health | Orlando Monteiro da Silva

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).

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Posted by Orlando Monteiro da Silva

FDI African Strategy for Oral Health

July 2, 2013

The FDI World Dental Federation has defined a strategy for the development of Oral Health in Africa, which can be find on this pdf document.

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Posted by Orlando Monteiro da Silva

Turning Vision 2020 into an action plan – Chicago/ADA

February 23, 2013

The taskforce Vision 2020 met in Chicago at the American Dental Association (ADA) headoffice.

We thank the ADA for all the collaboration and support.

From the FDI – World Dental Federation, the participants were Orlando Monteiro da Silva (president), Kathryn Kell (treasurer), Patrick Hescot (concilor), Gerhard Seeberger (councilor), Jean-Luc Eiselé (executive director) and Emmanuel Chevron (associate director). From the International Association for Dental Research (IADR), were Michael Glick and David Williams (IADR).

And industry partners: Christian Brutzer (Ivoclar), Gerard Meuchner (Henry Schein), Robert Labella (Johnson&Johnson), Mike Butler (Colgate), Analia Mendez (Unilever), Mayumi Kaneda (Sunstar), Friedrich A. Herbst (IDM).

This was a great opportunity to share ideas and suggestions for an operationalisation of Vision 2020 in the months and years to come.

At the Chicago’s Millennium Park, with “The Bean” behind

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Posted by Orlando Monteiro da Silva

Prevention: the best option in times of austerity

January 31, 2013

Live.Learn.Laugh is being implemented in 29 countries in one of four formats, selected according to local needs. There are currently two projects underway in Greece, both targeting pre-school children.

Prevention is at the heart of both projects: “Twice daily brushing with a fluoride toothpaste” to improve oral health.

Part of my presentation in Athens, the 29 last January:

…”We are holding this workshop in Athens at a time of ‘austerity’. As a dental practitioner in Portugal, I, like my colleagues in Ireland, Greece, Spain, Cyprus, and others am acutely aware of the impact of cutbacks in government spending on health services in general and, in particular, what is (wrongly) perceived as non-urgent or to-be-postponed care, for example oral health care.

In the face of this, the best option is: prevention. Much of what is termed ‘prevention’ focuses on individual behaviour. For more than a year now, FDI, in cooperation with four other medical associations comprising physicians, physical therapists, pharmacists and nurses, has been targeting individual behaviour in the prevention of noncommunicable diseases”…

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Posted by Orlando Monteiro da Silva

FDI Congress at the NY Times Global Edition

December 31, 2012

Dear Colleagues and Friends of the FDI and of the global health community, we successfully held our 100th Congress this year in Hong Kong. I wish you a happy 2013 and all the best for the FDI. See you in Istambul, for the Centenary +1 FDI Anual World Dental Congress.

(click the image to open full size)

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Posted by Orlando Monteiro da Silva

FDI African Strategy for Africa – Capetown

October 31, 2012

Group photo of the participants (see list below).

30 delegates converged on Cape Town, South Africa, 30 and 31 October, to hammer out principles and action for future FDI undertakings on the African continent.

They included presidents and representatives from 16 national dental associations, a government official, a delegate from the World Health Organization (WHO), as well as FDI council and committee members and staff.

The aim was to listen, learn and agree on a common strategy to build capacity, reinforce credibility and enhance the operational effectiveness of African national dental associations.

Commitment

African Summit on Oral Health (30 to 31 October 2012): Declaration

FDI World Dental Federation and 16 Presidents and representatives of its member National Dental Associations (NDAs) at the African Summit on Oral Health in Cape Town on 30 and 31 October 2012:

within the context of the overarching vision of ‘Leading the World to Optimal Oral Health’;
mindful of the crucial role of oral health in general health; and
alarmed by the omission of oral health from the ongoing discussions on WHO draft global work plan 2014-2019

FDI and NDAs commit to:

improving efficiency in order to reinforce credibility as national strategic advisor in the field of public oral health policy making;
enhancing leadership and management skills;
reinforcing inter-NDA communication and information exchange.

In support of these commitments, FDI and its NDAs will:

develop and facilitate training to enhance NDA skills in strategic planning, leadership, negotiation, governance, marketing and communications and project management;
advocate actively for oral health in the African continent;
develop a framework with WHO for data collection and dissemination;
implement and promote this strategic plan for African NDAs.

Strategic session

Addressing at SADA, South African 2012 Congress – “Dental dignity for all”.

From left to right, Johannes Smit, Roux Vermeulen, Board Chairperson, and Maretha Smit.

FDI Unilever press conference. The FDI African Oral Health Summit was made possible through an unrestricted grant from Unilever Oral Care.

Another group photo… from Springboks Rugby Team, South Africa (by coincidence, sharing the summit hotel).

A view to Robben Island, from the harbour.

Meeting delegates. Present at the meeting were:

Health officials
Dr. Bimpe Adebiyi (Nigeria), Chief Dental Officer, Dr. Benoit Varenne, WHO-Regional Focal Point Oral Health and Noma, Democratic Republic of Congo

Delegates
Dr. Marc-Aurèle CATRAYE, Association des Chirurgiens-Dentistes du Benin, Benin, Dr. Jocelyne Gare Kopiho, Association des Chirurgiens-Dentistes du Burkina Faso (ACDB), Burkina Faso, Dr. Brigitte Banza, Association Nationale des Chirurgiens-dentistes, Democratic Republic of Congo, Prof. Marvet Rashed, Egyptian Dental Association, Egypt, Dr. Gilbert A. Ankrah, Ghana Dental Association, Ghana, Dr. Mamadu Cande Guinea-Bissau Dental Association, Guinea Bissau, Dr. Jane G. Wamai, Kenya Dental Association, Kenya, Dr. Susan Maina, Kenya Dental Association / FDI Strategy For Africa Task Team, Kenya, Dr. Ahmed Ba, Association des Odonto-Stomatologistes du Mali (AOSMA), Mali, Prof. Lahcen Ouseha, Association Marocaine de Prévention Bucco-Dentaire (AMPBD), Morocco, Dr. Paula Ahing, Mozambique, Dental Association, Mozambique, Dr. Ibrahim Amadou, Association des Chirurgiens Dentistes du Niger, Dr. Oluotimi Olojede, Nigerian Dental Association, Nigeria, Dr. Wakabe Kane, Association Nationale des Chirurgiens-dentistes Senegalais (ANCDS), Senegal, Dr Roux Vermeulen, South African Dental Association, South Africa, Dr. Fadil Elamin, Sudanese Dental Union, Sudan, Dr. Alphonse Mangamana, Association des Chirurgiens-Dentistes du Togo (ACDT), Togo, Dr. Gerald Tsoka, Dental Association of Zimbabwe, Zimbabwe,

FDI World Dental Federation
Dr Orlando Monteiro da Silva, President.
Members of the FDI Strategy for Africa Task Team: Dr. Emile China (Benin), FDI Councilor, Dr. Patrick Hescot (France), FDI Councilor, Prof. Denis Bourgeois (France), President of GADEF,
FDI head office: Dr Jean-Luc Eiselé, Executive Director, Dr Virginie Horn, FDI Education and Development Manager, Christopher M. Simpson, Communications manager.

Moderator
Ms. Danièle Castle (Switzerland).

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Posted by Orlando Monteiro da Silva