Health care reform.

摘要

Dr. James Bader's essay in December JADA, "Challenges in Quality Assessment of Dental Care" (JADA 2009;140[12]: 1456, 1458-1464), is both stimulating and timely, given the current focus on health care reform. As both a clinician and dental director of a major dental benefits plan, I find it is an elusive goal to recommend what is effective for my patients as well as what is effective for a community of patients/subscribers. Empirically and through clinical experience, I know what works-that is, what is effective-and what doesn't work-that is, what is not effective. I also recognize that this thought/decision process, more often than not, is anecdotal and not based on sound science.