Cases and Studies of Culture & Economy in Lottery & Gambling
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- Article] Are patients referred for NHS-funded dental implant treatment being selected in accordance with national guidelines and subsequently funded by their primary care trust?
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DocNo of ILP: 2513
Doc. Type: Article
Title: Are patients referred for NHS-funded dental implant treatment being selected in accordance with national guidelines and subsequently funded by their primary care trust?
Authors: Andrews, KV; Penny, JR; King, PA
Full Name of Authors: Andrews, Karen V.; Penny, Jonathan R.; King, Paul A.
Keywords by Author: Dental implants; Health resources; Guideline; Clinical audit
Keywords Plus:
Abstract: INTRODUCTION The Faculty of Dental Surgery, The Royal College of Surgeons of England (RCSE), published a national guideline document in 1997 detailing specific selection criteria for National Health Service (NHS) funded dental implant treatment. The aim of this audit was to assess whether patients selected for NHS-funded dental implants at Bristol Dental Hospital (BDH) met the RCSE national criteria for treatment and received funding from their primary care trust (PCT). PATIENTS AND METHODS A retrospective audit over a period of 2 years was undertaken using medical records and an existing Microsoft Excel database. All patients who had an application submitted to their local PCT for NHS-funded dental implants by BDH were included in this audit. RESULTS A total of 82 applications for dental implant funding were made by BDH and 100% met the RCSE criteria. Fifty-one patients (62.2%) in total had their application for funding approved. Thirty-one patients (37.8%) that met the RCSE guidelines for NHS-funded dental implant treatment had their applications refused. Twenty-five (49%) out of 51 cases in the partially dentate category and six (27.3%) cases in the edentulous group were unsuccessful in their application for NHS-funded dental implants. However, all applications for patients with acquired maxillofacial defects were successful. CONCLUSIONS Patient selection by the BDH for NHS-funded implants complied with the RCSE guidelines. However, there was significant variation in funding between PCTs for those patients who apparently fulfilled the RCSE guidelines. NHS resources are not being allocated equitably for dental implant 'high-priority' patients and it would appear that a so-called 'postcode lottery' exists between PCTs.
Cate of OECD: Clinical medicine
Year of Publication: 2010
Business Area: lottery
Detail Business: lottery
Country: England
Study Area: promotion, fund, Criteria, clinical trial, clinical trial, software, database, patient, choice
Name of Journal: ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
Language: English
Country of Authors: [Andrews, Karen V.; Penny, Jonathan R.; King, Paul A.] Bristol Dent Hosp & Sch, Dept Restorat Dent, Bristol BS1 2LY, Avon, England
Press Adress: Andrews, KV (reprint author), Bristol Dent Hosp & Sch, Dept Restorat Dent, Lower Maudlin St, Bristol BS1 2LY, Avon, England.
Email Address: Karen.Andrews@UHBristol.nhs.uk
Citaion:
Funding:
Lists of Citation: ADELL R, 1990, International Journal of Oral and Maxillofacial Implants, V5, P347; Butterworth CJ, 2001, BRIT DENT J, V190, P93, DOI 10.1038/sj.bdj.4800892a; Calman K, 1995, POLICY FRAMEWORK COM; Cunningham SJ, 2000, BRIT DENT J, V188, P250, DOI 10.1038/sj.bdj.4800444a; *ROYAL CELL SURG E, 1997, GUID SEL APPR PAT RE
Number of Citaion: 5
Publication: ROYAL COLL SURGEONS ENGLAND
City of Publication: LONDON
Address of Publication: 35-43 LINCOLN'S INN FIELDS, LONDON WC2A 3PN, ENGLAND
ISSN: 0035-8843
29-Character Source Abbreviation: ANN ROY COLL SURG
ISO Source Abbreviation: Ann. R. Coll. Surg. Engl.
Volume: 92
Version: 6
Start of File: 512
End of File: 514
DOI: 10.1308/003588410X12664192076016
Number of Pages: 3
Web of Science Category: Surgery
Subject Category: Surgery
Document Delivery Number: 657MP
Unique Article Identifier: WOS:000282417100016
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