Outcomes comparison of solo-practitioner and group practice models

Area of Science:

• Dental Education
• Health Services Research

Background:

• The University of Washington School of Dentistry utilized a solo-practitioner model in predoctoral teaching clinics.
• This model required students to independently manage practices, leading to perceived inefficiencies for patients and students, and suboptimal educational and productivity outcomes.

Purpose of the Study:

• To pilot test a group practice model of patient care delivery.
• To assess if the group practice model could enhance productivity, educational, and care delivery outcomes compared to the traditional solo-practitioner model.

Main Methods:

• A group practice model combining third- and fourth-year dental students was implemented.
• Dedicated resources included a practice advisor, patient care coordinator, dental assistant, and clinic receptionist for each group practice.
• Two group practices and twenty-five solo practitioners participated in the study.

Main Results:

• Group practice participants demonstrated greater billing volume and better attendance rates.
• Participants reported enhanced satisfaction with staff/faculty support and appointment fulfillment.
• Patient satisfaction ratings were generally comparable between the two models.

Conclusions:

• The group practice model, characterized by dedicated resources and provider collaboration, shows potential to improve outcomes in clinical dental education.
• This model offers a viable alternative to solo practice for enhancing educational and operational efficiency.