Referral patterns and the referral system for oral surgery care. Part 1: General dental practitioner referral patterns.

Abstract:

OBJECTIVE:To investigate current GDP oral surgery referral patterns given the anticipated change since the introduction by the General Dental Council of the specialty of surgical dentistry. DESIGN:Postal questionnaire. SETTING:400 GDPs in Greater Manchester. RESULTS:84% participation rate. 69% of dentists made a referral because of anticipated difficulty of surgery and 49% because of the complex nature of the patients' medical history. Practitioners who had undergone some oral surgery postgraduate training were more likely to undertake more surgery in their practices (P < 0.01) and to refer more patients for specialist care (P < 0.05). While female practitioners rated their own surgical confidence less highly than male practitioners (P < 0.001), and younger practitioners less than their older colleagues (P < 0.05), there was no significant difference in the number of referrals made. CONCLUSION:The most common reasons for referral were the anticipated difficulty of surgery and patient medical compromise. There was a wide variation between practitioners in the number of patients referred for specialist care. Postgraduate oral surgery training was identified as a factor contributing to this variation. Other practitioner variables, such as sex, experience and type of practice were not found to contribute.

journal_name

Br Dent J

journal_title

British dental journal

authors

Coulthard P,Kazakou I,Koron R,Worthington HV

doi

10.1038/sj.bdj.4800415

subject

Has Abstract

pub_date

2000-02-12 00:00:00

pages

142-5

issue

3

eissn

0007-0610

issn

1476-5373

journal_volume

188

pub_type

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