M Al-Haboubi1, S Eliyas2, P F A Briggs3, E Jones4, R R Rayan5, J E Gallagher6. 1. Queen Mary, University of London, Barts and the London School of Medicine and Dentistry, Centre for Clinical and Diagnostic Oral Sciences, Institute of Dentistry, London, E1 2AT. 2. Charles Clifford Dental Hospital, Sheffield Teaching Hospitals NHS Trust, Wellesley Road, Sheffield, S10 2SZ. 3. Department of Restorative Dentistry, Maxillofacial Unit, St. George's Hospital, London, SW17 0QT. 4. HEE NW London (formerly London Deanery), Stewart House, 32 Russell Square, London, WC1B 5DN. 5. Formerly London Deanery, Stewart House, 32 Russell Square, London, WC1B 5DN. 6. King's College London Dental Institute at Guy's, King's College and St Thomas's Hospitals, Division of Population and Patient Health, Denmark Hill Campus, Bessemer Road, London, SE5 9RS.
Abstract
BACKGROUND: The aim was to obtain stakeholders' views on the former London Deanery's joint educational service development initiative to train dentists with a special interest (DwSIs) in endodontics in conjunction with the National Health Services (NHS) and examine the models of care provided. METHODS: A convergent parallel mixed methods design including audit of four different models of care, semi-structured interviews of a range of key stakeholders (including the DwSI trainees) and questionnaire surveys of patients and primary care dentists. RESULTS: Eight dentists treated over 1,600 endodontic cases of moderate complexity over a two year training period. A retrospective audit of four schemes suggested that first molars were the most commonly treated tooth (57%; n = 341). Patients who received care in the latter stages of the initiative were 'satisfied' or 'very satisfied' with the service (89%; n = 98). Most dental practitioners agreed that having access to such services would support the care of their patients (89%; n = 215) with 88%; (n = 214) supporting the view that DwSIs should accept referrals from outside of their practice. CONCLUSION: This initiative, developed to provide endodontic care of medium complexity in a primary care setting, received wide support from stakeholders including patients and primary care dentists. The implications for care pathways, commissioning and further research are discussed.
BACKGROUND: The aim was to obtain stakeholders' views on the former London Deanery's joint educational service development initiative to train dentists with a special interest (DwSIs) in endodontics in conjunction with the National Health Services (NHS) and examine the models of care provided. METHODS: A convergent parallel mixed methods design including audit of four different models of care, semi-structured interviews of a range of key stakeholders (including the DwSI trainees) and questionnaire surveys of patients and primary care dentists. RESULTS: Eight dentists treated over 1,600 endodontic cases of moderate complexity over a two year training period. A retrospective audit of four schemes suggested that first molars were the most commonly treated tooth (57%; n = 341). Patients who received care in the latter stages of the initiative were 'satisfied' or 'very satisfied' with the service (89%; n = 98). Most dental practitioners agreed that having access to such services would support the care of their patients (89%; n = 215) with 88%; (n = 214) supporting the view that DwSIs should accept referrals from outside of their practice. CONCLUSION: This initiative, developed to provide endodontic care of medium complexity in a primary care setting, received wide support from stakeholders including patients and primary care dentists. The implications for care pathways, commissioning and further research are discussed.
Authors: Vijay Parashar; Nitin Jhunjhunwala; Aiyana Parthi; Vaibhav K Singh; Kishan Agarwal; Tejas M Kulkarni Journal: J Family Med Prim Care Date: 2020-05-31
Authors: Swapnil G Ghotane; Mustafa Al-Haboubi; Nick Kendall; Claire Robertson; Jennifer E Gallagher Journal: BMC Oral Health Date: 2015-09-21 Impact factor: 2.757