Disparities in the geographic distribution of NHS general dental care services in England

Jo, Olivia; Kruger, Estie; Tennant, Marc

doi:10.1038/s41415-021-3005-0

Cited by 9 publications

(15 citation statements)

References 31 publications

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“…The approach to dental care services varied in different regions and access to dental care in urban areas was easier than in rural areas, thereby the proportion of patients in rural areas (29.03%) was less than in urban areas (71.07%), which was similar to the study of Olivia Jo et al in the UK (2021), and Zhu Jin et al (2018) [7,6]. These studies reported that the distribution of dental examination and treatment facilities was uneven, mostly concentrated in urban areas, and people in rural areas hesitated about routine check-ups and treatment because of time-consuming and long distances, leading to the worsening of the health condition.…”

Section: Discussionsupporting

confidence: 79%

Socioeconomic Factors Associated With Tooth Extraction at Can Tho University of Medicine and Pharmacy Hospital in 2021

Huynh

Bui

2023

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Background: Tooth loss can lead to occlusal disorders and temporomandibular joint issues, resulting in pain and deteriorating chewing ability. Oral health problems affect health-related quality of life, especially anxiety, distress, and shame. However, the number of studies describing these effects in Vietnam was still limited. Objectives: To analyze of the relationship between dental status and socioeconomic factors in patients with tooth extraction. Materials and methods: A descriptive cross-sectional study of 200 tooth extraction patients aged 18 years and older was conducted at Can Tho University of Medicine and Pharmacy Hospital. Data were analyzed using SPSS 20's Frequency test, Chi-Square test, and Fisher's Exact test. Results: 256 teeth were extracted, in which the main reason was misaligned teeth (38.28%), decayed teeth (25.39%), and retained roots (12.89%). The extraction rate of females (63.32%) was higher than that of males (36.68%), and that of urban patients (71.43%) was higher than that of rural patients (28.57%). People who brushed their teeth less than twice a day, and did not have dental visits in the past 12 months accounted for the highest proportion (92.5%,58.5%). Low education level was the reason for the prevalence of oral diseases, while higher education level played a preventive role (p=0.046). In the elderly group, the proportion of patients with tooth extraction due to oral disease increased (p=0.002). Conclusions: A patient had less than two teeth extracted on average. Tooth decay and misaligned teeth were the most common causes of extraction. Educational status and place of residence were considered to be significant factors influencing the reasons for tooth extraction.

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Section: Discussionsupporting

confidence: 79%

Socioeconomic Factors Associated With Tooth Extraction at Can Tho University of Medicine and Pharmacy Hospital in 2021

Huynh

Bui

2023

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“…7 A severe maldistribution of dentists across the UK was reported, especially affecting deprived and less populated communities. 48 What are the anticipated challenges to recruitment and retention in the dental workforce in the UK? Anticipated challenges to the future dental workforce include: 1.…”

Section: Resultsmentioning

confidence: 99%

“…1,45 Priority for rural and coastal areas will aid deprived communities with access to dental care and address inequalities. 48,50 It was reported in Australia that to develop a stable healthcare system, the factors that influence R&R of dental practitioners in rural areas must be better understood. 67 Although rural Australia is geographically more isolated than the UK, strategies there could still be explored in the UK, 28 including: increased financial remuneration; the development of social bonds and an enjoyment of the rural lifestyle, achieved by integration via the rural placement of dental schools; placement programmes; and increasing career opportunities.…”

Section: Discussionmentioning

confidence: 99%

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Recruitment and retention in dentistry in the UK: a scoping review to explore the challenges across the UK, with a particular interest in rural and coastal areas

et al. 2023

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Introduction There is currently reduced access to NHS dental services in the UK, particularly in England, with rural and coastal areas significantly affected. Recruitment and retention in dentistry has been highlighted as an issue contributing to the problem. Objectives To explore what is known or unknown about recruitment and retention of the dental workforce in the UK, with a particular focus on rural and coastal areas. We were keen to gain information relating to factors affecting recruitment and retention, geographical distribution of the workforce, anticipated challenges, strategies or proposals to assist workforce planning and the extent of empirical research. Methods Searches for peer-reviewed literature and reports were undertaken and included when they met the eligibility criteria. Data were extracted and the findings narratively synthesised. Discussion The findings suggested wide ranging recruitment and retention issues of the dental workforce in the UK. Most issues were associated with NHS dentists, followed by dental nurses across both the NHS and private sectors. The worst affected parts of the country were rural and coastal areas. Conclusion It appears from the evidence that there are many dental professionals discussing recruitment and retention issues, followed by stakeholders. However, there is limited research and data to initiate change.

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“…This lack of confidence is undoubtedly impacting on the views and aspirations of the dental profession, which appears to be translating into challenges around workforce recruitment and retention (R&R). Until now, R&R of dentists within NHS primary care was ostensibly a geographical issue, with rural and coastal areas struggling to recruit, 4,5 while urban dental practices experienced less of an issue. 6 There are now a growing number of reports that problems of recruitment are more widespread, with both urban and rural practices affected.…”

Section: Introductionmentioning

confidence: 99%

The dental workforce recruitment and retention crisis in the UK

et al. 2023

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The precarious state of NHS dentistry is widely acknowledged, yet there is limited progress in addressing the underlying issues. Further delays will undoubtedly impact patient care, leading to oral health deterioration and unnecessary suffering. This will predominantly affect the most vulnerable in society, resulting in greater oral health inequalities. The underlying issues contributing to the current NHS dental crisis are many, and they include: prolonged delays in contract reform; long-term underinvestment; private sector growth; and fewer dentists working full-time and/or in the NHS. In England, an NHS dental contract that fails to promote prevention or equality of access continues to have a deep and pernicious impact on the future of NHS dentistry. The devastating impact of the COVID-19 pandemic on access cannot be underestimated and neither should the effect of Brexit on the availability of workforce. The recruitment and retention of dentists, and other members of the dental team, is undoubtedly a major issue in terms of capacity and access to NHS dental care. These problems, seen across the UK, are a particular issue in England, with acute challenges within rural and coastal areas. There is an urgent necessity to develop coherent, multifaceted strategies, aided by the collection of clear and accurate workforce data, to tackle these issues.

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Disparities in the geographic distribution of NHS general dental care services in England

Cited by 9 publications

References 31 publications

Socioeconomic Factors Associated With Tooth Extraction at Can Tho University of Medicine and Pharmacy Hospital in 2021

Socioeconomic Factors Associated With Tooth Extraction at Can Tho University of Medicine and Pharmacy Hospital in 2021

Recruitment and retention in dentistry in the UK: a scoping review to explore the challenges across the UK, with a particular interest in rural and coastal areas

The dental workforce recruitment and retention crisis in the UK

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