ABSTRACT
Disruption during Covid-19 pandemic highlighted the need of healthcare supply chain management in order to achieve effective delivery of health services. Though, considerable efforts have been undertaken on managing the healthcare supply chain disruptions in India but there is paucity of literature which documented the effect of supply chain disruptions in dental practices during covid-19 pandemic. During pandemic, the disruptions in production and distribution of dental products were seen in India. Indian dental market is largely dependent on imports and there is scarcity of local production units. The main dental companies reported significant decline in production during the first wave of Covid-19. The increase in demand for dental supplies was seen with shutdown, shortage of labour and scarcity of raw materials. Disruption rippled through the supply chain and this was caused by large distortion in demand. This phenomenon led to bullwhip effect. This bullwhip effect crisis led to increased cost in dental practices. Covid19 has shown significant lack of resilience in Indian dental healthcare supply chain. This study identified few loopholes in dental supply chain and suggested the way forward for managing the supply chain disruptions. It seems that there is need of more comprehensive research on dental supply chain resilience from Indian perspective to prevent disruptions particularly in emergent situations. © 2022, MedSci Publications. All rights reserved.
ABSTRACT
Context: In India, COVID-19 pandemic has limited the utilization and access to dental services owing to the risk of infections transmission. In this context, tele-dentistry could be useful but there is paucity of literature which provides guidance on the scope and challenges for using tele-dentistry in India. Aims: To identify challenges, scope and assessment approaches of tele-dentistry from an Indian perspective. Settings and Design: Scoping Review. Methods and Material: Scoping review was conducted using the Arksey and O’Malley framework. Databases were searched in July from April to August 2020. Studies concerning challenges and scope of tele-dentistry in India were included. Additionally, literature about assessment approaches used for tele-dentistry programs were also reviewed Results: A total of 64 studies were reviewed, out of which 26 articles were included in the final review. Scoping review reveled that tele-dentistry could act as a seamless tool for diagnosing, training and screening. Few studies suggested the relevance of smartphone technology for specialist consultations and proper diagnosis. Majority of studies revealed shortage of basic infrastructure as a major challenge for tele-dentistry in India. Assessment studies were mainly focused on economic perspective and cost-effectiveness of the programs. Conclusions: This review provide guidance for using tele-dentistry in India. It is also reflected that there is a need for further research about the assessment of tele-dentistry in terms of safety, clinical outcomes, and patient perception. © 2021, Indian Association of Preventive and Social Medicine. All rights reserved.