oman: a committed step towards reforms. Oman Med J. 2012; 3:190-191.
• [26]Ministry of Health. Health facts: Oman 2011. Muscat: MoH; 2012.
• [27]Oman Dental College [http://omandentalcollege.org/] Accessed 06.06.2015.
• [28]Hancocks S. Someone needs to get a grip (Editorial). Br. Dent. J. 2007; 202(3):111.
• [29]Roberfroid D, Leonard C, Stordeur S. Physician supply forecast: better than peering in a crystal ball? Hum. Resour. Health. 2009; 7(1):10. BioMed Central Full Text
• [30]Models and tools for health workforce planning and projections. World Health Organization, Geneva; 2010.
• [31]World Dental Federation FDI. Health through oral health. Guidelines for planning and monitoring for oral health: Joint WHO/FDI working group 362. Quintessence, Chicago; 1989.
• [32]Addo ME, Batchelor P, Sheiham A. Options for types of dental health personnel to train for Ghana. Ghana Med J. 2006; 40(4):118-126.
• [33]World health statistics. WHO, Geneva; 2013.
• [34]Wakaba M, Mbindyo P, Ochieng J, Kiriinya R, Todd J, Waudo A et al.. The public sector nursing workforce in Kenya: a county-level analysis. Hum. Resour. Health. 2014; 12(1):6. BioMed Central Full Text
• [35]NHS Scotland. An update on the analysis and modelling of the dental workforce in Scotland. Edinburgh: NHS Scotland; 2006.
• [36]Robinson PB, Patrick A, Newton JT. Modelling the dental workforce supply in England. University of Sheffield, Sheffield; 2012.
• [37]Crettenden I, McCarty M, Fenech B, Heywood T, Taitz M, Tudman S. How evidence-based workforce planning in Australia is informing policy development in the retention and distribution of the health workforce. Hum. Resour. Health. 2014; 12(1):7. BioMed Central Full Text
• [38]Gallagher JE, Kleinman ER, Harper P. Modelling workforce skill-mix. British Dental Journal 2010, 208(E6). In: [http://www.nature.com/bdj/journal/v208/n3/full/sj.bdj.2010.106.html] Accessed 06.06.2015.
• [39]Kleinman E, Harper PR, Gallagher JE. Trends in NHS primary dental care for older people in England: implications for the future. Gerodontology. 2009; 26(3):193-201.
• [40]Harper PR, Kleinman ER, Gallagher JE VAK VAK. Cost-effective workforce planning: optimising the dental team skill-mix for England. J. Enterp. Inf. Manag. 2013; 26:91-108.
• [41]Yett D, Drabek L, Intriligator M, Kimbell L. Health manpower planning: an econometric approach. Health Serv. Res. 1972; 7:134-147.
• [42]Castillo-Laborde C. Human resources for health and burden of disease: an econometric approach. Hum. Resour. Health. 2011; 9(1):4. BioMed Central Full Text
• [43]Gallagher JE, Lim Z, Harper PR. Workforce skill mix: modelling the potential for dental therapists in state-funded primary dental care. Int. Dent. J. 2013; 63(2):57-64.
• [44]Song F, Rathwell T. Stochastic simulation and sensitivity analysis: estimating future demand for health resources in China. World Health Stat. Q. 1994; 47:149-156.
• [45]Establishing and monitoring benchmarks for human resources for health: the workforce density approach. Spotlight Statistics. 2008; 6:1-2.
• [46]World health statistics. WHO, Geneva; 2014.
• [47]United Nations. World population prospects: the 2010 revision. 2011 [http://www.un.org/en/development/desa/publications/world-population-prospects-the-2010-revision.html] Accessed 20.08.2013.
• [48]Ottawa Charter. Organization WH. World Health Organization, Ottawa; 1986.
• [49]Wanyonyi KL, Radford DR, Gallagher JE. Dental skill mix: a cross-sectional analysis of delegation practices between dental and dental hygiene-therapy students involved in team training in the South of England. Hum. Resour. Health. 2014; 12:65. BioMed Central Full Text
• [50]Carter E, Parker M, Gallagher JE. The impact of fluoride application training: survey of trained dental nurses from King’s College Hospital NHS Trust. British Dental Journal 2012, 212(10). [http://www.nature.com/bdj/journal/v212/n10/full/sj.bdj.2012.417.html] Accessed 06.06.2015.
• [51]Buchan J, Wismar M, Glinos IA, Bremner J. Health professional mobility in a changing Europe: new dynamics, mobile individuals and diverse responses. WHO on behalf of European Observatory on Health Systems and Policies; Series 32. 2014.1-387.
• [52]Kabir M, Rahman MS. Population projection of Oman: implications for future development. Educ Bus Soc Contemp Middle E Issues. 2012; 5(3):163-170.
• [53]Rashid H, Manoharan A, Abufanas S, Gallagher JE. Motivation for a career in dentistry: the views of dental students in the United Arab Emirates. Int. Dent. J. 2013; 63(5):259-265.
• [54]Rashid HH, Ghotane SG, Abufanas SH, Gallagher JE. Short and long-term career plans of final year dental students in the United Arab Emirates. BMC Oral Health. 2013;13.
• [55]May AD. Mid-level dental providers: a national dilemma. Texas Dent J. 2008; 125(3):218-219.
• [56]Wright JT. Do midlevel providers improve the population’s oral health? J. Am. Dent. Assoc. 2013; 144(1):92-94.
• [57]Mid level providers: a promising resource to reach the millenium development goals. WHO, Geneva; 2010.
• [58]Gallagher JE. Planning for the future? Indent: King’s Coll London Dental Institute Alumni Newslett. 2009; 8:10.
• [59]Garrett M. Health futures handbook. World Health Organization, Geneva; 1999.
• [60]Gallagher JE, Patel R, Donaldson N, Wilson NHF. Why dentistry: a quantitative study of final year dental students’ views on their professional career? BMC Oral Health. 2007;7:7. [http://www.biomedcentral.com/1472-6831/7/7] Accessed 25.01.2014.
• [61]Gallagher JE, Clarke W, Wilson NHF. The emerging dental workforce: short-term expectations of, and influences on dental students graduating from a London Dental School in 2005. Primary Dental Care. 2008; 15(3):91-101.
• [62]Gallagher JE, Patel R, Wilson NHF. The emerging dental workforce: long-term career expectations and influences. A quantitative study of final year dental students’ views on their long-term career from one London Dental School. BMC Oral Health. 2009; 9(35):1-9.
• [63]The registration of dental care professionals. Council Papers. General Dental Council, London; 2005.
• [64]GDC regulation statistical report: annual reports and accounts. General Dental Council, London; 2013.
• [65]Scope of practice. General Dental Council, London; 2013.
• [66]Ministry of Health Sultanate of Oman. Human resource development review. Muscat: Ministry of Health; 2013;11.