Direct access to midlevel dental providers: an evidence synthesis
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
StandardStandard
Yn: Journal of Public Health Dentistry, Cyfrol 74, Rhif 4, 13.12.2014, t. 326-35.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
HarvardHarvard
APA
CBE
MLA
VancouverVancouver
Author
RIS
TY - JOUR
T1 - Direct access to midlevel dental providers
T2 - an evidence synthesis
AU - Brocklehurst, Paul
AU - Mertz, Beth
AU - Jerković-Ćosić, Katarina
AU - Littlewood, Anne
AU - Tickle, Martin
N1 - © 2014 American Association of Public Health Dentistry.
PY - 2014/12/13
Y1 - 2014/12/13
N2 - OBJECTIVES: Direct access is a term that describes the ability of patients to seek health care from midlevel dental providers (MLDPs) without first seeing a dentist. The objective of this study was to synthesize the evidence for the effects and costs of direct access to MLDPs in a primary dental care environment and assess the attitudes of various stakeholders to this method of care delivery.METHODS: The literature was examined for descriptive, observational, and experimental study designs to examine the evidence for direct access in dentistry. Electronic searches were undertaken of the Database of Abstracts of Reviews of Effectiveness, bibliographic subscription databases, open access databases, and the gray literature.RESULTS: The search identified 371 records, although the extent of experimental evidence was limited. The majority of included studies were descriptive and recorded the subjective views of different stakeholders, following the introduction of the policy.CONCLUSIONS: The limited extent of experimental evidence regarding direct access to MLDPs contrasts with their widespread use across Europe, the United States, and the southern hemisphere. Suggestions are made for a research program to improve the evidence base for direct access.
AB - OBJECTIVES: Direct access is a term that describes the ability of patients to seek health care from midlevel dental providers (MLDPs) without first seeing a dentist. The objective of this study was to synthesize the evidence for the effects and costs of direct access to MLDPs in a primary dental care environment and assess the attitudes of various stakeholders to this method of care delivery.METHODS: The literature was examined for descriptive, observational, and experimental study designs to examine the evidence for direct access in dentistry. Electronic searches were undertaken of the Database of Abstracts of Reviews of Effectiveness, bibliographic subscription databases, open access databases, and the gray literature.RESULTS: The search identified 371 records, although the extent of experimental evidence was limited. The majority of included studies were descriptive and recorded the subjective views of different stakeholders, following the introduction of the policy.CONCLUSIONS: The limited extent of experimental evidence regarding direct access to MLDPs contrasts with their widespread use across Europe, the United States, and the southern hemisphere. Suggestions are made for a research program to improve the evidence base for direct access.
KW - Cost-Benefit Analysis
KW - Dental Health Services
KW - Evidence-Based Dentistry
KW - Health Services Accessibility
KW - Humans
KW - Patient Safety
KW - Patient Satisfaction
KW - Journal Article
KW - Review
U2 - 10.1111/jphd.12062
DO - 10.1111/jphd.12062
M3 - Article
C2 - 24946834
VL - 74
SP - 326
EP - 335
JO - Journal of Public Health Dentistry
JF - Journal of Public Health Dentistry
SN - 0022-4006
IS - 4
ER -