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Cost-Effectiveness of Bussing Pupils to a Dental Clinic
Howard M. Field and Anthony Jong
HSMHA Health Reports
Vol. 86, No. 3 (Mar., 1971), pp. 222-228
Published by: Association of Schools of Public Health
Stable URL: http://www.jstor.org/stable/4594143
Page Count: 7
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The dental clinic of the Martha M. Eliot Family Health Center, Boston, Mass., implemented a school bussing program designed to reduce the number of missed appointments and to minimize the period of time the student was away from the classroom. There was a significant decrease in the number of patients who missed their scheduled appointments during the program: from 35 to 9 percent for the dentist and from 51 to 19 percent for the hygienist. The percentage of available appointments used at the clinic increased from 67 to 98 percent for the dentist and from 61 to 85 percent for the hygienist. The calculated cost of using the minibus per hour worked by each staff member was 80 cents, whereas the net value of the dental services provided for each patient during the bussing program was increased 23 percent or $4.67 per dentist work hour and 25 percent or $2.20 per hygienist work hour. The bussing program increased the average hourly cost of operating the dental clinic by 6 percent; however, the difference between the average hourly dollar value of all dental services performed during the bussing program was 81 percent greater than the hourly dollar value of all dental services performed at the clinic during 1968. Under the bussing program the children were away from school for only 1½ hours per dental appointment, rather than the entire day they often missed.
HSMHA Health Reports © 1971 Association of Schools of Public Health