Sustainability: The Need to Transform Oral Health Systems
Bibliographic record
Abstract
This chapter explores the role of system transformation in the drive towards sustainability. This chapter presents this broad vision of sustainability in dentistry by coupling sustainability with dentistry’s social contract, or the mutual commitments and reciprocal obligations that dentistry shares with society by virtue of being a regulated health profession. Healthcare systems need to be more focussed on efficient, appropriate treatment (based on evidence) to not only become more efficient but also to reduce their overall environmental impact (Hensher, et al., Health Economics, Policy and Law 15:419–439, 2020). A number of system characteristics need to be considered from an environmental, fiscal, and social perspective. The chapter views the lens of six building blocks for health systems strengthening; service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance. Sustainability isn’t about reducing your environmental emissions; it needs a system reconstruct; and all of these building blocks are pivotal in building a sustainable dental system.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.008 |
| Scholarly communication | 0.009 | 0.007 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.015 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".