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An investigation into oral surgery referrals in Wales

Introduction With waiting list time increasing in all specialties in the aftermath of the COVID-19 pandemic, it is vital to make sure that patients are receiving treatment in an appropriate setting. Most oral surgery undertaken in secondary care could be successfully carried out in a primary care se...

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Autores principales: Lewis, Kim, Sivarajasingam, Vas, Morgan, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10127952/
https://www.ncbi.nlm.nih.gov/pubmed/37186108
http://dx.doi.org/10.1038/s41415-023-5505-6
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author Lewis, Kim
Sivarajasingam, Vas
Morgan, Maria
author_facet Lewis, Kim
Sivarajasingam, Vas
Morgan, Maria
author_sort Lewis, Kim
collection PubMed
description Introduction With waiting list time increasing in all specialties in the aftermath of the COVID-19 pandemic, it is vital to make sure that patients are receiving treatment in an appropriate setting. Most oral surgery undertaken in secondary care could be successfully carried out in a primary care setting by specialist oral surgeons or general dental practitioners (GDPs) with a special interest in oral surgery. Aim To investigate reasons for oral surgery referrals to secondary care. Method A pilot study looking at oral surgery referrals to secondary care was completed to identify key themes for referrals. From this, a questionnaire was designed. An electronic copy of the questionnaire was distributed to all GDPs registered with Health Education and Improvement Wales (HEIW) throughout Wales. Results Five main themes for referrals, which corresponded with the pilot study findings were: contract limitations; the perception that recently trained dentists do not have the practical skills to undertake oral surgery; limited communication between the oral and maxillofacial surgery departments and GDPs; limited practice resources; and GDPs being less risk averse in undertaking oral surgery in primary care. Outcome Following the results from this research, an All-Wales oral surgery referral handbook for general dental practitioners was published, hosted by HEIW, describing oral surgery patient care pathways. Formation of the Oral Surgery Managed Clinical Networks in Wales and the All-Wales Oral Surgery Strategic Advisory Forum will help further develop robust, sustainable patient care pathways, in collaboration with the health boards.
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spelling pubmed-101279522023-04-27 An investigation into oral surgery referrals in Wales Lewis, Kim Sivarajasingam, Vas Morgan, Maria Br Dent J Research Introduction With waiting list time increasing in all specialties in the aftermath of the COVID-19 pandemic, it is vital to make sure that patients are receiving treatment in an appropriate setting. Most oral surgery undertaken in secondary care could be successfully carried out in a primary care setting by specialist oral surgeons or general dental practitioners (GDPs) with a special interest in oral surgery. Aim To investigate reasons for oral surgery referrals to secondary care. Method A pilot study looking at oral surgery referrals to secondary care was completed to identify key themes for referrals. From this, a questionnaire was designed. An electronic copy of the questionnaire was distributed to all GDPs registered with Health Education and Improvement Wales (HEIW) throughout Wales. Results Five main themes for referrals, which corresponded with the pilot study findings were: contract limitations; the perception that recently trained dentists do not have the practical skills to undertake oral surgery; limited communication between the oral and maxillofacial surgery departments and GDPs; limited practice resources; and GDPs being less risk averse in undertaking oral surgery in primary care. Outcome Following the results from this research, an All-Wales oral surgery referral handbook for general dental practitioners was published, hosted by HEIW, describing oral surgery patient care pathways. Formation of the Oral Surgery Managed Clinical Networks in Wales and the All-Wales Oral Surgery Strategic Advisory Forum will help further develop robust, sustainable patient care pathways, in collaboration with the health boards. Nature Publishing Group UK 2023-04-25 /pmc/articles/PMC10127952/ /pubmed/37186108 http://dx.doi.org/10.1038/s41415-023-5505-6 Text en © The Author(s), under exclusive licence to the British Dental Association 2023 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Research
Lewis, Kim
Sivarajasingam, Vas
Morgan, Maria
An investigation into oral surgery referrals in Wales
title An investigation into oral surgery referrals in Wales
title_full An investigation into oral surgery referrals in Wales
title_fullStr An investigation into oral surgery referrals in Wales
title_full_unstemmed An investigation into oral surgery referrals in Wales
title_short An investigation into oral surgery referrals in Wales
title_sort investigation into oral surgery referrals in wales
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10127952/
https://www.ncbi.nlm.nih.gov/pubmed/37186108
http://dx.doi.org/10.1038/s41415-023-5505-6
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