The acceptability of care provided by dental auxiliaries

Dyer, T. A.; Robinson, Peter G.

doi:10.1016/j.adaj.2015.09.018

Cited by 7 publications

(10 citation statements)

References 56 publications

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“…6,18 Despite this, the evidence gathered supports the findings relating to patient acceptance of H-Ts within the existing literature. 21,[23][24][25]44 Furthermore, it confirms the acceptability of H-Ts when completing tasks previously undertaken by GDPs.…”

Section: Discussionsupporting

confidence: 57%

“…Existing evidence suggests that HTs are socially acceptable, but the use of HTs as a front-line clinician undertaking routine check-ups has not been explored. 21,[23][24][25]43 The results from this study are encouraging, as undertaking the routine check-up has traditionally been seen as the preserve of the GDP.…”

Section: Discussionmentioning

confidence: 85%

“…19 A further substantive barrier to using HTs as a front-line clinician is the social and professional acceptability of the model for patients and GDPs, although the literature would suggest that the use of HTs is accepted by the majority of the population. 21,24 This relates to traditional roles of utilisation. Other surveys have identified substantial negativity 25 and a lack of understanding of HTs' roles and responsibilities.…”

mentioning

confidence: 99%

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Assessing the efficacy and social acceptability of using hygienist-therapists as front-line clinicians

2017

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 85%

mentioning

confidence: 99%

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Assessing the efficacy and social acceptability of using hygienist-therapists as front-line clinicians

2017

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“…The strength of this study was this it offered a unique opportunity to assess the recruitment, retention, fidelity and acceptance of patients when using H-Ts to undertake the routine "check-up". Existing evidence suggests that H-Ts are socially acceptable, but the use of H-Ts as a "front-line" clinician undertaking routine "check-ups" has not been explored (21,(23)(24)(25)43). The results from this study are encouraging, as undertaking the routine "check-up" has traditionally been seen as the preserve of the GDP.…”

Section: Discussionmentioning

confidence: 78%

“…A further substantive barrier to using H-Ts as a front-line clinician, is the social and professional acceptability of the model for patients and GDPs. Although the literature would suggest that the use of H-Ts is accepted by the majority of the population (21)(22)(23)(24), this relates to traditional roles of utilisation. Other surveys have identified substantial negativity (25) and a lack of understanding of H-Ts roles and responsibilities (26)(27)(28).…”

Section: Introductionmentioning

confidence: 99%

Feasibility study: assessing the efficacy and social acceptability of using dental hygienist-therapists as front-line clinicians

2016

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Background The oral health of the adult population has been improving in the United Kingdom decade upon decade. Over half of dental service activity in the National Health Service (NHS) is limited to a check-up without any further treatment. This raises a question as to whether check-ups could be provided by dental hygienist-therapists, rather than general dental practitioners. The aim of this study was to assess the feasibility of a definitive trial to evaluate the costs and effects of using dental hygienist-therapists to undertake the check-up.Methods/design Adult NHS patients were randomised into three arms in two dental practices: patients who only saw dental hygienist-therapists for a check-up, those that saw the general dental practitioner and dental hygienist-therapist alternatively and a control, where patients only saw the general dental practitioner for their check-up. The study ran for 15 months. The primary outcome measures of the study were patient recruitment, retention and fidelity. A parallel and embedded qualitative study was undertaken which recorded the views of participating patients to determine the social acceptability of the intervention.Results Sixty patients participated in the study. The initial recruitment rate for the study was 33.7%. This figure increased to over 82.1% when telephone calls or face-to-face recruitment was utilised. The retention rates were 60% for both the dental hygienist-therapist only group and the alternate general dental practitioner and dental hygienist-therapist group, compared to 70% for the general dental practitioner only group. Fifteen patients were interviewed in the qualitative study and supported a team approach to the provision of check-ups in the NHS. Conclusion This study demonstrates the feasibility of a definitive trial to evaluate the costs and effects of using dental-hygienist-therapists to undertake the check-up.

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Developments in oral health care in the Netherlands between 1995 and 2018

2020

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Background: Over the past several decades, changes in legislation and regulations have been implemented in oral health care in the Netherlands. In 1995, for example, a major transformation in the funding of oral health care was implemented, after which most oral health care for adults was no longer covered by national insurance. In 1997, the Individual Healthcare Professions Act, in which the authorizations of care providers were described, was established. The Healthcare Quality, Complaints and Disputes Act, established in 2016, concerns the accountability of professional behavior. Regulations concerning employment have changed several times since 1995. These changes have affected the work and practice situation of oral health care providers. Methods: Data from many publicly available sources were gathered and combined with internal reports mainly derived from the Data Stations project of the Royal Dutch Dental Association. This project was established in 1995 and, since its initiation, 6716 dentists have participated an average of 6.7 times. Results: Between 1995 and 2018, nearly all professional groups in oral health care increased, particularly those of dental hygienists and prevention assistants. The number of dental practices decreased, but practices got larger in terms of dental units, number of patients, and personnel. The percentage of inhabitants visiting oral health care professionals remained unchanged, but the type of care provided moved towards more prevention. Oral health care providers exploited new opportunities to enhance and express their professional behavior. Conclusions: Oral health care in the Netherlands has evolved in recent years toward more collaboration in teams, and professions have established institutions to promote the quality and safety of care. Greater emphasis has been placed on prevention of dental diseases. These processes were influenced by new legislation and regulations, demographic changes within professional groups, and other social developments.

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The acceptability of care provided by dental auxiliaries

Cited by 7 publications

References 56 publications

Assessing the efficacy and social acceptability of using hygienist-therapists as front-line clinicians

Assessing the efficacy and social acceptability of using hygienist-therapists as front-line clinicians

Feasibility study: assessing the efficacy and social acceptability of using dental hygienist-therapists as front-line clinicians

Developments in oral health care in the Netherlands between 1995 and 2018

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