Provision of specific dental procedures by general dentists in the National Dental Practice-Based Research Network: questionnaire findings
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- 作者：Gregg H Gilbert (25)
Valeria V Gordan (26)
James J Korelitz (27)
Jeffrey L Fellows (28)
Cyril Meyerowitz (29)
Thomas W Oates (30)
D Brad Rindal (31)
Randall J Gregory (32)
National Dental PBRN Collaborative Group
25. 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
26. Department of Restorative Dental Sciences ; College of Dentistry ; University of Florida ; Gainesville ; FL ; USA
27. Westat ; Rockville ; MD ; USA
28. Kaiser Permanente Center for Health Research ; Portland ; OR ; USA
29. Eastman Institute for Oral Health ; Rochester ; NY ; USA
30. Department of Periodontics ; School of Dentistry ; University of Texas Health Science Center at SanAntonio ; San Antonio ; TX ; USA
31. HealthPartners Institute for Education and Research ; Minneapolis ; MN ; USA
32. General Dentist ; Winston-Salem Dental Care ; Winston-Salem ; NC ; USA - 关键词：Dentist practice patterns ; Practice ; based research ; Dentistry ; Health services research
- 刊名：BMC Oral Health
- 出版年：2015
- 出版时间：December 2015
- 年：2015
- 卷：15
- 期：1
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- 出版者：BioMed Central
- ISSN：1472-6831
文摘
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--,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.