Dental Institute, King's College London, Denmark Hill, London SE5 9RW.
Br Dent J. 2010 Feb 13;208(3):103-7. doi: 10.1038/sj.bdj.2010.101.
This paper reports an evaluation of dental practitioners with special interest (DPwSI) in minor oral surgery (MOS).
To: i) audit the appropriateness of referrals to a DPwSI-MOS service, ii) determine its cost-effectiveness, iii) gather the views of patients who had been treated, and iv) assess the referring dentists' views.
Analysis of management information, telephone interviews with patients, postal questionnaire survey of referring dentist.
Of 83 referrals received, 51 (five for consultation and 46 for extractions) were seen by a DPwSI. The average waiting time between the referral and the treatment dates was 36 days. The cost of treating 51 cases was pound 8,020, compared to pound 43,608 under secondary care, a difference of pound 35,588 and a projected annual difference of pound 142,352. Eighteen patients were interviewed after attending for treatment. Most reported that they were seen within two weeks (ten, 57%) and four weeks (five, 28%) from the time they were referred. The majority (15, 83%) rated the service as good to excellent. Of the questionnaires mailed to 90 referring dentists, 45 (50%) were returned. Of the 40 (90%) dentists who reported being aware of the DPwSI-MOS, 24 (60%) reported having used the service.
This pilot has demonstrated that the provision of MOS in the primary care setting by DPwSIs can provide a good service for patients, potentially improve access for patients, support patient management for referring dentists and reduce costs for the PCT.
本研究报告了对具有口腔颌面小手术（MOS）专业兴趣的牙医（DPwSI）的评估。
i）审核转诊至 DPwSI-MOS 服务的适宜性，ii）确定其成本效益，iii）收集接受治疗患者的意见，iv）评估转诊牙医的意见。
管理信息分析、患者电话访谈、转诊牙医邮寄问卷调查。
共收到 83 例转诊，其中 51 例（5 例为咨询，46 例为拔牙）由 DPwSI 处理。转诊和治疗日期之间的平均等待时间为 36 天。治疗 51 例的费用为 8020 英镑，而在二级保健下的费用为 43608 英镑，差异为 35588 英镑，预计每年差异为 142352 英镑。18 名患者在接受治疗后接受了访谈。大多数患者报告说，他们在转诊后两周（10 例，57%）和四周（5 例，28%）内接受了治疗。大多数（15 例，83%）患者对该服务评价为良好至优秀。邮寄给 90 名转诊牙医的问卷中，有 45 份（50%）被退回。在报告知晓 DPwSI-MOS 的 40 名（90%）牙医中，有 24 名（60%）报告曾使用过该服务。
该试点表明，DPwSIs 在初级保健环境中提供 MOS 服务可为患者提供良好的服务，可能改善患者的就诊机会，为转诊牙医提供患者管理支持，并降低 PCT 的成本。
