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The ability to successfully include primary dental care practitioners in commissioning groups
N M Jessop1, E J Kay, A C Mellor
1Department of Oral Health and Development, University Dental Hospital of Manchester.
British Dental Journal
|February 24, 2001
Summary
General dental practitioners (GDPs) can form commissioning organizations, but secondary care attitudes hinder implementation. Structural and psychological changes are needed for GDPs to effectively lead healthcare purchasing.
Area of Science:
- Health Services Research
- Dental Public Health
- Healthcare Management
Background:
- Evaluating healthcare commissioning models is crucial for efficient service delivery.
- General dental practitioners (GDPs) are key stakeholders in primary dental care.
- The integration of GDPs into purchasing decisions requires careful consideration.
Purpose of the Study:
- To assess the feasibility of including GDPs in total purchasing (TP) models for healthcare commissioning.
- To determine the potential role of GDPs in future primary care commissioning groups and trusts.
Main Methods:
- An observational, cross-sectional study design was employed.
- Two dental purchasing pilot sites in the North West Region were examined.
- The study focused on the structure and decision-making role of dental subgroups within TP organizations.
Main Results:
- GDPs demonstrated willingness and capability to establish effective primary care commissioning organizations.
- Attitudinal barriers within secondary care impeded the successful implementation of GDP-led decisions.
- The study assessed GDPs' ability to manage dental healthcare provision and service effectiveness.
Conclusions:
- Successful implementation of GDP-led purchasing necessitates significant structural, organizational, and psychological adjustments.
- These changes are vital for empowering GDPs and the dental profession within new primary care structures.
- GDPs' active involvement in commissioning can enhance dental healthcare service delivery.