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Commissioning in the community dental services: what do dentists think?
Ellena O'Selmo1, Victoria Collin2, Penny Whitehead2
1British Dental Association, Policy and Research, 64 Wimpole Street, London, W1G 8YS, UK. ellena.o'selmo@bda.org.
British Dental Journal
|December 11, 2020
Summary
Community dental service (CDS) dentists find procurement processes negatively impact patient care and working environments. Commissioning leads to service decay and shifts priorities away from patient needs.
Area of Science:
- Dental Public Health
- Health Services Research
- Health Policy
Background:
- Community dental services (CDS) are crucial for public oral health.
- Procurement and commissioning are increasingly influencing service delivery in healthcare.
- Understanding provider perspectives is vital for effective healthcare management.
Purpose of the Study:
- To explore community dental service (CDS) dentists' experiences and perceptions of procurement processes.
- To identify the impact of tendering and commissioning on dental service provision and patient care.
Main Methods:
- Qualitative interviews with CDS dentists.
- Secondary analysis of census data.
- Examination of demographics and working conditions.
Main Results:
- Dentists are motivated by patient care but perceive commissioning negatively.
- Key themes include the tendering process, perceived service changes, and patient care effects.
- Commissioning was seen to negatively affect the working environment, patient care, and service priorities, leading to service decay.
Conclusions:
- Competitive commissioning in dentistry requires further investigation.
- The findings are relevant to all stakeholders in the dental sector due to the widespread use of commissioning.
- The study highlights the detrimental effects of commissioning on staff and patient care in CDS.
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