From the inside out vs. from the outside in: strategic integration in dentistry

February 23, 2024

In the dynamic and highly competitive world of dentistry available in the private sector, the strategic management of a clinic can be approached in two different ways: “From the Inside Out” and “From the Outside In”.

Each of these approaches defines a unique way of organizing and delivering healthcare, influencing the efficiency of procedures and the sustainability of the clinic. This short reflection explores
both strategies, seeking to describe how they can complement each other to shape a resilient and customer-centric approach

Inside-Out Strategy

The Inside Out strategy focuses on maximizing the clinic’s internal capabilities. This approach underlines that the success of a clinic depends on optimizing its core competencies.

Aspects such as the qualification of the team, technologies, equipment and devices, quality of facilities and location are considered fundamental.

The idea is to create and leverage a solid internal infrastructure that can be designed to attract and retain patients. By focusing on internal strengthening, the clinic can offer high-quality services, reflecting them directly on customer satisfaction and the clinic’s reputation in the market.

Outside-in Strategy

In contrast, the Outside-In strategy in dentistry directs attention fundamentally outwards, i.e., to the needs and expectations of patients and the market.

This approach advocates adapting the clinic’s services and culture to patients’ demands, expectations, and desires. Here, the focus is on understanding and embodying what patients really want and need and how the clinic can respond to those expectations effectively.

The goal is to align the clinic’s offerings with the needs of the market, thereby creating a competitive advantage. A clinic that adopts this approach is constantly looking to innovate and improve its services, relying mainly on feedback and evolving patient preferences.

You can read the full article, in Portuguese or English, in the Portuguese monthly edition of Dentistry magazine:

Open the English version of the article (pdf).

Open the Portuguese version of the article (pdf).


Business and pleasure in dentistry

December 18, 2023

The Portuguese words “Ócio” and “Negócio” have common roots.

The word “Ócio” comes from the Latin “otium”, which refers to free time, leisure, rest. Over time, this idea of free time evolved into the modern concept of leisure.

The word “negócio” comes from the term “negotium”, which is a combination of “nec” (not) and “otium” (leisure). So, originally, “negotium” meant something other than lei- sure, i.e. an occupation, activity or enterprise.

We’re not going to go into detail today about the importance of leisure, and in particular Being, to the detriment of Doing, particularly in today’s societies: for some reason we’re Human Beings and not Human Doings…

What I wanted to emphasize is the importance of valuing the concept of Business, because it has a very respectable origin.

We often hear people say that dentistry is not a business.

It seems to me that, in fact, what they’re trying to convey is that it’s not a business like any other.

In Portugal, for example, the law states that the performance of a dental medical act corresponds to a pecuniary consideration from the recipient of the services, without prejudice to the legislation applicable to voluntary work and social action. This recognises the obvious, which is that dentistry is not only a health activity but also an economic activity.

So what is the business in dentistry?

You can read the full article, in Portuguese or English, in the Portuguese monthly edition of Dentistry magazine:

Open the English version of the article (pdf).

Open the Portuguese version of the article (pdf).


Orlando Monteiro da Silva receives honorary doctorate from University of Porto

January 13, 2014

Orlando Monteiro da SilvaThe University of Porto conferment of degree doctor honoris causa to Orlando Monteiro da Silva, by proposal of the Faculty of Dental Medicine. It’s the first time that a dentist is recognised in Portugal.

With origins dating back to the eighteenth century, the University of Porto is currently one the most prestigious higher education institutions of Europe.

A public institution close to 32,000 students, 2,400 teachers and researchers along with 1,600 administrative staff attend its 15 schools and 60 scientific research units, spread across three university campuses located in the city of Porto.

With 14 faculties and a business school, the University of Porto provides an exceptional variety of courses, covering the whole range of study areas and all levels of higher education. In fact, offering over 600 training programmes per year (from degrees to continuous professional training), the University of Porto has teaching solutions for everyone.

The immediately previous distinguished was Jean-Claude Juncker in 2013. See all 79 contemplated here since 1921.

Biography Note

Orlando Monteiro da Silva was born in Porto and graduated in dentistry from the Faculty of Dental Medicine, University of Porto.

President of the Portuguese Dental Association since 2001, Orlando Monteiro da Silva has occupied several functions both in national and international prominent institutions.

In 2003 he was elected to the board of the Council of European Dentists, CED, having later served a mandate as its president, between 2006 and 2009.

In 2004, he was a candidate for the council of FDI – World Dental Federation, having become the first Portuguese person to assume decision-making functions within this global organization of dentistry. He promoted the adhesion of East Timor, Angola, Mozambique, Guinea-Bissau and the Lusophone Dental Association to the FDI.

University of PortoThe importance of advocating for Portuguese dentists and dentistry both nationally and internationally, as well as for the relevance of learning and of bringing experiences from abroad, have marked his work as President of the Portuguese Dental Association, Ordem dos Médicos Dentistas, regulatory body of the profession in Portugal.

In 2011 he acted as president of FDI – World Dental Federation, a position he occupied until the end of his term in August 2013.

In 2011, he was elected president of the National Council of Professional Associations (CNOP) and in 2012 he took office as councillor of the Portuguese Economic and Social Council, for four years from 2011 to 2015.