1
|
Barnett R, Buckland E, King T, Pabary S. Wimpole Timings study. Br Dent J 2024:10.1038/s41415-024-7521-6. [PMID: 38977841 DOI: 10.1038/s41415-024-7521-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 03/01/2024] [Accepted: 03/11/2024] [Indexed: 07/10/2024]
Abstract
Introduction Studies show that changes to dental incentive structures and treatment timings impact behaviour among UK general dental practitioners (GDP). Since 1980, the British Dental Association (BDA) has conducted panel inquiries to understand the time taken to complete dental treatments, the most recent of these being the 1999 Heathrow Timings study.Aims Given significant changes to the UK general dental service (GDS) since 1999, this research aims to gain a refreshed understanding of the time involved to complete clinical treatments in the UK and gain insight into working hours.Materials and methods This study adopted a mixed-method research design, adapted from the BDA's Heathrow Timings study. Averages for 34 adult and 12 children's treatments were found using an online survey and group discussion with 15 GDPs.Results Overall, GDPs worked 35.23 hours per week, at an hourly rate of £39.94. Comparison to the Heathrow study in 1999 shows an increase in time to deliver multiple treatments, including clinical examinations, root canals, extractions, composite fillings, porcelain veneers, acrylic full dentures and children's extractions.Conclusion Overall, this study provides a current and updated insight into dental treatment times performed by GDPs in the UK and highlights a decrease in working hours and real-term earnings of GDPs over the past 20 years.
Collapse
Affiliation(s)
- Ryan Barnett
- British Dental Association, Policy and Research, 64 Wimpole Street, London, W1G 8YS, UK
| | - Ella Buckland
- British Dental Association, Policy and Research, 64 Wimpole Street, London, W1G 8YS, UK.
| | - Tom King
- British Dental Association, Policy and Research, 64 Wimpole Street, London, W1G 8YS, UK
| | - Shiv Pabary
- GDP and GDPC Vice Chair, British Dental Association, 64 Wimpole Street, London, W1G 8YS, UK
| |
Collapse
|
2
|
Bogale B, Scambler S, Mohd Khairuddin AN, Gallagher JE. Oral health system strengthening in fragile and conflict-affected states: A systematic review. J Glob Health 2024; 14:04132. [PMID: 38902973 PMCID: PMC11190633 DOI: 10.7189/jogh-14-04132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/22/2024] Open
Abstract
Background Oral diseases affect nearly half of the global population, presenting significant challenges in fragile and conflict-affected states. Despite comprising a population of over one billion people, oral health data and comprehensive evidence on oral health system strengthening on these countries are limited. This study, therefore, aims to explore oral health system strengthening in fragile and conflict-affected states by synthesising evidence from relevant global literature. Methods We conducted a systematic review of literature across Ovid MEDLINE, EMBASE, Global Health, Scopus, Web of Science, and grey literature databases. The methodological quality of published literature was assessed using the relevant Joanna Briggs Institute critical appraisal tools. The findings were narratively synthesised and presented using the Lancet's high-quality health system framework. Results The review included 23 papers from 12 countries. The evidence documented impacts of armed conflicts, political crisis, pandemics, and natural disasters on oral health systems, and initiatives to strengthen them focusing on the 'foundations' domain. The initiatives included: workforce development and career opportunities; health service platforms such as mobile dental services and teledentistry; integration of oral health into national health systems and emergency responses; contingency planning and adaptability; and effective governance such as financing systems and infrastructures. Collaborative action, both local and international, including monitoring and evaluation were emphasised as key strategies for health system strengthening to ensure an equitable distribution of responsibilities and resources. Conclusions Whilst evidence on oral health system strengthening in fragile and conflict-affected states is limited, our findings suggest the need for integrated action, such as mobilising local resources and engaging stakeholders equitably. Further research, with particular focus in the area of processes of care and quality impacts, is necessary to explore comprehensive strategies for strengthening the oral health system.
Collapse
Affiliation(s)
- Birke Bogale
- Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London, UK
- Department of Dental and Maxillofacial Surgery, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Sasha Scambler
- Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London, UK
| | - Aina Najwa Mohd Khairuddin
- Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London, UK
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Jennifer E Gallagher
- Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London, UK
| |
Collapse
|
3
|
Lewis BR, Spicer OJ, Moons K, McLaughlin WS. Survey of National Health Service (NHS) orthodontic practitioners in Wales, UK. Part 2: job satisfaction perceptions of the workforce 2021-2022. J Orthod 2024; 51:147-159. [PMID: 38282518 DOI: 10.1177/14653125231224452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
OBJECTIVE To ascertain the perceptions of the Welsh NHS orthodontic workforce regarding their job satisfaction and work life balance. DESIGN Descriptive cross-sectional survey. PARTICIPANTS AND SETTING Clinicians providing NHS orthodontic treatment in Wales. METHODS An anonymised, email-distributed, electronic, two-part survey (onlinesurveys.ac.uk) of the Welsh NHS orthodontic workforce working within Wales was undertaken. The survey consisted of three sections: (1) demographic information (part 1); (2) respondents' working pattern (part 1); and (3) perceptions of professional job satisfaction and work/life balance (part 2). The responses received were exported into an Excel spreadsheet for descriptive analysis. The free-text comments were collated for each question and subsequently underwent a content analysis to identify any common themes. RESULTS Part 2 of the survey yielded an overall response rate of 69.6% (n = 78). Over 96% (n = 75) of respondents felt that they had 'made the right career choice, including 100% of orthodontic trainees, orthodontic specialists and orthodontic consultants. Of the respondents, 88.5% (n = 69) said they 'enjoyed going to work', with the remaining being mostly neutral in their opinion. Of the respondents, 79.5% (n = 62) felt they were able to 'provide their patients the optimum care' and 64.1% (n = 50) felt that more demands were being placed upon them by patients and parents. Overall, 52.6% (n = 41) of survey respondents believed it was becoming increasingly difficult to achieve an effective work/life balance, and this was more prevalent among male respondents (61.5%, n = 16) than female respondents (48.1%, n = 25), although this difference was not statistically significant (P >0.05). CONCLUSIONS Over 96% of respondents felt they have chosen the right career and that flexibility and a good working environment are important to job satisfaction. Respondents felt that there are increasing demands being placed upon them by patients/parents, employers, the Regulators, the Government and Health Boards. This is leading to increased difficulty in achieving a satisfactory work/life balance, especially among male respondents.
Collapse
Affiliation(s)
- Benjamin Rk Lewis
- Orthodontic Department, Glan Clwyd Hospital, Bodelwyddan, UK
- Orthodontic Department, Department 8, Wrexham Maelor Hospital, Wrexham, UK
| | - Olivia J Spicer
- Health Education and Improvement Wales, Nantgarw, Rhondda Cynon Taff, UK
| | - Kirstie Moons
- Health Education and Improvement Wales, Nantgarw, Rhondda Cynon Taff, UK
| | | |
Collapse
|
4
|
Lewis BR, Spicer OJ, McLaughlin WS, Moons K. Survey of National Health Service (NHS) orthodontic practitioners in Wales, UK. Part 1: working patterns 2021-2022. J Orthod 2024; 51:137-146. [PMID: 38282526 DOI: 10.1177/14653125231224459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
OBJECTIVE To ascertain the working patterns of the NHS orthodontic workforce in Wales and any possible future changes. DESIGN Descriptive cross-sectional survey. PARTICIPANTS NHS orthodontic practitioners in Wales. METHODS An anonymised email distributed an electronic two-part survey of the Welsh NHS orthodontic workforce. The survey consisted of three sections: (1) demographic information; (2) respondents' working pattern (part 1); and (3) perceptions of professional satisfaction (part 2). RESULTS Part 1 of the survey yielded a 70.5% response rate (n = 79); 65.8% of the respondents were women. Of the respondents, 45.6% (n = 36) worked full time (F/T), 39.2% (n = 31) worked less than F/T and 15.2% (n = 12) worked more than F/T. Of the male respondents, 81.5% (n = 22) worked 10 sessions or more compared to 50% (n = 26) of women. The respondents undertook 508.5 orthodontic clinical sessions per week within Wales; of these sessions, 87.6% (n = 445.5) delivered NHS orthodontic care. Of the respondents, 8.4% (n = 7) were planning to increase their orthodontic clinical time within the next 2 years, 24.1% (n = 19) were planning to decrease it and 20.3% (n = 16) were unsure. One-quarter of respondents indicated that they were planning to stop clinical orthodontic activity within the next 5 years, including 53.3% (n = 8) of DwSIs, 37% (n = 10) of primary care specialists and 13.3% (n = 2) of consultants. The pandemic was an influencing factor for 80% of these clinicians. CONCLUSIONS Part 1 of the survey suggested that the majority of the orthodontic workforce was female, were working full time or more, and spent most sessions delivering NHS care. One-quarter of respondents were planning to cease undertaking orthodontic activity within the next 5 years.
Collapse
Affiliation(s)
- Benjamin Rk Lewis
- Orthodontic Department, Glan Clwyd Hospital, Bodelwyddan, UK
- Orthodontic Depertment, Department 8, Wrexham Maelor Hospital, Wrexham, UK
| | - Olivia J Spicer
- Health Education and Improvement Wales, Nantgarw, Rhondda Cynon Taff, UK
| | | | - Kirstie Moons
- Health Education and Improvement Wales, Nantgarw, Rhondda Cynon Taff, UK
| |
Collapse
|
5
|
Holloway JA, Chestnutt IG. It's not just about the money: recruitment and retention of clinical staff in general dental practice - part 2: dental care professionals. Prim Dent J 2024; 13:55-63. [PMID: 38520193 DOI: 10.1177/20501684241232214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2024]
Abstract
As described in the first paper of this two-part series, increasing difficulties in recruitment and retention of dentists and dental care professionals (DCPs) in general dental practice in the UK is affecting delivery of NHS dental services. There is a significant risk to the future dental workforce supply which will affect access to dental care and worsen oral health inequalities. Understanding what factors contribute to job satisfaction and prevent job dissatisfaction of dental professionals would be useful in managing recruitment and retention issues. The aim of this literature review was to identify factors which contribute to job satisfaction of DCPs in general dental practice. Database searching was conducted systematically through PubMed/Medline, Scopus, Ovid, and the National Grey Literature Collection. Eleven relevant articles were identified, which were qualitatively analysed using Herzberg's motivation-hygiene theory as an analysis tool. Unfair remuneration is a major contributor to dissatisfaction of DCPs, but job satisfaction could be promoted through increased recognition, variety of work, and opportunities to progress. Dental contract reform in the UK should aim to minimise factors contributing to dissatisfaction and increase factors which increase satisfaction, including the development of an acceptable remuneration model for NHS dentistry that facilitates skill mix.
Collapse
Affiliation(s)
- Jessica A Holloway
- Jessica A. Holloway MChD/BChD, MPH, PhD, FHEA Specialty Registrar in Dental Public Health, Public Health Wales, Cardiff, UK
- Ivor G. Chestnutt BDS, MPH, PhD, FDS(DPH)RCSEd, FDS RCSEng, FDS RCPSGlas, FFPH, DDPH RCS ENG, FHEA Professor and Honorary Consultant in Dental Public Health, Cardiff University, Cardiff, UK
| | - Ivor G Chestnutt
- Jessica A. Holloway MChD/BChD, MPH, PhD, FHEA Specialty Registrar in Dental Public Health, Public Health Wales, Cardiff, UK
- Ivor G. Chestnutt BDS, MPH, PhD, FDS(DPH)RCSEd, FDS RCSEng, FDS RCPSGlas, FFPH, DDPH RCS ENG, FHEA Professor and Honorary Consultant in Dental Public Health, Cardiff University, Cardiff, UK
| |
Collapse
|
6
|
Holloway JA, Chestnutt IG. It's not just about the money: recruitment and retention of clinical staff in general dental practice - part 1: dentists. Prim Dent J 2024; 13:38-54. [PMID: 38520198 DOI: 10.1177/20501684241232212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2024]
Abstract
Increasing difficulties in recruitment and retention of dentists and dental care professionals in general dental practice in the UK is affecting delivery of NHS dental services. Reports of dissatisfaction among the general dental practice workforce indicate there is a significant risk to the future dental workforce supply which will affect access to dental care and worsen oral health inequalities. Understanding the factors related to job satisfaction and dissatisfaction of dental professionals would be useful in managing recruitment and retention issues and ensure a dental workforce exists which is able to meet the needs of the population. The aim of this literature review was to identify factors which contribute to job satisfaction and dissatisfaction of clinical staff in general dental practice. Database searching was conducted systematically through PubMed/Medline, Scopus, Ovid, and the National Grey Literature Collection. Part 1 of this two-part series discusses the factors relating to dentists. Twenty-two relevant articles were identified, which were qualitatively analysed using Herzberg's motivation-hygiene theory as an analysis tool. Target-driven and restrictive contractual arrangements are a major factor contributing to dissatisfaction of dentists, as well as time pressures, poor quality equipment, and unfair remuneration. Dental contract reform should aim to minimise factors contributing to dissatisfaction and increase factors which increase satisfaction, if sufficient numbers of dentists are to be persuaded to continue to provide state-funded dentistry.
Collapse
Affiliation(s)
- Jessica A Holloway
- Jessica A. Holloway MChD/BChD, MPH, PhD, FHEA Specialty Registrar in Dental Public Health, Public Health Wales, Cardiff, UK
- Ivor G. Chestnutt BDS, MPH, PhD, FDS(DPH)RCSEd, FDS RCSEng, FDS RCPSGlas, FFPH, DDPH RCS ENG, FHEA Professor and Honorary Consultant in Dental Public Health, Cardiff University, Cardiff, UK
| | - Ivor G Chestnutt
- Jessica A. Holloway MChD/BChD, MPH, PhD, FHEA Specialty Registrar in Dental Public Health, Public Health Wales, Cardiff, UK
- Ivor G. Chestnutt BDS, MPH, PhD, FDS(DPH)RCSEd, FDS RCSEng, FDS RCPSGlas, FFPH, DDPH RCS ENG, FHEA Professor and Honorary Consultant in Dental Public Health, Cardiff University, Cardiff, UK
| |
Collapse
|
7
|
Mills I, Bryce M, Clarry L, Evans D, Hanks S. Dental practice workforce challenges in rural England: survey into recruitment and retention in Devon and Cornwall. Br Dent J 2023:10.1038/s41415-023-6276-9. [PMID: 37723311 DOI: 10.1038/s41415-023-6276-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 05/07/2023] [Accepted: 05/25/2023] [Indexed: 09/20/2023]
Abstract
Introduction Devon and Cornwall have been identified as 'dental deserts' with limited NHS dental access and high levels of oral health inequality. Challenges around recruitment and retention of the dental workforce have been acknowledged as an important contributory factor.Aims The aim of this research was to explore the experiences of dental practices within Devon and Cornwall in relation to recruitment and retention of the dental workforce.Method A self-administered, online questionnaire was used to explore various aspects of workforce recruitment and retention. The questionnaire included categorical rating scale and free-text question formats providing quantitative and qualitative data.Results In total, 106 dental practices responded to the survey, providing a response rate of 36%. The vast majority of respondents (94%) considered recruitment and retention to be a major barrier to delivering NHS services. Additionally, 77% of practices had a current staff vacancy, 57% had a dentist vacancy and 48% had a vacancy for dental nurses. Thematic analysis led to identification of four main themes which were considered to influence recruitment and retention: NHS system; economic challenges; logistics; and support networks.Conclusion A large number of dental practices in Devon and Cornwall are failing to operate at capacity due to workforce shortages, which is affecting access to services in both NHS and private practices. Recruitment and retention of dentists and dental nurses appears to be the most challenging factor, with NHS practices affected more than the private sector.
Collapse
Affiliation(s)
- Ian Mills
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom.
| | - Marie Bryce
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| | - Laura Clarry
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| | - Deborah Evans
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| | - Sally Hanks
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| |
Collapse
|
8
|
Evans D, Mills I, Burns L, Bryce M, Hanks S. The dental workforce recruitment and retention crisis in the UK. Br Dent J 2023; 234:573-577. [PMID: 37117357 PMCID: PMC10141865 DOI: 10.1038/s41415-023-5737-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 12/07/2022] [Accepted: 12/14/2022] [Indexed: 04/30/2023]
Abstract
The precarious state of NHS dentistry is widely acknowledged, yet there is limited progress in addressing the underlying issues. Further delays will undoubtedly impact patient care, leading to oral health deterioration and unnecessary suffering. This will predominantly affect the most vulnerable in society, resulting in greater oral health inequalities.The underlying issues contributing to the current NHS dental crisis are many, and they include: prolonged delays in contract reform; long-term underinvestment; private sector growth; and fewer dentists working full-time and/or in the NHS. In England, an NHS dental contract that fails to promote prevention or equality of access continues to have a deep and pernicious impact on the future of NHS dentistry. The devastating impact of the COVID-19 pandemic on access cannot be underestimated and neither should the effect of Brexit on the availability of workforce.The recruitment and retention of dentists, and other members of the dental team, is undoubtedly a major issue in terms of capacity and access to NHS dental care. These problems, seen across the UK, are a particular issue in England, with acute challenges within rural and coastal areas.There is an urgent necessity to develop coherent, multifaceted strategies, aided by the collection of clear and accurate workforce data, to tackle these issues.
Collapse
Affiliation(s)
- Deborah Evans
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom.
| | - Ian Mills
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| | - Lorna Burns
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| | - Marie Bryce
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| | - Sally Hanks
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, United Kingdom
| |
Collapse
|
9
|
Evans D, Burns L, Mills I, Bryce M, Hanks S. Recruitment and retention in dentistry in the UK: a scoping review to explore the challenges across the UK, with a particular interest in rural and coastal areas. Br Dent J 2023:10.1038/s41415-022-5406-0. [PMID: 36624307 PMCID: PMC9838263 DOI: 10.1038/s41415-022-5406-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 09/22/2022] [Indexed: 01/11/2023]
Abstract
Introduction There is currently reduced access to NHS dental services in the UK, particularly in England, with rural and coastal areas significantly affected. Recruitment and retention in dentistry has been highlighted as an issue contributing to the problem.Objectives To explore what is known or unknown about recruitment and retention of the dental workforce in the UK, with a particular focus on rural and coastal areas. We were keen to gain information relating to factors affecting recruitment and retention, geographical distribution of the workforce, anticipated challenges, strategies or proposals to assist workforce planning and the extent of empirical research.Methods Searches for peer-reviewed literature and reports were undertaken and included when they met the eligibility criteria. Data were extracted and the findings narratively synthesised.Discussion The findings suggested wide ranging recruitment and retention issues of the dental workforce in the UK. Most issues were associated with NHS dentists, followed by dental nurses across both the NHS and private sectors. The worst affected parts of the country were rural and coastal areas.Conclusion It appears from the evidence that there are many dental professionals discussing recruitment and retention issues, followed by stakeholders. However, there is limited research and data to initiate change.
Collapse
Affiliation(s)
- Deborah Evans
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, UK.
| | - Lorna Burns
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, UK
| | - Ian Mills
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, UK
| | - Marie Bryce
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, UK
| | - Sally Hanks
- Peninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, Devon, UK
| |
Collapse
|
10
|
Antoniadou M. Quality of Life and Satisfaction from Career and Work-Life Integration of Greek Dentists before and during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9865. [PMID: 36011505 PMCID: PMC9407923 DOI: 10.3390/ijerph19169865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/08/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
Quality of life (QoL) of dental professionals is a basic parameter of the quality of dental services (QS), a fact well-documented before and during the COVID-19 pandemic in different countries. This study is a comprehensive, cross-sectional survey aimed to explore possible differences in satisfaction from career and work-life integration, as well as QoL in a sample of Greek dentists during the second lockdown in March 2021. Methods: 804 dentists from the vast metropolitan area of Athens and Piraeus selectively responded by completing a self-reported questionnaire based on: the Copenhagen Questionnaire (CQ) for assessing work stress; the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) for evaluating personal accomplishment; and the Quality-of-Life work scale (ProQOL-CSF). Data were analyzed using the independent t-test, ANOVA, Pearson's correlation, and multiple linear regression. Results: QoL and career satisfaction were significantly diminished during the pandemic. Career satisfaction despite the pandemic was overall influenced in tandem by age (b = 0.427, p = 0.001), marital status (b = 0.276, p = 0.021), and inversely by years of practice (b = -0.330, p = 0.007) and income (b = -0.221, p = 0.015). Satisfaction from the work-life integration was influenced before the pandemic by marital status (b = 0.255 p = 0.013), years of practice (b = -0.371, p = 0.0001), while gender, years of practice, age, higher education, and income played a significant role during the pandemic. QoL was impacted before pandemic by age (b = -1.007, p = 0.001), number of children (b = -1.704, p = 0.018), and higher degree (b = -1.143, p = 0.001), while during the pandemic by gender (b = -0.582, p = 0.002), number of children (b = 0.469, p = 0.037), higher degree (b = 0.279, p = 0.009), and years of practice (b = -0.523, p = 0.0001). Males were more prone to low QoL, and dissatisfaction with career and work-life integration, during the pandemic. Income is a predictor of career satisfaction despite the pandemic. Personal resources through deep human relationships, higher education, beliefs, and values can offer a resilience shield against professional difficulties in periods of unexpected stressful events.
Collapse
Affiliation(s)
- Maria Antoniadou
- Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece
| |
Collapse
|
11
|
Shah K, Serban S, Douglas GVA. Improving the fit of filtering facepiece respirators. Br Dent J 2022:10.1038/s41415-022-4512-3. [PMID: 35931750 PMCID: PMC9362026 DOI: 10.1038/s41415-022-4512-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 04/18/2022] [Indexed: 11/08/2022]
Abstract
Aims To assess the effectiveness and acceptability of smartphone customised frame technology to improve the fit of disposable filtering facepiece class 3 (FFP3) respirators for dental staff who previously failed fit testing.Method In total, 20 volunteers who previously failed FFP3 fit testing were recruited to use smartphone technology (Bellus3D FaceApp) to have a 3D-printed bespoke face frame produced for them. They underwent qualitative fit testing with and without the frame with two freely available disposable FFP3 respirator designs (mask A: GVS F31000 Segre folded model; mask B: Valmy Spireor). The order of testing was random. Ease of use of the smartphone technology and the comfort of the frame were determined by questionnaire.Results Fit test passes increased from 5% without the frame to 70% and 95%, respectively, for masks A and B with the frame (p <0.01). Very few participants reported using the technology as difficult (n = 1/20) or the frame uncomfortable (n = 3/20) or difficult to wear (n = 0/20).Conclusion Customised frames produced using smartphone technology improved qualitative fit test pass rates for two commonly available FFP3 respirators. Using smartphone technology for frame design, wearing a frame and frame comfort levels were all acceptable to the majority of participants.
Collapse
Affiliation(s)
- Kamini Shah
- NHS England and NHS Improvement North East and Yorkshire, The Old Exchange Barnard Street, Darlington, DL3 7DR, UK.
| | - Stefan Serban
- School of Dentistry, University of Leeds, Clarendon Way, Leeds, LS2 9LU, UK
| | - Gail V A Douglas
- School of Dentistry, University of Leeds, Clarendon Way, Leeds, LS2 9LU, UK
| |
Collapse
|
12
|
Quach JDD, Wanyonyi-Kay K, Radford DR, Louca C. The perceptions and attitudes of qualified dental therapists towards a diagnostic role in the provision of paediatric dental care. Br Dent J 2022:10.1038/s41415-022-4393-5. [PMID: 35725912 PMCID: PMC9208540 DOI: 10.1038/s41415-022-4393-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 11/22/2021] [Indexed: 11/17/2022]
Abstract
Objectives This study explored the perceptions and attitudes of qualified UK dental therapists (DTs) to act in a diagnostic role in the dental care of paediatric patients.Methods A mixed methods study. An electronic questionnaire was sent out to the members of associations and closed social networking groups for qualified DTs across the UK. The questionnaire explored the training, clinical experience and working practices of the participants and measured their agreements with applicable statements using Likert scale scores. Semi-structured interviews were also undertaken to explore how UK DTs perceived a diagnostic role for them and what barriers and facilitators they experienced.Results A total of 155 questionnaire responses were returned and 11 interviews conducted. Participants were mostly women (94.8%) with a broad range of working experience, with a mean experience of 9.5 years (± 8.8 standard deviation [SD]) (range: 1-42 years). From the questionnaires, when asked to score agreement on a Likert scale from 0-5, DTs agreed that in a diagnostic role, they could increase access to dentistry for patients and a high proportion were in agreement that they had the knowledge to carry out examination (mean = 4.43 ± 0.87 SD), diagnosis (mean = 4.37 ± 0.90 SD) and care planning for paediatric patients (mean = 2.74 ± 1.32 SD). The interviews yielded three qualitative supra themes: 'working in the UK as a DT today'; 'the perceptions of dental therapists on acting in a diagnostic role in paediatric dental care'; and 'barriers and facilitators to acting in a diagnostic role' and within these, eight major themes were identified.Conclusion Within the limitations of a small sample who were representative of the workforce demographic and educational structures, we found that DTs felt that if they were to act in a diagnostic role, it would improve access to dental services benefitting patients, dentists and the DT profession. DTs identified and explored barriers and facilitators to a diagnostic role. Change is required to overcome these barriers in order to support DTs to act in a front-line diagnostic role.
Collapse
Affiliation(s)
- Joshua D D Quach
- Special Care Dental Therapist, Special Care Dental Services, Sussex Community NHS Foundation Trust, UK.
| | - Kristina Wanyonyi-Kay
- Clinical Senior Lecturer in Dental Public Health, Queen Mary University of London, Institute of Dentistry, Centre for Dental Public Health and Primary Care, Barts and The London School of Medicine and Dentistry, London, E1 2AD, UK
| | - David R Radford
- Principal Lecturer, University of Portsmouth Dental Academy, Faculty of Science and Health, University of Portsmouth, Portsmouth, PO1 2QG, UK; Honorary Tutor, Faculty of Dentistry, Oral and Craniofacial Sciences, King´s College London, SE1 9RT, UK
| | - Chris Louca
- Professor, Director and Head, University of Portsmouth Dental Academy, Faculty of Science and Health, University of Portsmouth, PO1 2QG, UK
| |
Collapse
|
13
|
Estimation of Factors Affecting Burnout in Greek Dentists before and during the COVID-19 Pandemic. Dent J (Basel) 2022; 10:dj10060108. [PMID: 35735650 PMCID: PMC9221850 DOI: 10.3390/dj10060108] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/07/2022] [Accepted: 06/09/2022] [Indexed: 12/25/2022] Open
Abstract
This study is a comprehensive, cross-sectional survey in occupational burnout, career satisfaction, and quality of life conducted in March 2021 among dentists in the vast area of metropolitan Athens, Greece. Data were collected using a self-reported questionnaire based on the Copenhagen Questionnaire (CQ) for assessing work stress and the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) for evaluating occupational burnout. Using the independent t-test, ANOVA, Pearson’s correlation, and multiple linear regression, 804 valid questionnaires were analyzed. During the pandemic, personal exhaustion was affected by gender (b = 1.862, p = 0.0001), age (b = −0.598, p = 0.0001), number of children (b = −0.886, p = 0.020) and higher degree (b = −0.450, p = 0.012). Exhaustion due to working with patients was affected by gender (b = 0.662 p = 0.0001), age (b = −0.513, p = 0.0001), number of children (b = −0.701, p = 0.0001), higher degree (b = −0.207, p = 0.028) and years in practice (b = 0.408 p = 0.0001). Males were more prone to unhappiness, dissatisfaction, and professional physical and emotional exhaustion, but personal resources through higher education, beliefs, values, and hobbies can offer a preventive shield to all dental professionals. Economic management issues can also enhance dentists’ satisfaction and feeling of safety in a rapidly changing environment.
Collapse
|
14
|
Amiresmaeili M, Jamebozorgi MH, Jamebozorgi AH. Identifying factors affecting dentists retention in deprived areas in Iran. Int J Health Plann Manage 2021; 37:1340-1350. [PMID: 34897804 DOI: 10.1002/hpm.3400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 10/26/2021] [Accepted: 11/30/2021] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND One of the concerns of health managers in regard to improving the oral health of residents in deprived areas is to increase the tendency of dentists to stay in those areas. The purpose of this study was to explore factors affecting the intention of dentists to stay in deprived areas. METHODS The present qualitative study was carried out using semi-structured interviews. We interviewed 22 informants (4 oral health managers and 18 dentists) who were identified purposefully. Informants were asked what factors affecting retention in remote and deprived areas. Content analysis through the 7-step Colaizzi approach was used for data analysis. RESULTS Fifteen subthemes under five themes of individual factors, the development level of the region, social and cultural factors, financial issues, and managerial and organizational factors were identified as factors affecting tendency of dentist to stay and work in deprived areas. CONCLUSION According to the results of our study, health policymakers and managers should focus on culture and attitudes of the residents, Provision of financial incentives, structural problems and underdevelopment of the region, and high workload to increase the tendency of dentists to stay in remote and deprived areas.
Collapse
Affiliation(s)
- Mohammadreza Amiresmaeili
- Department of Health Management, Policy and Economics, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | | | | |
Collapse
|
15
|
Woolley S, Lau W. Ten years on: an online questionnaire evaluation of the UK special care dentistry specialist workforce. Br Dent J 2021:10.1038/s41415-021-2946-7. [PMID: 33986483 DOI: 10.1038/s41415-021-2946-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 07/28/2020] [Indexed: 11/09/2022]
Abstract
Aims To provide information on the demographics and work patterns of the UK special care dentistry (SCD) specialist workforce.Design A self-administered electronic questionnaire.Setting All UK-based SCD specialists on the membership of the British Society for Disability and Oral Health and the British Society of Gerodontology.Materials and methods An electronic questionnaire was distributed to a potential 301 SCD specialists. Responses were descriptively analysed.Results One hundred responses (33%) were received. The majority of respondents were female (74%) and/or of white ethnicity (86%). Three-quarters (78%) were based in England and a third (37%) were based in South East England. Two-thirds (66%) worked in the community dental service. Forty-eight percent work part-time and 32% have had a career break. Forty-three percent are planning to retire by 2026 and approximately half (53%) plan to retire by 2031. A significant minority (44%) do not feel appropriately paid.Conclusions Workforce planners should anticipate the impact on specialist provision due to a combination of a predominantly female workforce with associated working patterns, an anticipated loss of numbers and experience, and the effect financial dissatisfaction may have on attracting trainees. Efforts should be made to increase racial diversity.
Collapse
Affiliation(s)
- Stephen Woolley
- Aneurin Bevan University Health Board, Community Dental Services, Clytha Dental Clinic, 26 Clytha Park Road, Newport, NP20 4PA, UK.
| | - Winto Lau
- Peterborough City Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, PE3 9GZ, UK
| |
Collapse
|
16
|
Donnell CC, Woolley JJ, Worthington SW. Advertising and facial aesthetics in primary care: how compliant are practice websites and social media with published guidance? Br Dent J 2021:10.1038/s41415-021-2718-4. [PMID: 33767368 PMCID: PMC7992508 DOI: 10.1038/s41415-021-2718-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 07/04/2020] [Indexed: 12/02/2022]
Abstract
Aims and objectives To assess compliance of dental practices across North East England and North Cumbria (NENC) with General Dental Council (GDC) Guidance on advertising and Advertising Standards Agency-Committee of Advertising Practice (ASA-CAP) Regulation 12.12 - prohibition of marketing prescription-only medicines/treatments to the public. To provide checklists for registrants to safeguard their own compliance with GDC guidance and ASA-CAP advertising regulations.Materials and methods All premises providing dental care in NENC were identified from the Care Quality Commission (CQC) database and subsequently checked against the GDC Guidance on advertising and the ASA-CAP code for advertising prescription-only medicines, specifically relating to aesthetic treatments.Results Of the 450 dental practices sampled, 84.7% had a website, 72.7% had a Facebook page and 34% had an Instagram account. Only seven websites (1.8%) were fully compliant with GDC advertising guidance. Of the 450 practices sampled, 148 websites, 51 Facebook pages and 41 Instagram accounts mentioned or offered skin treatments. Only six websites and three Facebook pages were fully compliant. No Instagram accounts were compliant.Conclusions Compliance with the most up-to-date advertising guidelines from the GDC and ASA-CAP is generally poor. A lack of registrant knowledge surrounding the scope of guidance available has most likely resulted in inadvertent non-compliance. Checklists should help improve compliance.
Collapse
Affiliation(s)
- Christopher C Donnell
- Dental Core Trainee, Newcastle Dental Hospital, Newcastle upon Tyne NHS Hospitals Foundation Trust, UK
| | - Julian J Woolley
- Dental Core Trainee, King's College London, King's College Hospital NHS Foundation Trust, UK
| | - Stuart W Worthington
- Speciality Registrar, Dental Public Health, Public Health England, Newcastle upon Tyne, UK.
| |
Collapse
|
17
|
Does age matter? A patient's perspective. BDJ IN PRACTICE 2021. [PMCID: PMC7938024 DOI: 10.1038/s41404-021-0689-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
18
|
Kodama T, Ida Y, Miura H. A Nationwide Survey on Working Hours and Working Environment among Hospital Dentists in Japan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17239048. [PMID: 33291636 PMCID: PMC7730468 DOI: 10.3390/ijerph17239048] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 12/01/2020] [Accepted: 12/02/2020] [Indexed: 11/16/2022]
Abstract
Sustainable human resource is one of the main issues in healthcare delivery and the way hospital dentists work has a significant impact on oral and dental healthcare services. This study is the first large-scale nationwide survey aiming to investigate the working hours including the working environment among hospital dentists in Japan. A total of 2914 hospital dentists responded to self-administered questionnaires from general hospitals (GHs) and medical educational institutions (MEIs) across the country. Among full-time dentists, the younger generation (i.e., those in their 20s and 30s) of both male and female dentists working in GHs engage in over 40 h of in-hospital clinical practice per week, apart from their self-learning hours. In contrast, the middle-aged dentists (i.e., those in their 40s and 50s) at MEIs work for more than 50 h on average due to the added teaching and research responsibilities. In a multiple logistic regression model using "more than 60 h of work per week" as the dependent variable, higher ORs (Odds Ratios) were found in males (OR = 1.83, 95%CI 1.50-2.22), MEIs (OR = 1.92, 1.52-2.42), and individuals specializing in dental and oral surgery (OR = 1.85, 1.47-2.32). Task-shifting was requested by 22.6% of the respondents for preventive care and dental guidance. Only a few male dentists experienced taking a parental leave and the peak distribution of working hours was shorter for females working in GHs. The support for child-rearing in the work environment is still insufficient and a consensus on the involvement of male dentists in childcare is needed.
Collapse
Affiliation(s)
- Tomoko Kodama
- Department of International Health and Collaboration, National Institute of Public Health, Wako 351-0197, Japan
- Correspondence: ; Tel.: +81-48-458-6150
| | - Yusuke Ida
- Healthcare Executive Program, Graduate School of Medicine, the University of Tokyo, Tokyo 113-0033, Japan;
| | - Hiroko Miura
- Division of Disease Control and Epidemiology, School of Dentistry, Health Sciences University of Hokkaido, Hokkaido 061-0293, Japan;
| |
Collapse
|