The Working Patterns and Retirement Plans of General Dental Practitioners in a Midlands Health Authority

2002 ◽  
Vol os9 (4) ◽  
pp. 153-156 ◽  
Author(s):  
John Morris ◽  
Rachel Harrison ◽  
Martin Caswell ◽  
Howard Lunn
Keyword(s):  
Gender Difference ◽  
Older Women ◽  
Dental Care ◽  
Health Authority ◽  
Response Rate ◽  
Retirement Plans ◽  
Younger Women ◽  
Care Services ◽  
Dental Practitioners ◽  
The Impact

Introduction With the problems of access to NHS primary dental care services in the last few years attention has focused on manpower considerations for dentistry. Materials and Method This paper presents the results of a simple survey of general dental practitioners in South Staffordshire. Results The response rate was 88%. Most dentists (76%) reported working over 30 hours a week. A small number reported working more than 50 hours a week. Woman dentists were more likely to report working fewer than 31 hours a week. Younger male dentists tended to work longer hours than older male dentists, whereas younger women dentists tended to work fewer hours than older women. The reported retirement plans suggested that around 16% of dentists in their 40s and 50s were planning to retire before 60. Conclusion The findings add weight to the view that woman dentists tend to work fewer hours but studies of cohorts are required to examine the impact of premature retirement and the reasons behind this apparent gender difference.

scholarly journals The Impact of the COVID-19 Epidemic on Orthodontic Patients in China: An Analysis of Posts on Weibo

2020 ◽  
Vol 7 ◽  
Author(s):  
Feiyang Guo ◽  
Bojun Tang ◽  
Danchen Qin ◽  
Tingting Zhao ◽  
Yu-xiong Su ◽  
...  
Keyword(s):  
Dental Care ◽  
Eastern China ◽  
Chi Square ◽  
Sina Weibo ◽  
Care Services ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Positive Feelings ◽  
Negative Feelings ◽  
The Impact

Background: During the COVID-19 pandemic, many dental care services including orthodontic practice were suspended. Orthodontic patients turned to social media platforms to communicate, share experiences, and look for solutions. Our study aimed to investigate the attitudes and perspectives of orthodontic patients during the COVID-19 epidemic in China by analyzing orthodontics-related posts on Sina Weibo (a Chinese counterpart of Twitter).Materials and Methods: Potentially eligible posts on Sina Weibo platform were collected between December 30, 2019, and April 18, 2020. Posts related to both orthodontics and COVID-19 were included and then coded and classified into specific appliances and themes. Geographic and temporal distributions of the included posts were analyzed. In addition, time-lagged cross correlation was performed to explore the association between the number of daily posts and daily new COVID-19 cases/deaths in China. Chi-square tests were employed to compare the differences between fixed appliances and aligners in problems/difficulties and feelings during the epidemic.Results: Of the 28,911 posts identified, 4,484 were included in the analysis. The most frequently mentioned themes were appointments (n = 2,621, 58.5%), negative feelings (n = 2,189, 48.8%), and problems/difficulties (n = 1,155, 25.8%). A majority of posts were tweeted in regions with high levels of economic development and population density in eastern China and from February to March. The number of daily posts had a significantly positive correlation with daily new COVID-19 cases/deaths in China (P < 0.05). Compared with clear aligners, patients with fixed appliances reported more problems/difficulties (P < 0.001) and negative feelings (P < 0.001), but fewer positive feelings (P < 0.001).Conclusions: The analysis of Weibo posts provided a timely understanding of the impact of COVID-19 on orthodontic patients. Delayed appointments were their greatest concern, and negative feelings and untreated orthodontic problems increased during the suspension of dental care services. However, patients with clear aligners reported fewer negative feelings and problems than those with fixed appliances. The findings highlighted the need to consider both treatment- and psychology-related issues of orthodontic patients and how to handle them appropriately during the epidemic.

scholarly journals All in this together? Austerity and the gender-age gap in the 2015 and 2017 British general elections

2019 ◽  
Vol 21 (4) ◽  
pp. 667-688 ◽  
Author(s):  
Anna Sanders ◽  
Rosalind Shorrocks
Keyword(s):  
Older Women ◽  
Age Groups ◽  
Conservative Party ◽  
Vote Choice ◽  
Younger Women ◽  
Face To Face ◽  
Household Finances ◽  
Age Gap ◽  
General Elections ◽  
The Impact

The 2010–2015 Conservative-led Coalition’s austerity policies hit women financially harder than men. However, contrary to expectations at the time, the Conservatives still gained more support from women than men on average in the 2015 general election. We examine the impact of austerity on vote choice in the 2015 and 2017 general elections through analysis of Labour and Conservative economic policy in conjunction with data from the British Election Study’s face-to-face post-election surveys. The expectation that women should be particularly anti-austerity and thus less supportive of the Conservative Party does hold for younger women, who were especially pessimistic relative to their male peers and older age groups about their living costs, household finances, the economy, and the National Health Service in both elections. However, this does not hold for older women, who were protected by the Coalition’s policies on pensions and were more similar to men in their assessment of their economic situation.

Time for some home truths – exploring the relationship between GPs and social workers

2014 ◽  
Vol 22 (2) ◽  
pp. 51-61 ◽  
Author(s):  
Catherine Mangan ◽  
Robin Miller ◽  
Jeremy Cooper
Keyword(s):  
Social Workers ◽  
Social Care ◽  
Response Rate ◽  
Poor Quality ◽  
Content Type ◽  
Care Services ◽  
Health And Social Care ◽  
The Impact ◽  
The Relationship

Purpose – The purpose of this paper is to explore the relationship between general practitioners (GPs) and social care professionals by reflecting on a project (the Home Truths project) which sought to improve joint working between general practice and social care though an action-research process. Design/methodology/approach – iMPOWER's Home Truths project involved gathering local data regarding joint working in local areas and using this data as a catalyst for change. The Institute of Local Government Studies and the Health Services Management Centre at the University of Birmingham were asked to act as a critical friend to the project. This involved supporting the design of the data collection, offering advice on the process and to carrying out a short evaluation of the impact of the first wave. The paper reflects on the collected data from the sites and information from the impact evaluation. Findings – The paper highlights the poor quality of the relationship between GPs and social workers. Findings that illustrate this include GPs’ poor knowledge of social care services; a perception that social care services were of poor quality and rating the quality of their relationships with social workers as poor. However GPs felt that knowing more about social care could help prevent their patients going into residential care earlier than necessary and wanted to work more closely with social care to exploit the benefits and opportunities. The interventions that have been put in place to try and improve relationships focus on the day-to-day working lives of the professionals rather than attempting to introduce new initiatives. Research limitations/implications – The response rate from GPs in the areas was low (average response rate was 10 per cent in each area) and it may be that only those GPs who are interested in working with social care responded. The initiatives that have been developed appear to be reasonable responses to the issues identified. However, a lack of discrete outcomes through which to measure improvement will make it difficult to demonstrate the impact of the interventions. Originality/value – This paper underlines that despite many years of policy makers promoting better integration, the relationship between the key gate-keepers within the health and social care systems is still poor. The findings from the Home Truths surveys and action plans has gone some way to address the gap identified in the evidence base about the relationships between GPs and social workers.

scholarly journals Predictions concerning the use of health care services in Europe by migrants/refugees and the Mig-HealthCare Roadmap & Toolbox

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Zota ◽  
P Karnaki ◽  
A Gil-Salmerón ◽  
J Garcés-Ferrer ◽  
E Riza ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Health Care Services ◽  
Maternal Child Health ◽  
Poverty Level ◽  
Care Services ◽  
Cultural Adaption ◽  
The Impact

Abstract Based on the multiple levels of research conducted within the project the consortium developed a roadmap & toolbox which includes the following categories: Continuity of information, Language Culture & Communication, Mental Health, Vaccinations, Maternal/child health, Health promotion, Oral health/Dental Care and NCDs while the Toolbox contains tools on these categories in different languages. The roadmap & toolbox is accessible through the project website. In addition, different scenarios, giving a comprehensive picture of the foreseen situation and the evidence-based policies and actions needed to maximize the effective delivery and sensitivity in the service of care to culturally diverse population groups were developed focusing on mental health, chronic disease management and oral health. Refugees and migrants tend to have a higher prevalence of mental distress compared to non-refugees. For the challenge of lack of recording mental health of migrants/refugees, improving the collaboration between ‘migrant-specific’ organizations is needed. Health care systems in Europe will have to accommodate the high demand for health care services for chronic conditions among migrants/refugees in the coming years. Implications such as the impact of poverty, level of health literacy and/or the cultural adaption of the measures need to be considered when planning to address future trends related to non-communicable diseases including diabetes among migrants/refugees. The provision of oral care presents great variability across the European countries, but in most cases, it is characterized by high cost and restricted range of services if offered within the state health systems. Migrants /refugees will not be able to meet the high cost of private dental care. Local community interventions have been proven very effective.

scholarly journals The impact of out-of pocket payments of households for dental healthcare services on catastrophic healthcare expenditure in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abraha Woldemichael ◽  
Satar Rezaei ◽  
Ali Kazemi Karyani ◽  
Mohammad Ebrahimi ◽  
Shahin Soltani ◽  
...  
Keyword(s):  
Dental Care ◽  
Rural Areas ◽  
Healthcare Expenditure ◽  
Financial Burden ◽  
Healthcare Services ◽  
Dental Services ◽  
Cross Sectional ◽  
Care Services ◽  
Out Of Pocket Payments ◽  
The Impact

Abstract Background Dental healthcare is the costliest and single most source of the financial barrier to seeking and use of needed healthcare. Hence, this study aims to analyses impact of out-of-pocket (OOP) payments for dental services on prevalence catastrophic healthcare expenditure (CHE) among Iranian households during 2018. Methods We performed a cross-sectional analysis to determine the prevalence rate of CHE due to use of dental healthcare services among 38,858 Iranian households using the 2018 Household Income and Expenditure Survey (HIES) survey data of Iran. The WHO approach was used to determine the CHE due to use of dental care services at the 40% of household capacity to pay (CTP). Multiple logistic regression models were used to obtain the odds of facing with CHE among households that paid for any dental healthcare services over the last month while adjusting for covariates included in the model. These findings were reported for urban, rural areas and also for low, middle and high human development index HDI across provinces. Results The study indicated that the prevalence of CHE among households that used and did not used dental services over the last month was 16.5% (95% CI: 14.9 to 18.3) and 4.3% (95% CI: 4.1 to 4.6), respectively. The adjusted odds ratio (AOR) for the covariates revealed that the prevalence of CHE for the overall households that used dental healthcare service was 6.2 times (95% CI: 5.4 to 7.1) than those that did not use dental healthcare services. The urban households that used dental healthcare had 7.8 times (95%CI: 6.4–9.4) while the rural ones had 4.7 times (95% CI: 3.7–5.7) higher odds of facing CHE than the corresponding households that did not use dental healthcare services. Conclusions The study indicates that out-of-pocket costs for dental care services impose a substantial financial burden on household’s budgets at the national and subnational levels. Alternative health care financing strategies and policies targeted to the reduction in CHE in general and CHE due to dental services in particular are urgently required in low and middle income countries such as Iran.

scholarly journals The Impact of Discriminatory Healthcare Experiences on Use of Medicaid-funded Dental Care Services in California

2020 ◽  
Vol 03 (01) ◽  
Author(s):  
Yuri Jang ◽  
Min-Kyoung Rhee ◽  
Chung Hyeon Jeong ◽  
Woo Jung Lee ◽  
Ann-Marie Yamada ◽  
...  
Keyword(s):  
Dental Care ◽  
Care Services ◽  
Healthcare Experiences ◽  
The Impact

scholarly journals The Impact of Dementia on Oral Health and Dental Care, Part 2: Approaching and Planning Treatment

2020 ◽  
Vol 9 (2) ◽  
pp. 31-37 ◽  
Author(s):  
Andrew Geddis-Regan ◽  
Kathryn Kerr ◽  
Charlotte Curl
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Treatment Modalities ◽  
Health And Social Care ◽  
Dental Practitioners ◽  
Planning Treatment ◽  
Diagnosis Of Dementia ◽  
Secondary Care Setting ◽  
Specialist Practice ◽  
The Impact

Dementia has been described as the biggest health and social care challenge of this century; its impact on dental care cannot be ignored. Dementia affects cognitive ability and decision making, so it is important that oral healthcare professionals are conversant with current mental capacity legislation and issues that may be raised when treatment planning for patients living with the condition. This second article in the series considers the impact of dementia on dental care provision and covers a range of issues which are relevant to both general and specialist practice. These include assessment of capacity, use of different treatment modalities, such as sedation and general anaesthesia, and the factors that may be relevant when deciding to offer treatment or to refer to a secondary care setting for dental treatment. Advanced care planning is detailed to support general dental practitioners considering the longer-term wishes of their patients with an early diagnosis of dementia.

scholarly journals Sleep Characteristics According to Gender and Age Measured by Wrist Actigraphy

2021 ◽  
Vol 18 (24) ◽  
pp. 13213
Author(s):  
Katarína Kováčová ◽  
Katarína Stebelová
Keyword(s):  
Older Women ◽  
Biological Rhythms ◽  
Sleep Efficiency ◽  
Sleep Period ◽  
Younger Women ◽  
Home Based ◽  
Wrist Actigraphy ◽  
Younger Men ◽  
Sleep Parameters ◽  
The Impact

The sleep/wake rhythm is one of the most important biological rhythms. Quality and duration of sleep change during lifetime. The aim of our study was to determine differences in sleep efficiency, movement, and fragmentation during sleep period between genders and according to age. Sleep period was monitored by wrist actigraphy under home-based conditions. Seventy-four healthy participants—47 women and 27 men participated in the study. The participants were divided by age into groups younger than 40 years and 40 years and older. Women showed lower sleep fragmentation and mobility during sleep compared to men. Younger women showed a higher actual sleep and sleep efficiency compared to older women and younger men. Younger men compared to older men had a significantly lower actual sleep, lower sleep efficiency and significantly more sleep and wake bouts. Our results confirmed differences in sleep parameters between genders and according to age. The best sleep quality was detected in young women, but gender differences were not apparent in elderly participants, suggesting the impact of sex hormones on sleep.

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