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Health care technology can be defined as all drugs, devices and procedures used in health care and the organizational systems Organizational Systems (OS) is a Ph.D. course of study at Saybrook Graduate School and Research Center in San Francisco, CA. OS "is built around the latest knowledge from both organizational behavior and systems science.  that support them. The appropriate selection and adoption of new technology offers dental hygiene dental hygiene
n.
The practice of keeping the mouth, teeth, and gums clean and healthy to prevent disease. Also called oral hygiene.
 clinicians the opportunity to increase client comfort and improve oral health outcomes while simultaneously raising office productivity. Effective implementation will ensure that clinical and business objectives are mutually achievable.

PRACTICE IMPLICATIONS

One of the current challenges in dental offices is pressure caused by the pace of technological change. The ancient saying, "May you live in interesting times This article or section may contain original research or unverified claims.

Please help Wikipedia by adding references. See the for details.
This article has been tagged since September 2007.
" appears to have taken effect. It is not surprising that many practitioners have difficulty deciding which products and procedures will work best for their clients. Therefore, a review and analysis of research literature is essential in order to choose and integrate effective new therapies and techniques.

Having a strategic plan for implementing new technology is recommended. The planning process should include preparation of a:

* statement of expectations

* prioritized list of requirements

* prospective technology inventory

* review of the "usability" of these products (compared to alternatives)

* list of associated costs and training (including maintenance)

* timeline for acquisition

TECHNOLOGY ITSELF IS NOT INNATELY GOOD OR BAD

Birch and Ismail (1) review the concept of utility as a measure for the individual's well being and preferences regarding different technologies. Their article cautions clinicians to consider what the client will accept in order to achieve desired health outcomes, and that clients with the same clinical conditions may prefer different treatment modalities.

The technology utilized in oral health care delivery can be broadly categorized as:

* Diagnostic Systems: including oral cancer screening tools, digital radiography digital radiography Imaging A format for producing x-rays in which film used to produce conventional x-ray images is replaced with more sensitive sensitive electronics; DXRs produce images with12  or voice activated periodontal periodontal /peri·odon·tal/ (per?e-o-don´t'l)
1. pertaining to the periodontal ligament or periodontium.

2. near or around a tooth.


per·i·o·don·tal
adj.
1.
 probing devices, and intra oral cameras.

* Therapeutic Systems: including subgingival local anesthetic local anesthetic
n.
An agent that, when applied directly to mucous membranes or when injected about the nerves, produces loss of sensation by inhibiting nerve excitation or conduction.
 gel, lasers and photosensitive A material that changes when exposed to light. See photoelectric.  subgingival antimicrobial gel systems, and ultrasonic tips with fiber optic and LED lights.

* Information Processing Systems: including software for appointment scheduling, charting of oral health status, and treatment planning.

In addition, there are specific types of technology aimed at combating the physical stressors of dental hygiene practice. For example, surgical dental loupes and ergonomic seating systems reduce the strain of performing procedures where visibility is limited and where natural or neutral body posture is often compromised.

The overall goals of technology innovation should be to improve upon quality of care and client safety, consistency of outcomes, and efficiency and cost effectiveness. (2)

When is the best time to adopt emerging technologies?

The answer to this question will often depend upon the personality of employees, and work culture of the practice. Roger's model for the adoption and diffusion of innovations The study of the diffusion of innovation is the study of how, why, and at what rate new ideas and technology spread through cultures.

This research topic began in the 1950s at the University of Chicago with funding from television producers who sought a way to measure the
 classifies adopters of technology into categories based on their openness to change. (3)

* Innovators are risk takers and are ready to quickly adopt new technology.

* Early adopters are leaders but are more careful in researching and less likely to take risks.

* Early majority are thoughtful, more conservative but do not want to be left behind.

* Late majority are skeptics and will use new ideas or products only when the majority have adopted them.

* Laggards are traditionalists who want no risk whatsoever and are critical towards new ideas; their attitude is "if it isn't broken, don't fix it."

In practical terms it is more effective to start by convincing the innovators and early adopters of the value of new procedures and products.

Some useful sources clinicians may wish to consult for information on technology innovations are:

* DHnet -- The National Center for Dental Hygiene Research at: http://www.usc.edu/hsc/dental/dhnet/

* The Canadian Agency for Drugs and Technologies in Health The Canadian Agency for Drugs and Technologies in Health (CADTH) is a national body that "provides Canada’s federal, provincial and territorial health care decision makers with credible, impartial advice and evidence-based information about the effectiveness and efficiency of  site offers a wide range of health technology assessment (HTA HTA Health Technology Assessment
HTA Hipertension Arterial (Spanish: Hypertension)
HTA HTML Application
HTA Help the Aged
HTA Human Tissue Authority (UK)
HTA Hochschule für Technik und Architektur
) reports and information at: http://www.cadth.ca

* The Cochrane Collaboration works to improve healthcare decision-making globally, through systematic reviews of the effects of healthcare interventions at: http://cochrane.org/reviews/en/topics/84_reviews.html

* Dentalcompare -- The Buyer's Guide for Dental Professionals provides information on new product research and innovation at: http://www.Dentalcompare.com

REFERENCES

1. S. Birch and A.I. Ismail. Patient Preferences and the Measurement of Utilities in the Evaluation of Dental Technologies. Journal of Dental Research 2002;81(7):446-450.

2. Grimes, S. Clinical Engineers: Stewards of Healthcare Technologies. IEEE (Institute of Electrical and Electronics Engineers, New York, www.ieee.org) A membership organization that includes engineers, scientists and students in electronics and allied fields.  Engineering in Medicine and Biology Magazine; May/June 2004;56-58.

3. Rogers, Everett M. (2003). Diffusion of Innovations, 5th ed. New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
, NY: Free Press.

The CDHA CDHA Capital District Health Authority
CDHA Canadian Dental Hygienists Association
CDHA California Dental Hygienists' Association
CDHA Center for Demography of Health and Aging
CDHA Connecticut Dental Hygienists' Association
 welcomes your feedback: library@cdha.ca
COPYRIGHT 2008 The Canadian Dental Hygienists Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2008 Gale, Cengage Learning. All rights reserved.

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Title Annotation:LIBRARY COLUMN
Publication:Canadian Journal of Dental Hygiene
Geographic Code:1CANA
Date:Mar 1, 2008
Words:726
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