MacGillivray, Stephen

Tripathee, Sheela

Turner, Steve

Over 100 research dental and other health-related papers were identified as relevant for this review of direct access. The quality of the evidence regarding direct access issues to dental care practitioners was varied but as a whole of moderately good quality.•The material was overwhelmingly related to the work of dental hygienists and dental therapists, mostly US in origin.•There was no evidence of significant issues of patient safety resulting from the clinical activity of DCPs.•There was strong evidence that access to dental care improved as a result of direct access arrangements, of cost benefits to patients, and of high levels of patent satisfaction.•There was some evidence that DCPs may over-refer patients to dentists, which may ensure patient safety but lead to wasteful use of resources and a high level of ‘no shows’ on referral.•There was evidence of ongoing training needs to strength the assessment and referral skills of DCPs in respect to patients with other health problems or risk factors, but little evidence that dentists are any less in need of such training

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Benefits and risks of direct access to treatment by dental care professionals:a rapid evidence review

A nurse practitioner as the first point of contact for urgent medical problems in a general practice setting. Family practice 14: 492-497 Offredy M

Access to Independent Advocacy: An Evidence Review’, Office for Disability Issues.

Attitudes of the Victorian oral health workforce to the employment and scope of practice of dental hygienists.

Childsmile: the national child oral health improvement programme in Scotland. Part 1: Establishment and development. Br Dent J 209: 73-78 Mascarenhas AK, Deshmukh A, Scott T

Classifying the findings in qualitative studies.

Clinical technical performance of dental therapists in Alaska.

Dental anxiety and pain related to dental hygienist treatment.

Dental Hygiene 7: 108-114 Edelstein B

Dental hygienists and oral cancer prevention: knowledge, attitudes and behaviors in Italy.

Exploring the social acceptability of skill-mix in dentistry.

Knowledge and attitude towards risk factors in oral cancer held by dental hygienists in the Autonomous Community of Murcia (Spain): a pilot study.

Primary health care services provided by nurse practitioners and family physicians in shared practice. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 165: 1210-1214 Zapala

Review Aims and Research Questions Key Findings and Conclusions References: Dental studies Abelsen B,

Straight there no detours: direct access to barristers.

The effects of denturism: New Zealand dentists' response to competition.

The evidence for and against 'PhysioDirect' telephone assessment and advice services.

http://discovery.dundee.ac.uk/portal/files/1994446/FINAL_VERSION_of_Literature_Review_on_Direct_Access.pdf

Benefits and risks of direct access to treatment by dental care professionals:a rapid evidence review

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