Abstract:
OBJECTIVES:To evaluate two total purchasing (TP) sites and ascertain whether general dental practitioners (GDPs) could be successfully included in the total purchasing model of health care commissioning. Another objective was to examine the role GDPs may play in future primary care commissioning groups and trusts. DESIGN:An observational cross-sectional study of two dental purchasing pilots in the North West Region. SUBJECTS:Two TP sites were studied, one in South Cheshire, the other East Lancashire. Each TP organisation had a dental subgroup which had a formal structure and was given an active role in dental healthcare service decision making. MAIN OUTCOME MEASURES:General dental practitioners' ability to manage dental health care provision in the selected sites and the suitability and effectiveness of the services managed by them. RESULTS:GDPs were willing and able to form cohesive primary care commissioning organisations but attitudes in secondary care prevented the implementation of their decisions. CONCLUSIONS:Structural, organisational and psychological changes would be necessary if GDP led purchasing were to be successfully implemented. Such changes are vital if GDPs and the dental profession are to have an effective role in the newly formed primary care groups and trusts.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Jessop NM,Kay EJ,Mellor AC,Whittle JG,Jenner Adoi
10.1038/sj.bdj.4800861subject
Has Abstractpub_date
2000-12-23 00:00:00pages
675-7issue
12eissn
0007-0610issn
1476-5373journal_volume
189pub_type
杂志文章abstract::We report a case of Wegener's granulomatosis (WG), localised to the upper aerodigestive tract, which presented as an unusual form of hyperplastic gingivitis in a 36-year-old female. The clinical, serological and histopathological findings are described. The resemblance of the affected gums to over-ripe strawberries is...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808316
更新日期:1993-11-06 00:00:00
abstract::Introduction Many studies have shown financial worries and debt to induce stress in individuals, this combined with the existing stress of being a dentist raises the question of how student debt affects students' and dentists' stress levels.Objectives Determine whether student debt has had any noticeable effect on stu...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.876
更新日期:2017-10-27 00:00:00
abstract::Introduction Consistent evidence has shown that periodontitis can be considered a risk factor for the development of vascular complications such as myocardial infarction and cerebrovascular accident. The majority of cases of erectile dysfunction (ED) are considered to result from the complication of vascular impairmen...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0724-6
更新日期:2019-10-01 00:00:00
abstract::The number of immunocompromised patients is increasing because of iatrogenic immunosuppression and HIV infection. Most have T lymphocyte defects and are prone to develop persistent and severe fungal and viral infections. Oral candidosis and peri-oral herpes simplex infections are particularly common. Other oral lesion...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807902
更新日期:1992-06-06 00:00:00
abstract::This paper addresses the questions of whether a dental profession existed in ancient Egypt and if it did then considers whether these practitioners were operative dental surgeons as we know them today or whether they were pharmacists. Evidence from hieroglyphic inscriptions, from the dentitions of the surviving mummif...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2009.355
更新日期:2009-05-09 00:00:00
abstract::A report is presented of a study which was carried out to investigate the standard of impressions for anterior crowns received at a commercial dental laboratory in Great Britain. Aspects examined were the type of tray and its suitability to the impression technique used, fixation of the impression to the tray, the met...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808129
更新日期:1993-04-10 00:00:00
abstract::The British Orthodontic Society launched a campaign called 'Hold that smile' to highlight to patients the importance of wearing retainers as a means of reducing relapse following orthodontic treatment. This opinion piece, on behalf of the British Orthodontic Society, is written in response to an article entitled 'Brit...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2018.439
更新日期:2018-06-22 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of an orofacial trauma-based brief intervention, designed to raise adolescent males' awareness about the immediate dangers of binge drinking. DESIGN:Non-randomised controlled exploratory trial. SETTING:Secondary level schools. MATERIALS & METHODS:Pre, post and follow up valida...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4814204
更新日期:2006-11-11 00:00:00
abstract::A 19-year-old female was referred by her dental practitioner for the restoration of missing maxillary lateral incisors and canines. Ridge augmentation was required. This was undertaken using mandibular tori as the sites for harvesting bone. The grafting was successful and the spaces were subsequently restored using re...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4801009
更新日期:2001-05-12 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.833
更新日期:2007-09-22 00:00:00
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4811749
更新日期:2004-10-23 00:00:00
abstract::Learners are motivated when using games and they have been successfully introduced in many healthcare subjects such as medicine and nursing. The development of games in dentistry has not kept pace with their uptake both as a popular pastime and their implementation in other subjects. Games in the learning space have m...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0784-7
更新日期:2019-09-01 00:00:00
abstract::Introduction This study was conducted in light of the SARS-CoV-2 pandemic, which brought UK dentistry to a standstill. The market has seen a recent influx of unproven extraoral scavengers (EOSs), which claim to reduce the risk of particulate spread.Aims To investigate the efficacy of a commercially available EOS devic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2112-7
更新日期:2020-09-11 00:00:00
abstract:OBJECTIVE:To investigate the dental health of 12-year-old children and the effectiveness of dental services in 1997 and compare the results with studies carried out in 1960 and 1988. BASIC RESEARCH DESIGN:Analytical survey using a one in five random sample of children in all seven secondary schools in Salford UK. Stan...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809642
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abstract:BACKGROUND:Many care home residents require simple dental treatment which is complicated by the need for extra time to deliver dental care. The proportion of their care which could be delivered wholly by hygienists or therapists is unknown. METHOD:2010 Welsh dental care home survey data on clinical opinion of treatmen...
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pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.919
更新日期:2015-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.994
更新日期:2013-10-01 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:
更新日期:1997-07-26 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807250
更新日期:1990-07-07 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.903
更新日期:2011-11-11 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800098
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4809825
更新日期:1998-10-24 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800840
更新日期:2000-12-09 00:00:00
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pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.582
更新日期:2008-10-11 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808094
更新日期:1993-02-06 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.307
更新日期:2009-04-25 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807919
更新日期:1992-06-20 00:00:00
abstract::Dental consultations of 30 general practitioners with 132 patients aged 10-17 years were recorded. The dental consultation was found to have a consistent structure composed of a sequence of stages, although not all were present in each consultation. Criteria by which verbal communication in a dental consultation can b...
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pub_type: 杂志文章
doi:10.1038/sj.bdj.4808519
更新日期:1994-08-06 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800213
更新日期:1999-07-24 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2019.2
更新日期:2019-01-11 00:00:00
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journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4806727
更新日期:1989-02-11 00:00:00