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Unravelling referral paths relating to the dental care of children: a study in Liverpool

Harris, Rebecca; Pender, Susan M.; Merry, Alison and Leo, Anthony (2008) Unravelling referral paths relating to the dental care of children: a study in Liverpool. Primary Dental Care, 15 (2). pp. 45-52. ISSN 1741-9344 (Online); 1355-7610 (Print)

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Abstract

Objective: To describe primary care referral networks relating to children’s dental care and the main influences on referral decisions taken by dentists working in a primary care setting. Design: A postal questionnaire to all 130 general dental practitioners (GDPs) in contract with Primary Care Trusts (PCTs), and 24 Community Dental Service (CDS) dentists in Liverpool. Outcome measures: Characteristics of patient groups and factors influencing the choice of referral pathway of children referred from primary dental care. Results: There were good responses rates (110 [85%] GDPs and 22 [92%] CDS dentists). The two main reasons why GDPs referred children to hospitals were (a) for treatment under general anaesthetic (GA) or relative analgesia (RA) and (b) for restorative care of dentally anxious children. GDPs also referred anxious children requiring simple restorative care and/or RA to the CDS. Only eight GDPs (7%) cited a lack of experience as a reason for referral of dentally anxious children for simple restorative care, compared to 53 (48%) who cited a lack of RA facilities, and 25 (23%) who cited financial considerations. Conclusions: GDPs refer children to both hospital services and the CDS, and identify a lack of RA facilities and economic pressures as key reasons for referral.

Item Type:Article
Uncontrolled Keywords:primary care; secondary care; referral; referral networks; dental
Subjects:R Medicine > RK Dentistry
Departments, Research Centres and Related Units:Academic Faculties, Institutes and Research Centres > Faculty of Medicine > School of Dental Sciences
DOI:10.1308/135576108784000294
Publisher's Statement:This article has been reproduced from Primary Dental Care.
Refereed:Yes
Status:Published
ID Code:442
Deposited On:14 Nov 2008 14:20
Last Modified:20 May 2011 14:01

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