Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings

BMC Oral Health

Randall J Gregory¹  D Brad Rindal²  Thomas W Oates⁷  Cyril Meyerowitz⁸  Jeffrey L Fellows³  James J Korelitz⁵  Valeria V Gordan⁴  Gregg H Gilbert⁶ 

[1] General Dentist, Winston-Salem Dental Care, Winston-Salem, NC, USA;HealthPartners Institute for Education and Research, Minneapolis, MN, USA;Kaiser Permanente Center for Health Research, Portland, OR, USA;Department of Restorative Dental Sciences, College of Dentistry, University of Florida, Gainesville, FL, USA;Westat, Rockville, MD, USA;Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, SDB Room 109, 1530 Third Avenue South, Birmingham, AL 35294-0007, USA;Department of Periodontics, School of Dentistry, University of Texas Health Science Center at SanAntonio, San Antonio, TX, USA;Eastman Institute for Oral Health, Rochester, NY, USA

关键词: Health services research;    Dentistry;    Practice-based research;    Dentist practice patterns;   

Others  :  1118157
DOI  :  10.1186/1472-6831-15-11

 received in 2014-09-06, accepted in 2015-01-14,  发布年份 2015

【 摘 要 】

Background

Objectives were to: (1) determine whether and how often general dentists (GDs) provide specific dental procedures; and (2) test the hypothesis that provision is associated with key dentist, practice, and patient characteristics.

Methods

GDs (n = 2,367) in the United States National Dental Practice-Based Research Network completed an Enrollment Questionnaire that included: (1) dentist; (2) practice; and (3) patient characteristics, and how commonly they provide each of 10 dental procedures. We determined how commonly procedures were provided and tested the hypothesis that provision was substantively related to the three sets of characteristics.

Results

Two procedure categories were classified as “uncommon” (orthodontics, periodontal surgery), three were “common” (molar endodontics; implants; non-surgical periodontics), and five were “very common” (restorative; esthetic procedures; extractions; removable prosthetics; non-molar endodontics). Dentist, practice, and patient characteristics were substantively related to procedure provision; several characteristics seemed to have pervasive effects, such as dentist gender, training after dental school, full-time/part-time status, private practice vs. institutional practice, presence of a specialist in the same practice, and insurance status of patients.

Conclusions

As a group, GDs provide a comprehensive range of procedures. However, provision by individual dentists is substantively related to certain dentist, practice, and patient characteristics. A large number and broad range of factors seem to influence which procedures GDs provide. This may have implications for how GDs respond to the ever-changing landscape of dental care utilization, patient population demography, scope of practice, delivery models and GDs’ evolving role in primary care.

【 授权许可】

   
2015 Gilbert et al.; licensee BioMed Central.

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