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Dental service providers in the British National Health Service (NHS) operate under a number of remuneration arrangements that give rise to different incentives. Using data derived from the Scottish dental system, we examine the relationships between remuneration, patient exemption status and treatment intensity. After controlling for differences in patient(More)
BACKGROUND It is well documented that the translation of knowledge into clinical practice is a slow and haphazard process. This is no less true for dental healthcare than other types of healthcare. One common policy strategy to help promote knowledge translation is the production of clinical guidance, but it has been demonstrated that the simple publication(More)
The fissure-sealing of newly erupted molars is an effective caries prevention treatment, but remains underutilized. Two plausible reasons are the financial disincentive produced by the dental remuneration system, and dentists' lack of awareness of evidence-based practice. The primary hypothesis was that implementation strategies based on remuneration or(More)
OBJECTIVE To investigate the effectiveness and cost-effectiveness of different guideline implementation strategies, using the Scottish Intercollegiate Guidelines Network (SIGN) Guideline 42 "Management of unerupted and impacted third molar teeth" (published 2000) as a model. DESIGN A pragmatic, cluster RCT (2x2 factorial design). SUBJECTS Sixty-three(More)
BACKGROUND Interventions to enhance the implementation of evidence-based practice have a varied success rate. This may be due to a lack of understanding of the mechanism by which interventions achieve results. PURPOSE Use psychological models to further an understanding of trial effects by piggy-backing on a randomised controlled trial testing 2(More)
OBJECTIVE Recently the issue of access to health services has been brought into sharp focus by clear evidence of rationing--patients queuing for NHS registration--in the NHS General Dental Services (GDS). Conventional estimates suggest that about 50% of adults are registered per annum. This paper demonstrates that these conventional measures of access and(More)
The reasons behind attrition rates in nursing and midwifery are many and complex. However, of the four UK countries, Scotland has been consistently cited as having the highest attrition rate from its pre-registration nursing and midwifery education programmes. This paper provides an overview of a nationally coordinated programme of work to support(More)
The cost of absenteeism in the UK has been estimated to be £12 billion per annum. If productivity is some function of the health state of the worker firms may prefer some sickness absence to universal attendance. However, when the health state of the worker cannot be verified the firm must structure its employment contract in order to align the workers'(More)