Related Experiment Video
Updated: Jul 23, 2025
06:49
A Standardized Approach to Extra-Oral and Intra-Oral Digital Photography
Published on: July 22, 2022
7.8K
Developing a person-centred approach in dentistry beyond NHS recall intervals: a commentary
Ian Mills1, Sasha Scambler2, Patricia Neville3
1Peninsula Dental School, University of Plymouth, United Kingdom. ian.mills@plymouth.ac.uk.
British Dental Journal
|July 13, 2023
Summary
Person-centred care (PCC) and shared decision-making (SDM) are vital in dentistry but require tailored approaches. Current systems like the Units of Dental Activity (UDA) in England hinder their effective implementation.
Area of Science:
- Dental Public Health
- Healthcare Quality Improvement
- Patient-Centered Care
Background:
- Person-centred care (PCC) is a cornerstone of quality healthcare, offering benefits to patients and clinicians.
- Existing PCC models are largely derived from medical literature, with limited adaptation for dental practice.
- The Personalised Care Institute is developing resources for shared decision-making (SDM) in dentistry, focusing on tailored recall intervals.
Purpose of the Study:
- To advocate for the integration of PCC and SDM in dentistry.
- To highlight the need for dentistry-specific models and training for PCC and SDM.
- To identify systemic barriers to implementing PCC and SDM in English dental practice.
Main Methods:
- Literature review and analysis of existing PCC and SDM models.
- Examination of the current healthcare system in England, specifically the Units of Dental Activity (UDA) system.
- Discussion of the implications of the UDA system on the delivery of PCC and SDM.
Main Results:
- Generic PCC and SDM models may not be suitable for the unique context of dentistry, especially general dental practice.
- The current Units of Dental Activity (UDA) system in England acts as a significant barrier to the delivery of PCC and SDM.
- Without changes to the NHS Contract, UDA targets will continue to override PCC, SDM, and tailored recall intervals.
Conclusions:
- Developing contextually relevant materials and training is crucial for effective PCC and SDM in dentistry.
- Systemic changes, particularly to the NHS Contract and UDA system, are necessary to facilitate PCC and SDM.
- Addressing these systemic issues is essential to prioritize patient-centred care and tailored recall intervals over arbitrary targets.
Related Concept Videos
01:13Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
01:21Tooth Anatomy
563
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
563
01:30Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
01:15Teeth
501
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
501
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.6K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.6K
01:29Documentation in Long-Term and Home Healthcare Setting
931
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
931