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2.
Br Dent J ; 236(2): 93, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38278894
3.
Br Dent J ; 234(4): 215-218, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36829008

RESUMO

This paper argues that before continuing to search for a satisfactory contract for the provision of dental care through the NHS, it is not incrementalism that is necessary, but honesty.


Assuntos
Contratos , Odontologia Estatal
4.
8.
Community Dent Health ; 39(3): 181-186, 2022 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-35605141

RESUMO

INTRODUCTION: Oral health inequalities existed before Covid, but the pandemic presented an unprecedented challenge for health services. Our aim was to determine whether patient groups at risk of health care inequality due to the pandemic could be identified from NHS dental claims. METHODS: Secondary analysis of routinely collected NHS Business Services Authority data for patients treated by General Dental Practitioners in England and Wales between April 2019 and January 2022 to assess the effect of the Covid pandemic on claims for patients attending general dental practices. Data for treatment items claimed after the start of the first lockdown were compared to the pre-lockdown period. RESULTS: The proportion of claims for child fillings, child extractions and child fluoride varnish application after March 2020 were lower than equivalent proportions for adults, in both England and Wales. Similarly, there were consistently fewer claims for fillings and extractions for patients claiming pension credit guarantee credit than all pensioners in both England and Wales. CONCLUSION: The Covid pandemic may have caused health care inequality for children and patients claiming pension credit guarantee credit. This may compound the inequality in oral health for these patients.


Assuntos
COVID-19 , Odontologia Estatal , Adulto , Criança , Controle de Doenças Transmissíveis , Odontólogos , Disparidades em Assistência à Saúde , Humanos , Pandemias/prevenção & controle , Papel Profissional , Medicina Estatal
9.
Br Dent J ; 232(10): 677, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35624245
12.
Br Dent J ; 229(7): 473, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33037369
13.
Br Dent J ; 228(12): 933-937, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32591708

RESUMO

Aims To investigate the gender differences among University of Birmingham dental students and dental core trainees (junior trainees within four years of graduation) in the West Midlands, and to assess career aspirations and working patterns.Methods A questionnaire was distributed to 189 dental students in years 2, 3 and 4 and to 24 dental core trainees. Data were collected in July 2017 by means of a paper questionnaire. A pilot of 40 questionnaires was carried out to ensure the validity of the questionnaire. All data were processed with Microsoft Excel.Results Seventy percent of individuals indicated work-life balance was their reason for choosing dentistry, made up of 25% males and 45% females. A larger percentage of female dentists opted to work in dental practice-based settings. Twenty-three percent of undergraduates want to specialise in the future, two-thirds of which were female. In comparison, 83% of the dental core trainees in our cohort want to specialise - 60% of males and 100% of females. The remaining 40% of male dental core trainees answered 'unsure' rather than 'no'. Restorative dentistry, orthodontics and oral surgery were the most popular choice of specialist training. Oral surgery was chosen by nearly twice as many females as males. Paediatric dentistry was selected mostly by females.Conclusion Women are making up a greater percentage of dental students at the University of Birmingham; their career aspirations and working patterns could have future implications for workforce planning.


Assuntos
Estudantes de Odontologia , Cirurgia Bucal , Escolha da Profissão , Criança , Odontologia , Feminino , Humanos , Masculino , Odontologia Estatal , Inquéritos e Questionários
14.
Br Dent J ; 228(9): 678-680, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32385458

RESUMO

The COVID-19 situation has seen the cessation of all non-urgent dental care in the UK. Regular practice activity has come to a virtual standstill and the dental industry has seen a very significant reduction in its provision of products and services. There are differing government financial mitigations in place across dental practices for NHS and, to an extent private, activity, as well as for the dental industry. Dentistry is generally classified in the very high-risk category of aerosol production through many aerosol generating procedures (AGPs). To facilitate any move towards the resumption of widespread dental treatment, possibly without mass vaccination or the widespread use of antibody testing, the aerosol issue will need to be addressed and solved. From a dental industry perspective, equipment and product manufacturers and suppliers are building upon, and further developing, the industry's extremely close relationship and partnership with the dental profession, in order to develop and implement new ways of thinking and new approaches, products and techniques to protect patients and clinicians, focusing on a return to the more widespread provision of dentistry.


Assuntos
Infecções por Coronavirus , Assistência Odontológica , Indústrias , Odontologia Estatal , Betacoronavirus , COVID-19 , Humanos , Controle de Infecções , Pandemias , Pneumonia Viral , SARS-CoV-2
15.
Br Dent J ; 227(9): 777-779, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31705091

RESUMO

General dental practitioners are the backbone of the NHS dental system but have seen the regard for their services eroded over recent years. It is time for the profession to reassert itself and the values in which it believes in order to provide fitting care for patients. Many aspects of the current state of affairs need urgent attention.


Assuntos
Odontologia Estatal , Humanos
16.
Br Dent J ; 226(12): 967-978, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31253919

RESUMO

Aim This research was undertaken to explore NHS general dentistry in Wales, from the perspective of both the dental practice and the general population, in order to understand patient access to NHS general dentistry. The health boards' dental budgets, and how well they have been used for primary care general dentistry, were examined. Contributory factors to patient access problems were also examined.Background Our research shows that access for new patients has dropped to an all-time low in recent years. Causation is multifactorial. In Wales, dentists must achieve 95% of their UDA target or their practice will face 'clawback'; having to pay back monies for not achieving UDA targets. Practices may also hand back monies from their contract if they feel they will end up facing clawback at the year's end.Methods The clawback and handback data, budgetary and contract reduction data, and practice opening and closures numbers, were acquired in the period of March 2017 to April 2018 via a series of freedom of information requests to each of the Welsh health boards. Telephone interviews with dentists and practice owners were conducted in the summer of 2017. Patient access information was gathered from the health boards and from contacting dental practices where this information was not available.Results It was found that, on average, only 15% of all NHS practices in Wales were accepting adult NHS patients in 2017-2018 and 21% of all NHS practices had waiting lists. Cwm Taf had the best access to an NHS dentist, however, this figure was not high at 52% (15 practices). Cardiff and Vale patients were the most likely to struggle to find a dentist, with just two practices in the whole health board accepting adult NHS patients. In Wales, clawback and handback resulted in £16,322,445 of the general dental service (GDS) budget being unspent from 2014/2015 to 2016/2017. This figure increases in consideration of the monies lost from practices through contract reduction, with contracts being reduced by more than £4,000,000 from 2014/2015 to 2016/2017, making a total of £20,322,445 of the budget not being spent on NHS dentistry over a period of three years. This means that, on average, 6% of the Welsh GDS budget was unspent every year between 2014 and 2017.Conclusion Dentists want to be able to treat more patients and see more patients with a higher need, but limitations upon patient access and the fear of clawback within the current contract make this very difficult. An increasing population and a further handback of NHS contracts mean it is likely that this problem of access will continue to worsen. The current system of clawback and handback only exacerbates the access problem because taking on new patients is a risk to dentists trying to achieve such tightly managed targets. Dentists are incentivised in the current UDA contract to treat healthy patients. A larger proportion of high needs patients can result in a practice failing to reach its targets and facing clawback, handback or contract reduction. Clawback is prevalent in all health boards, meaning that patients with poor oral health are disproportionately affected. Inverse care law is felt acutely in general dentistry.


Assuntos
Gastos em Saúde , Medicina Estatal , Adulto , Odontólogos , Odontologia Geral , Humanos , Odontologia Estatal , País de Gales
17.
Br Dent J ; 224(6): 392-393, 2018 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-29569603
18.
Br Dent J ; 224(3): 122, 2018 02 09.
Artigo em Inglês | MEDLINE | ID: mdl-29422566
19.
Prim Dent J ; 6(4): 10-11, 2017 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-29258633

RESUMO

FGDP(UK) recently launched its dementia-friendly dentistry: good practice guidelines publication, which members will have received free-of-charge. Vice Dean and editor of the guidelines, Paul Batchelor, explains why the publication is necessary and why all practitioners should make the effort to incorporate these recommendations into their practice.


Assuntos
Demência , Assistência Odontológica para Doentes Crônicos , Guias de Prática Clínica como Assunto , Humanos , Garantia da Qualidade dos Cuidados de Saúde , Odontologia Estatal , Reino Unido
20.
Br Dent J ; 223(8): 565-566, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29026189

RESUMO

Sustainability and Transformation Partnerships or 'STPs' have been formed from NHS and social care providers, commissioners, and local councils in 44 areas covering the whole of England to improve the care they provide. Proposals, known as 'Sustainability and Transformation Plans' have been developed that address the needs of the whole population of each area, rather than the needs of each individual organisation. STPs are fundamental to how care will be delivered and commissioned in the future and have recently been portrayed in the media as the vehicle for cuts to NHS services. Here we explore how accurate this is, how STPs vary in different areas, and the opportunities they present for dentistry to become more integrated with other NHS services.


Assuntos
Relações Interprofissionais , Odontologia Estatal , Odontologia , Inglaterra , Medicina Estatal
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