Clinical decision making by dentists working in the NHS General Dental Services since April 2006

Davies, Ben; Macfarlane, Fraser

doi:10.1038/sj.bdj.2010.1080

Cited by 23 publications

(10 citation statements)

References 5 publications

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“…The most frequently cited reason for referring patients was inadequate instruments/equipment; fewer dentists reported limited experience as the reason for referral. This agrees with a study of National Health Service dentists who reported referring difficult cases (23) and another study of New Zealand general practitioners who referred complex cases to specialists (24). A significantly higher percentage of MCH dentists had referred paediatric patients although there are paediatric dentists in these clinics and although most dentists perceived the follow-up of and care of children as among the roles of dental PHC.…”

Section: Discussionsupporting

confidence: 78%

Dentists' perception of primary health care services in family health and mother and child health clinics in Alexandria, Egypt

Tantawi

Hamza²,

Sabry

2017

East Mediterr Health J

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This study compared dentists' perceptions of provided services in Family Health (FH) and Mother and Child Health (MCH) clinics. A questionnaire was distributed to 120 dentists in 7 FH and 4 MCH clinics in Alexandria, Egypt in 2012. The questionnaire assessed personal and professional background, perceptions of primary health care (PHC) role, types of services provided, patient recall and referral systems and perception of service quality. The response rate was 100%. More FH dentists perceived their role to include providing care for children and pregnant women. Restorations and scaling were provided by 90% of all dentists. More FH dentists reported providing simple extractions, paediatric extractions and multi-rooted endodontic treatment (P = 0.03, 0.001 and 0.001). In FH clinics, where the performance-based incentive system was implemented, a greater number of patients was served and there was a shift in the type of services provided although dentists had a less positive perception of quality aspects. Thus, there is a need for the establishment of a mission and clear guidelines for the FH clinics to guide service provision. RÉSUMÉ La présente étude avait pour objectif de comparer la perception des dentistes travaillant dans des établissements de santé de la famille et de santé maternelle et infantile vis-à-vis des services offerts. Un questionnaire a été distribué à 120 dentistes de sept cliniques de santé de la famille et de quatre dispensaires de santé maternelle et infantile à Alexandrie (Égypte) en 2012. Ledit questionnaire évaluait l'expérience personnelle et professionnelle, les perceptions du rôle des soins de santé primaires, les types de services offerts, les systèmes de rappel des patients et d'orientation-recours, ainsi que la perception de la qualité des services. Le taux de réponse a été de 100 %. Davantage de dentistes des établissements de santé de la famille pensaient que leur rôle incluait la prestation de soins pour les enfants et les femmes enceintes. Les restaurations dentaires et le détartrage étaient offerts par 90 % de tous les dentistes. Un plus grand nombre de dentistes en santé de la famille ont déclaré procéder à de simples extractions, à des extractions chez l'enfant et à un traitement endodontique des dents pluriradiculées (p = 0,03, 0,001 et 0,001). Dans les cliniques de santé de la famille, où un système d'incitation reposant sur les performances était mis en place, un plus grand nombre de patients étaient traités, bien que les dentistes aient une moins bonne perception de la qualité. Il est donc nécessaire d'organiser une mission, ainsi que de mettre au point des directives claires pour les cliniques de santé de la famille, afin d'orienter la prestation de services. ‫مرص‬ ‫باإلسكندرية‬

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Section: Discussionsupporting

confidence: 78%

Dentists' perception of primary health care services in family health and mother and child health clinics in Alexandria, Egypt

Tantawi

Hamza²,

Sabry

2017

East Mediterr Health J

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“…In contrast, there was a clear negative message about remuneration and training in endodontics in NHS primary dental care; a response that clearly fits with contemporary professional views. 33,34 These findings show clear benefits to patients and practitioners from this initiative and service, which was perceived as providing a previously unmet need in the existing healthcare system.…”

Section: Strengths and Limitationsmentioning

confidence: 78%

Dentists with extended skills: the challenge of innovation

Al-Haboubi

Eliyas

Briggs³

et al. 2014

Br Dent J

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“…It is now generally agreed that the 2006 dental contract failed to deliver on its key objectives. 13,14 These failings have been recognised 15,16 and a new dental contract is now being piloted with a focus on 'quality' . The introduction of 'quality indicators' to assess performance is one feature being piloted 17 and is likely to form the cornerstone of any future contract.…”

Section: Introductionmentioning

confidence: 98%

Patient-centred care in general dental practice: sound sense or soundbite?

Mills¹,

Frost

Moles³

et al. 2013

Br Dent J

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This paper explores the concept of patient-centred care as a dimension of quality as applied to dentistry and provides a systematic review of the literature. The new NHS dental contract, which is currently being piloted in England, is committed to delivering improvements in quality. The Dental Quality and Outcomes Framework has been developed as a tool to measure quality and focuses on three key dimensions: clinical effectiveness, safety and patient experience. A systematic review of the literature reveals a lack of information pertaining to patient-centred care within dentistry, and in particular general dental practice. It would also suggest that there is currently a poor evidence base to support the use of the current patient reported outcome measures as indicators of patient centredness.

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Clinical decision making by dentists working in the NHS General Dental Services since April 2006

Cited by 23 publications

References 5 publications

Dentists' perception of primary health care services in family health and mother and child health clinics in Alexandria, Egypt

Dentists' perception of primary health care services in family health and mother and child health clinics in Alexandria, Egypt

Dentists with extended skills: the challenge of innovation

Patient-centred care in general dental practice: sound sense or soundbite?

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