Abstract:
:This paper sets out a conceptual framework by which quality improvement in primary dental care can be approached. We argue that seeking a unified definition for quality in dentistry is a distraction to the more important end of quality improvement. An approach to quality improvement that interfaces Donabedian's domains of structure, process and outcome with various dimensions of quality gives a rational approach by which quality can be assessed and improved. The importance of valid, evidence driven indicators and methods for their implementation in primary dental care is described. Further work is required in order to identify which dimensions of dentistry are most important, but the Institute of Medicine's dimensions of safety, effectiveness, patient centreedness, timeliness, equity, efficiency are a good starting point. Trying to develop an absolute list of dimensions of quality should not distract from implementing an approach-based paradigm of quality improvement. Bioinformatics offers new solutions by which quality measures may be implemented and reported in the primary care setting. The focus of future research should be in implementing data-driven quality indicators at the level of the primary care practitioner.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Byrne M,Tickle Mdoi
10.1038/s41415-019-0900-8subject
Has Abstractpub_date
2019-11-01 00:00:00pages
865-868issue
10eissn
0007-0610issn
1476-5373pii
10.1038/s41415-019-0900-8journal_volume
227pub_type
杂志文章abstract:OBJECTIVE:To investigate job satisfaction among hygienist-therapists. Increasing numbers of hygienist-therapists work in UK primary dental care teams. Earlier studies suggest a clinical remit/clinical activity mismatch, without investigating any link with job satisfaction. METHODS:A UK-wide survey of dental hygienist-...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.116
更新日期:2011-02-26 00:00:00
abstract::Ecstasy (also known as 'love drug', 'XTC' or 'E') is the name commonly used for the illegal designer drug related to amphetamine, 3,4 methylenedioxy-methamphetamine (MDMA). MDMA was patented in 1914 as an appetite suppressant, has been investigated as a mood modifying agent, but with its predecessor 3,4 methylenedioxy...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808200
更新日期:1993-07-10 00:00:00
abstract:INTRODUCTION:Locator retained implant overdentures are associated with a high incidence of prosthodontic complications. This study investigated whether general dental practitioners (GDPs) were willing to maintain these prostheses in primary dental care. METHOD:A questionnaire was distributed to all GDPs referring pati...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2014.79
更新日期:2014-02-01 00:00:00
abstract::Professor Ian Benington OBE was installed as the President of the British Dental Association at last year's British and Irish Dental Association's Annual Conference in Belfast 2002. At this year's 2003 British Dental Association's Annual Conference in Manchester on April 24-26, 2003, he gave his valedictory address. ...
journal_title:British dental journal
pub_type:
doi:10.1038/sj.bdj.4810186
更新日期:2003-05-24 00:00:00
abstract::The British Association of Oral and Maxillofacial Surgeons and the Royal Colleges have rightly responded over the years to pressures within, and outside dentistry for higher levels of training in oral and maxillofacial surgery. There has been adoption of a series of qualification as, at first desirable, then mandatory...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807667
更新日期:1991-10-19 00:00:00
abstract::Dental standards play a vital and important role in society by contributing to the quality and safety levels of products used in dental treatments by dental professionals as well as the hygiene products used by the general public. Few members of the public or indeed many dentists fully appreciate the contribution made...
journal_title:British dental journal
pub_type: 历史文章,杂志文章
doi:10.1038/sj.bdj.2012.835
更新日期:2012-09-01 00:00:00
abstract::The problem with improving quality in dental practice is not so much a difficulty with understanding exactly what quality means, but more a lack of clear guidance as to how to take the simple, practical steps to achieving that improvement in the daily pressures of practice life. This article describes Quality Developm...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808028
更新日期:1992-11-07 00:00:00
abstract::Endodontic procedures are challenging and technically demanding. In the UK standards of treatment have been shown to have fallen short of acceptable guidelines, laying many dentists open to litigation on questions of clinical negligence by patients who understand and know what should be considered as current best prac...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.721
更新日期:2010-08-28 00:00:00
abstract::The factors which influence the uptake of orthodontic treatment are reviewed with respect to the features and aspirations of the consumers (patients and parents) and the providers (dentists, orthodontists and health system). It appears that the assessment of orthodontic treatment need is influenced by many variables r...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807421
更新日期:1991-01-19 00:00:00
abstract::A great number of dentists recognise the conflict between running a viable business and providing dental care to the same level they had been taught as students. This Personal View recounts the experiences of one general dental practitioner, but the feelings expressed have a universality that many will recognise. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808383
更新日期:1994-02-19 00:00:00
abstract::The effectiveness of pain relieving treatments given for acute dental pain has been evaluated after 24 hours in 172 patients who presented to a dental hospital emergency department. Patients were contacted by telephone the day after attendance and graded their pain on a scale from 1 (no pain) to 5 (pain much worse). T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808469
更新日期:1994-06-11 00:00:00
abstract::Introduction and context This paper describes how research and evidence influenced Welsh Government policy to fund a programme (Gwên am Byth - A Lasting Smile) with the aim of improving the oral health of older people living in care homes. It describes how collaborative multi-agency working supported development and d...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-2400-2
更新日期:2020-12-01 00:00:00
abstract::Introduction People from vulnerable groups have higher levels of untreated dental disease compared to the general population, yet often experience barriers to accessing care. Difficulties accessing oral healthcare services have been suggested as one of the pathways that contribute to oral health inequalities.Aim To co...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-019-0529-7
更新日期:2019-07-01 00:00:00
abstract::Tooth bleaching is an exciting treatment option for patients, which has many treatment options and considerations for the dentist. The purpose of this article is to answer questions in a Q&A fashion about different types of tooth bleaching and their applications to various clinical situations and patients' dental situ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.767
更新日期:2017-09-08 00:00:00
abstract:OBJECTIVES:To investigate whether a standard Resuscitation Council (UK) ALS course is appropriate for primary care dentists or whether a course should be specifically designed for dentists. DESIGN:Opinions canvassed by pre-course expectation and post-course evaluation questionnaires. SUBJECTS:23 West Pennine primary ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800523
更新日期:2000-05-13 00:00:00
abstract:AIM:A study of 180 dentists in the West of Scotland was conducted to determine their exposure to mercury during the course of their work and the effects on their health and cognitive function. DESIGN:Data were obtained from questionnaires distributed to dentists and by visiting their surgeries to take measurements of ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811831
更新日期:2004-11-27 00:00:00
abstract::The incidence of oral and oropharyngeal cancer is rising in the UK, its aetiology is changing and early detection and referral saves lives. This article covers how and to what depth oral and oropharyngeal cancer is taught to dental students and other preregistration dental care professionals and examines the threats i...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.925
更新日期:2018-11-09 00:00:00
abstract:OBJECTIVE:We explored the role of personality and pre-treatment contentment with one's face and body in predicting satisfaction following simple aesthetic dental procedures. METHODS:In a single-centre repeated measures cohort design we examined the extent to which patient personality and baseline satisfaction with one...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.524
更新日期:2014-06-01 00:00:00
abstract::A baseline study of referrals by letter to a department of conservative dentistry staffed purely by honorary consultants was conducted for one year. Distinct differences were found between the majority of patients referred from general practice and those referred from other sources. Principal reasons for referral were...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808084
更新日期:1993-02-06 00:00:00
abstract::Using a postal questionnaire, the use of general anaesthesia and sedation in general dental practice in two cities over a 4-week period was investigated. Questionnaires were sent to a random sample of one in five dental practitioners in Bristol and Sheffield, and an 82% response rate was attained. More practices in Sh...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807312
更新日期:1990-09-22 00:00:00
abstract::The current debate on our pay system sparked off by the elegant dissertation by David Watson-James (BDJ, October 24 1992) has been welcomed by those of us in the profession who try to see past the size of our next monthly schedule. Having spent the last eight years as a member of the Representative Board of the BDA an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808081
更新日期:1993-01-23 00:00:00
abstract::There is much mystique surrounding the acquisition by a young practitioner of his or her first dental practice, arising largely from his fear of the unknown. In fact, provided that he or she obtains sound legal and commercial advice, he or she can purchase a dental practice almost exclusively out of borrowed capital. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807524
更新日期:1991-04-20 00:00:00
abstract::An examination is made of data on dental caries amongst 12-year-old children and sugar consumption of the total population for 90 countries. For the whole data set, DMFT score tends to rise with sugar consumption. The linear relationship between the logarithm of DMFT and sugar is estimated to have a slope of 0.021 per...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808437
更新日期:1994-04-23 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 full coverage, all-ceramic restoration of an anterior tooth is a challenging clinical situation for which a variety of all-ceramic systems and cements are available. The decision making process involves the consideration of a number of factors such as underlying substrate colour, tooth preparation geometry, margin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.735
更新日期:2008-09-13 00:00:00
abstract::This study describes a pilot project in which peer assisted learning (PAL) is used to teach dental clinical skills. A cluster randomised controlled trial compared opinions of Bachelor of Dental Surgery (BDS) students from peer-led groups versus staff-led groups in a clinical (impression taking) and a pre-clinical (han...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2015.722
更新日期:2015-09-25 00:00:00
abstract::This review article presents an overview of craniofacial malformations and the role of the orthodontist in their management. The first part of this article focuses on cleft lip and palate, followed by more complex deformities including craniosynostosis and craniofacial microsomia. The main features of these anomalies ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.48
更新日期:2015-02-16 00:00:00
abstract::'Active Learning' is a frequently encountered term much in vogue in educational circles and widely considered in many current textbooks and papers. It is, however, a most difficult term to define. This paper seeks firstly to explore and discuss the meaning of the term with special relation to undergraduate dental educ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808275
更新日期:1993-09-25 00:00:00
abstract::Treatment of the cavity with silver diamine fluoride before placement of glass ionomer cement containing CPP-ACP enhances anticariogenic effect in vitro. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.580
更新日期:2017-07-07 00:00:00
abstract:AIM:This paper aims to compare the effectiveness of articaine buccal infiltrations (BIs) and lidocaine inferior alveolar nerve blocks (IANBs) for inducing pulpal anaesthesia in mandibular molars. METHOD:Studies which compared articaine BIs with lidocaine IANBs were identified by completing a full literature search usi...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.93
更新日期:2016-02-12 00:00:00