Adhesive solutions: report of a case using multiple adhesive techniques in the management of enamel hypoplasia.
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Biomedical subjects
Publications and source records attributed to V P Holt.
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This paper describes an audit of management supervision of tasks delegated to staff, covering general management, such as meeting health and safety requirements, and clinical management, such as changing of disinfectant solutions according to protocols. The project resulted in the establishment of a series of management check-lists which are illustrated.
The title, of course, came from a patient. The precise and original answer to the question has been largely overwhelmed by the vast changes in the profession over 30-odd years. The author discusses why he is glad he chose general dental practice; why it remains a career of interest, stimulus, challenge and satisfaction; and why he would commend it enthusiastically to today's school leavers.
OBJECTIVE: To establish the factors considered by adult regular dental attenders to be the most important in choosing to stay with a particular dentist or practice. DESIGN: An anonymous questionnaire to be completed by patients. SETTING: General dental practices in England and Wales with a significant proportion of patients seen under some form of private contract. SUBJECTS AND METHODS: 13 practices in England and Wales were selected to represent a regional cross-section of the country. Up to 100 successive patients visiting each practice during the summer of 1995 were invited to complete the questionnaire. 1003 questionnaires were returned. RESULTS: Notwithstanding regional, gender and socio-economic status related differences the most important factors were 'care and attention' rated as very important by 90% of respondents, 'pain control, 'dentist puts you at ease ', 'safety conscious' all rated as very important by 79-82% of respondents, and 'explanation of treatments' rated as very important by 73% of respondents. The importance attached to the dentist being 'safety conscious' suggests a change in emphasis from earlier studies. CONCLUSIONS: The factors rated most important reflect the dentist's behaviour and personal skills in devoting time and attention to the patient.
A well-established study group undertook a pilot peer review project testing the use of clinical audit in members' practices. Two peer review groups were formed involving a total of 16 practices. Practice visits were undertaken and a series of meetings were held to prepare and discuss the various projects. The progress of the groups was monitored by questionnaires. All practitioners reported benefits from the project (specifically, from the practice visits) and made changes in areas of their practice other than those specifically chosen for their project. The benefits of carrying out audit projects in a peer review setting are stressed as are the benefits of reciprocal practice visits. The importance of prior establishment of mutual trust and confidence in the peer review group is emphasised.