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Prioritising NHS dental treatments: a mixed-methods study
Padhraig S Fleming1, Fiorella Colonio-Salazar2, Andrea Waylen3
1Professor of Orthodontics, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK. padhraig.fleming@gmail.com.
British Dental Journal
|January 14, 2022
Summary
Patients and dental professionals prioritize NHS dental treatments that enhance quality of life and social wellbeing, especially for children. Full funding for pediatric dental care is a key concern for both groups.
Area of Science:
- Dental Public Health
- Health Services Research
- Patient-Centered Care
Background:
- National Health Service (NHS) dental treatments face prioritization challenges.
- Understanding patient and professional perspectives is crucial for effective service planning.
Purpose of the Study:
- To determine patient and dental professional priorities for NHS dental treatments.
- To identify factors influencing these priorities and willingness to contribute financially.
- To inform NHS dental service planning.
Main Methods:
- Qualitative phase: Focus groups and interviews with patients and dental professionals.
- Quantitative phase: Piloted questionnaire survey.
- Data analysis: Framework approach for qualitative data, regression models for quantitative data.
Main Results:
- Participants prioritized treatments improving quality of life and social wellbeing.
- Key influencing factors included self-care, self-esteem, age, and prevention, with financial concerns noted.
- Emergency dental treatment for children was the highest priority for both patients (59%) and dentists (74.2%).
- Both groups advocated for prioritizing full funding for children's dental treatments over adults' (p <0.05).
Conclusions:
- Patient and professional priorities for NHS dental care align on improving social wellbeing and quality of life.
- There is a strong consensus for prioritizing full NHS dental treatment coverage for children and young people.
- Policy makers should integrate these preferences into future NHS dental service planning.
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