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The future of oral and maxillofacial surgery in the United States. 1996

E Ellis
University of Texas Southwestern Medical Center, Dallas, USA.

This paper explores the past, present, and future of the specialty of oral and maxillofacial surgery in the United States as viewed through the eyes of the author. Many changes have occurred over the past ten years that have changed the complexion of the entire health care industry. The overall effect of these changes is to decrease the amount of funding that will be available for our services. These changes have caused challenges for the specialty. How will we cope? Will we survive? Are we relevant? The challenges facing the specialty of oral and maxillofacial surgery as practised in the United States are discussed, and recommendations for change are put forth.

UI MeSH Term Description Entries
D008329 Managed Care Programs Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS. Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D004497 Education, Dental Use for articles concerning dental education in general. Dental Education
D005544 Forecasting The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology. Futurology,Projections and Predictions,Future,Predictions and Projections
D012953 Societies, Dental Societies whose membership is limited to dentists. Dental Societies,Dental Society,Society, Dental
D013515 Surgery, Oral A dental specialty concerned with the diagnosis and surgical treatment of disease, injuries, and defects of the human oral and maxillofacial region. Exodontics,Surgery, Maxillofacial,Maxillofacial Surgery,Oral Surgery
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D049673 History, 20th Century Time period from 1901 through 2000 of the common era. 20th Century History,20th Cent. History (Medicine),20th Cent. History of Medicine,20th Cent. Medicine,Historical Events, 20th Century,History of Medicine, 20th Cent.,History, Twentieth Century,Medical History, 20th Cent.,Medicine, 20th Cent.,20th Cent. Histories (Medicine),20th Century Histories,Cent. Histories, 20th (Medicine),Cent. History, 20th (Medicine),Century Histories, 20th,Century Histories, Twentieth,Century History, 20th,Century History, Twentieth,Histories, 20th Cent. (Medicine),Histories, 20th Century,Histories, Twentieth Century,History, 20th Cent. (Medicine),Twentieth Century Histories,Twentieth Century History

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