Patients’ reasons for consulting a GP when experiencing a dental problem: a qualitative study

Cope, Anwen; Wood, Fiona; Francis, Nick; Chestnutt, Ivor Gordon

doi:10.3399/bjgp18x699749

Cited by 21 publications

(19 citation statements)

References 17 publications

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“…In total, HWW has facilitated the recruitment of 43 826 participants to 15 different studies to date, with many of the 21 779 registrants taking part in multiple studies. Results from these studies are now being published including, for example, an analysis of patients’ reasons for consulting a general practitioner when they had a dental problem 15. Links to all publications that have used HWW to recruit participants will be included on the project website.…”

Section: Research Activitiesmentioning

confidence: 99%

Cohort profile: HealthWise Wales. A research register and population health data platform with linkage to National Health Service data sets in Wales

et al. 2019

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PurposeRecruitment and follow-up in epidemiological studies are time-consuming and expensive. Combining online data collection with a register of individuals who agree to be contacted about research opportunities provides an efficient, cost-effective platform for population-based research. HealthWise Wales (HWW) aims to facilitate research by recruiting a cohort of individuals who have consented to be informed about research projects, advertising studies to participants, supporting data collection on specific topics and providing access to linked healthcare data for secondary analyses. In this paper, we describe the design of the project, ongoing data collection, methods of data linkage to routine healthcare records, baseline characteristics of participants, the strengths and limitations of the register, and the ways in which the project can support researchers.ParticipantsAdults (aged 16 years and above) living or receiving their healthcare in Wales are eligible for inclusion. Participants consent to be contacted for follow-up data collection and for their details to be used to access their routinely collected National Health Service records for research purposes. Data are collected using a web-based application, with new questionnaires added every 6 months. Data collection on sociodemographic and lifestyle factors is repeated at intervals of 2–3 years. Recruitment is ongoing, with 21 779 participants alive and currently registered.Findings to date99% of participants have complete information on age and sex, and 64% have completed questionnaires on sociodemographic and lifestyle factors. These data can be linked with national health databases within the Secure Anonymised Information Linkage (SAIL) databank, with 93% of participants matching a record in SAIL. HWW has facilitated the recruitment of 43 826 participants to 15 different studies.Future plansThe medium-term goal for the project is to enrol at least 50 000 adults. Recruitment strategies are being devised to achieve a study sample that closely models the population of Wales. Potential biosampling methods are also currently being explored.

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Section: Research Activitiesmentioning

confidence: 99%

Cohort profile: HealthWise Wales. A research register and population health data platform with linkage to National Health Service data sets in Wales

et al. 2019

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“…In Australia, registered nurses practice in hospitals, residential care facilities and long‐term care institutions, managing medically compromised and elderly people as well as individuals with disabilities 2 . The high utilization of non‐dental healthcare services for oral health‐related concerns, 7,8 including those provided by registered nurses, 9,10 further highlights their role in collaborative oral health care.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of oral health education and practice among nursing students in Malaysia and Australia

Ahmad

Abuzar

Razak

et al. 2021

Int J Dental Hygiene

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Objective Representing the largest proportion of healthcare workers, nurses play a significant role in oral health (OH) maintenance as part of a larger effort to promote holistic patient care. The study aims to determine nursing students' perceptions of OH education and practice in Malaysian and Australian nursing schools. Materials and methods A self‐administered questionnaire (content‐ and face‐validated) survey was undertaken, classroom style, amongst final‐year nursing students from selected Malaysian (n = 122, Response rate=97.6%) and Australian (n = 299, Response rate=54.7%) institutions. Quantitative data were analysed via Statistical Package for Social Science software (Chi‐square and Fisher's exact tests, p ≤ 0.01). Results Significantly more Malaysian nursing students, compared to those in Australia, reported having encountered patients with OH issues (98.4% vs. 82.9%), namely halitosis (87.7% vs. 62.2%), oral ulcers (63.1% vs. 41.1%), oral/dental trauma (36.9% vs. 21.1%) and caries in children (28.7% vs. 7.7%). Less than half of Malaysian and Australian nursing students reported that they received adequate OH training (48.4% vs. 36.6%, p ≤ 0.01), especially in detecting oral cancer (18.0.0% vs. 22.6%, p ≤ 0.01) and preventing oral diseases (46.7% vs. 41.7%, p ≤ 0.01). Students in both countries demonstrated positive attitudes and believed in their role in OH care. Most students agreed that they should receive training in OH, especially in smoking cessation and providing OH care for patients with special needs. They also opined that a standardized evidence‐based oral hygiene protocol is needed. Conclusion Support for education and practice in this area of patient care suggested positive implications for further development of nurses' roles in OH promotion and management.

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“…Holzinger et al also reported GPs' frustration relating to requests from GDPs for advice on anticoagulant therapy and dose adjustment for dental procedures, suggesting that this practice is widespread [23]. Cope et al found UK GPs to be equally frustrated when faced with prescribing antibiotics to treat dental pain (particularly given concerns regarding antimicrobial resistance) [43].…”

Section: Discussionmentioning

confidence: 99%

A qualitative study exploring strategies to improve the inter-professional management of diabetes and periodontitis

Bissett

Preshaw

Presseau

et al. 2020

Primary Care Diabetes

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Aims: To explore inter-professional communication and collaboration in guideline-concordant diabetes and periodontitis care. Methods: Qualitative design using iterations of workshops to identify ways to improve multidisciplinary working attended by staff from medical and dental primary care practices, and people with diabetes (n = 43). Workshops were semi-structured around a topic guide. Recruitment was via the UK Clinical Research Network, and a patient and public involvement group in the North of England. Results: Medical practice participants were unaware of the bidirectional evidence linking diabetes and periodontitis and stated that they had never received a referral from a dental professional in this context. The patient participants with diabetes reported never having been informed about the links between diabetes and periodontitis from either their family physician or dentist. Medical and dental practice participants gave negative accounts of inter-professional communication, with claims of inappropriate requests and defensive or non-responses that stymied future interaction. Indirect communication through the patient was suggested as an alternative to direct communication. Conclusions: Indirect referral, whereby the patient is signposted to a healthcare professional, was suggested by medical and dental professionals as a useful alternative to the traditional (and time consuming) letter or telephone call, particularly in the case of suspected diabetes or periodontitis.

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Patients’ reasons for consulting a GP when experiencing a dental problem: a qualitative study

Cited by 21 publications

References 17 publications

Cohort profile: HealthWise Wales. A research register and population health data platform with linkage to National Health Service data sets in Wales

Cohort profile: HealthWise Wales. A research register and population health data platform with linkage to National Health Service data sets in Wales

Perceptions of oral health education and practice among nursing students in Malaysia and Australia

A qualitative study exploring strategies to improve the inter-professional management of diabetes and periodontitis

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