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Are clinical decisions in endodontics influenced by the patient's fee-paying status?
Key Points Shows that an analogue study might be helpful in exploring clinical decision making in the dental surgery. Reports that for the cohort of participants in this study, there was no evidence to support the fee status of the patient impacting treatment prescription. Objective We explored whet...
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| Published in: | British dental journal 2015-12, Vol.219 (11), p.541-545 |
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| container_title | British dental journal |
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| creator | Walker, I. Gilbert, D. Asimakopoulou, K. |
| description | Key Points
Shows that an analogue study might be helpful in exploring clinical decision making in the dental surgery.
Reports that for the cohort of participants in this study, there was no evidence to support the fee status of the patient impacting treatment prescription.
Objective
We explored whether the fee status of a UK patient influences clinical decision-making in endodontics.
Subjects and methods
In a randomised-controlled vignette study describing either an 'NHS-funded', 'Privately-funded' or undisclosed fee-status patient, we examined the importance vocational trainer dentists placed on a series of factors normally considered when deciding whether to offer patients endodontic treatment as opposed to extracting the tooth. N = 119 experienced (M years post qualification = 20.01) dentists participated.
Main outcome measures
Having read a vignette describing a hypothetical patient who could potentially be treated either endodontically or through an extraction, dentists rated a series of factors they would normally consider (for example, poor oral hygiene, the rest of their mouth is unfilled and caries-free), before recommending either endodontic treatment or an extraction.
Results
The patient's funding status had no influence on these dentists' clinical decision-making when considering endodontic treatment as an option (p >0.05) with the exception of a single item relating to infrequent attendance where the NHS patient was more likely than the 'undisclosed-fee' patient, to be offered extractions (F
(2, 116)
3.43, p |
| doi_str_mv | 10.1038/sj.bdj.2015.921 |
| format | article |
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Shows that an analogue study might be helpful in exploring clinical decision making in the dental surgery.
Reports that for the cohort of participants in this study, there was no evidence to support the fee status of the patient impacting treatment prescription.
Objective
We explored whether the fee status of a UK patient influences clinical decision-making in endodontics.
Subjects and methods
In a randomised-controlled vignette study describing either an 'NHS-funded', 'Privately-funded' or undisclosed fee-status patient, we examined the importance vocational trainer dentists placed on a series of factors normally considered when deciding whether to offer patients endodontic treatment as opposed to extracting the tooth. N = 119 experienced (M years post qualification = 20.01) dentists participated.
Main outcome measures
Having read a vignette describing a hypothetical patient who could potentially be treated either endodontically or through an extraction, dentists rated a series of factors they would normally consider (for example, poor oral hygiene, the rest of their mouth is unfilled and caries-free), before recommending either endodontic treatment or an extraction.
Results
The patient's funding status had no influence on these dentists' clinical decision-making when considering endodontic treatment as an option (p >0.05) with the exception of a single item relating to infrequent attendance where the NHS patient was more likely than the 'undisclosed-fee' patient, to be offered extractions (F
(2, 116)
3.43, p <0.04).
Conclusions
We have found no strong evidence to suggest that the fee-status of a patient influences clinical decision-making in endodontic treatment by experienced dentists.</description><identifier>ISSN: 0007-0610</identifier><identifier>EISSN: 1476-5373</identifier><identifier>DOI: 10.1038/sj.bdj.2015.921</identifier><identifier>PMID: 26657442</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/700/3032/3099/3120 ; 692/700/3032/3123 ; 692/700/3934 ; Adult ; Clinical Decision-Making ; Dental Pulp Diseases - economics ; Dental Pulp Diseases - surgery ; Dentistry ; Endodontics - economics ; Female ; Humans ; Insurance, Dental ; Male ; Medicine ; State Medicine ; Surveys and Questionnaires ; Tooth Extraction - economics ; United Kingdom</subject><ispartof>British dental journal, 2015-12, Vol.219 (11), p.541-545</ispartof><rights>Springer Nature Limited 2015</rights><rights>Copyright Nature Publishing Group Dec 11, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-4685eca7f10978404e3e497098d2fc91a91aac334cfb14d55cd453729bbfd223</citedby><cites>FETCH-LOGICAL-c366t-4685eca7f10978404e3e497098d2fc91a91aac334cfb14d55cd453729bbfd223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26657442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walker, I.</creatorcontrib><creatorcontrib>Gilbert, D.</creatorcontrib><creatorcontrib>Asimakopoulou, K.</creatorcontrib><title>Are clinical decisions in endodontics influenced by the patient's fee-paying status?</title><title>British dental journal</title><addtitle>Br Dent J</addtitle><addtitle>Br Dent J</addtitle><description>Key Points
Shows that an analogue study might be helpful in exploring clinical decision making in the dental surgery.
Reports that for the cohort of participants in this study, there was no evidence to support the fee status of the patient impacting treatment prescription.
Objective
We explored whether the fee status of a UK patient influences clinical decision-making in endodontics.
Subjects and methods
In a randomised-controlled vignette study describing either an 'NHS-funded', 'Privately-funded' or undisclosed fee-status patient, we examined the importance vocational trainer dentists placed on a series of factors normally considered when deciding whether to offer patients endodontic treatment as opposed to extracting the tooth. N = 119 experienced (M years post qualification = 20.01) dentists participated.
Main outcome measures
Having read a vignette describing a hypothetical patient who could potentially be treated either endodontically or through an extraction, dentists rated a series of factors they would normally consider (for example, poor oral hygiene, the rest of their mouth is unfilled and caries-free), before recommending either endodontic treatment or an extraction.
Results
The patient's funding status had no influence on these dentists' clinical decision-making when considering endodontic treatment as an option (p >0.05) with the exception of a single item relating to infrequent attendance where the NHS patient was more likely than the 'undisclosed-fee' patient, to be offered extractions (F
(2, 116)
3.43, p <0.04).
Conclusions
We have found no strong evidence to suggest that the fee-status of a patient influences clinical decision-making in endodontic treatment by experienced dentists.</description><subject>692/700/3032/3099/3120</subject><subject>692/700/3032/3123</subject><subject>692/700/3934</subject><subject>Adult</subject><subject>Clinical Decision-Making</subject><subject>Dental Pulp Diseases - economics</subject><subject>Dental Pulp Diseases - surgery</subject><subject>Dentistry</subject><subject>Endodontics - economics</subject><subject>Female</subject><subject>Humans</subject><subject>Insurance, Dental</subject><subject>Male</subject><subject>Medicine</subject><subject>State Medicine</subject><subject>Surveys and Questionnaires</subject><subject>Tooth Extraction - economics</subject><subject>United Kingdom</subject><issn>0007-0610</issn><issn>1476-5373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kM9LwzAUx4MoOqdnbxLwoJduL02arCeR4S8QvOwe0uRVU7p0Nu1h_70ZUxFBeBAe-eT7Xj6EXDCYMeCLeWxmlWtmObBiVubsgEyYUDIruOKHZAIAKgPJ4IScxtgAMCFAHpOTXMpCCZFPyOquR2pbH7w1LXVoffRdiNQHisF1rguDt7u2bkcMFh2ttnR4R7oxg8cwXEdaI2Ybs_XhjcbBDGO8PSNHtWkjnn-dU7J6uF8tn7KX18fn5d1LZrmUQybkokBrVM2gVAsBAjmKUkG5cHltS2ZSGcu5sHXFhCsK60T6WV5WVe3ynE_JzT5203cfI8ZBr3202LYmYDdGzZQoJROMQ0Kv_qBNN_YhLbejVAmcM5mo-Z6yfRdjj7Xe9H5t-q1moHe-dWx08q13vnXynV5cfuWO1RrdD_8tOAGwB2K6Cm_Y_xr8T-YnOKGLtg</recordid><startdate>20151211</startdate><enddate>20151211</enddate><creator>Walker, I.</creator><creator>Gilbert, D.</creator><creator>Asimakopoulou, K.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20151211</creationdate><title>Are clinical decisions in endodontics influenced by the patient's fee-paying status?</title><author>Walker, I. ; Gilbert, D. ; Asimakopoulou, K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-4685eca7f10978404e3e497098d2fc91a91aac334cfb14d55cd453729bbfd223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>692/700/3032/3099/3120</topic><topic>692/700/3032/3123</topic><topic>692/700/3934</topic><topic>Adult</topic><topic>Clinical Decision-Making</topic><topic>Dental Pulp Diseases - economics</topic><topic>Dental Pulp Diseases - surgery</topic><topic>Dentistry</topic><topic>Endodontics - economics</topic><topic>Female</topic><topic>Humans</topic><topic>Insurance, Dental</topic><topic>Male</topic><topic>Medicine</topic><topic>State Medicine</topic><topic>Surveys and Questionnaires</topic><topic>Tooth Extraction - economics</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walker, I.</creatorcontrib><creatorcontrib>Gilbert, D.</creatorcontrib><creatorcontrib>Asimakopoulou, K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>British dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walker, I.</au><au>Gilbert, D.</au><au>Asimakopoulou, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are clinical decisions in endodontics influenced by the patient's fee-paying status?</atitle><jtitle>British dental journal</jtitle><stitle>Br Dent J</stitle><addtitle>Br Dent J</addtitle><date>2015-12-11</date><risdate>2015</risdate><volume>219</volume><issue>11</issue><spage>541</spage><epage>545</epage><pages>541-545</pages><issn>0007-0610</issn><eissn>1476-5373</eissn><abstract>Key Points
Shows that an analogue study might be helpful in exploring clinical decision making in the dental surgery.
Reports that for the cohort of participants in this study, there was no evidence to support the fee status of the patient impacting treatment prescription.
Objective
We explored whether the fee status of a UK patient influences clinical decision-making in endodontics.
Subjects and methods
In a randomised-controlled vignette study describing either an 'NHS-funded', 'Privately-funded' or undisclosed fee-status patient, we examined the importance vocational trainer dentists placed on a series of factors normally considered when deciding whether to offer patients endodontic treatment as opposed to extracting the tooth. N = 119 experienced (M years post qualification = 20.01) dentists participated.
Main outcome measures
Having read a vignette describing a hypothetical patient who could potentially be treated either endodontically or through an extraction, dentists rated a series of factors they would normally consider (for example, poor oral hygiene, the rest of their mouth is unfilled and caries-free), before recommending either endodontic treatment or an extraction.
Results
The patient's funding status had no influence on these dentists' clinical decision-making when considering endodontic treatment as an option (p >0.05) with the exception of a single item relating to infrequent attendance where the NHS patient was more likely than the 'undisclosed-fee' patient, to be offered extractions (F
(2, 116)
3.43, p <0.04).
Conclusions
We have found no strong evidence to suggest that the fee-status of a patient influences clinical decision-making in endodontic treatment by experienced dentists.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>26657442</pmid><doi>10.1038/sj.bdj.2015.921</doi><tpages>5</tpages></addata></record> |
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| ispartof | British dental journal, 2015-12, Vol.219 (11), p.541-545 |
| issn | 0007-0610 1476-5373 |
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| source | Springer Nature |
| subjects | 692/700/3032/3099/3120 692/700/3032/3123 692/700/3934 Adult Clinical Decision-Making Dental Pulp Diseases - economics Dental Pulp Diseases - surgery Dentistry Endodontics - economics Female Humans Insurance, Dental Male Medicine State Medicine Surveys and Questionnaires Tooth Extraction - economics United Kingdom |
| title | Are clinical decisions in endodontics influenced by the patient's fee-paying status? |
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