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Direct access day case oral surgery.

A Joshi1, L Doyle, H V Worthington

  • 1Manchester Royal Infirmary.

British Dental Journal
|August 23, 2000
PubMed
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Direct access referrals significantly increase treatment rates and patient satisfaction compared to standard referrals. This streamlined approach is preferred by dental practitioners, hospital clinicians, and patients for oral surgery day case procedures.

Area of Science:

  • Oral Surgery
  • Healthcare Management
  • Patient Referral Systems

Background:

  • Traditional referral systems can be inefficient, leading to delays and suboptimal patient experiences.
  • Evaluating alternative referral pathways is crucial for improving healthcare delivery.

Purpose of the Study:

  • To compare the effectiveness of direct access referrals versus standard letter referrals for oral surgery day case procedures.
  • To assess the impact of direct access referrals from the perspectives of primary care providers, the secondary sector, and patients.

Main Methods:

  • A comparative study involving 12 general dental practitioners (GDPs) over two years.
  • GDPs used both direct access and standard referral methods, with outcomes evaluated via questionnaires.
  • Direct referrals involved pre-operative assessment and direct scheduling with the day case unit.

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Main Results:

  • Direct access referrals resulted in a higher treatment rate (90%) compared to standard referrals (75%).
  • Pre-operative records for direct access were adequate in 89% of cases.
  • Both dental practitioners (over 70%) and hospital clinicians preferred the direct access method, with 87% of direct access patients satisfied versus 63% for standard referrals.

Conclusions:

  • Dental practitioners can effectively utilize direct access referrals to oral surgery day case lists under appropriate guidelines.
  • The direct access referral system is favored by dental practitioners, the secondary sector, and patients, enhancing efficiency and satisfaction.