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Related Experiment Videos

Going private? Exploring the drift away from the NHS.

S Silvester1, M Calnan, G Manley

  • 1Centre for Health Services Studies (CHSS), University of Kent.

Primary Dental Care : Journal of the Faculty of General Dental Practitioners (UK)
|June 19, 2001
PubMed
Summary

Dentists

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Area of Science:

  • Dental Public Health
  • Health Services Research

Background:

  • Widespread perception of dentistry privatization.
  • Need to understand factors influencing practice sector choice.

Purpose of the Study:

  • Investigate factors influencing dentists' decisions to practice in public (NHS) versus private sectors.
  • Explore changes in practice patterns post-1990 contract.

Main Methods:

  • Two-phase study: national postal survey (n=1011) of general dental practitioners.
  • Phase II: in-depth interviews with subsamples of dentists.

Main Results:

  • Majority of dentists continue NHS work, but practice patterns have shifted.
  • Private practice growth is regionally variable, driven by financial security, quality, and autonomy concerns.
  • NHS practice is maintained for patient access, income stability, and pension rights.

Conclusions:

  • Dentists show reluctance to withdraw from NHS practice.
  • Disillusionment with policy and the marginalization of dental health suggest continued trends towards private practice.

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