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◆ BDJ2026-04-10· Medicine

A consensus exercise to inform the future of National Health Service General Dental Services using a modified-Delphi technique

Ivor G. Chestnutt, Rachael Pattinson, Paul Brocklehurst, Anwen Cope

原始摘要(英文原文)· Original abstract
Background Problems relating to the commissioning and delivery of National Health Service (NHS) General Dental Services (GDS) have been well-documented.Objectives This study aimed to gain consensus on issues deemed of importance to the future delivery of dental care in NHS GDS.Methodology Consensus was gained using a modified-Delphi technique. This method asks respondents the degree to which they agree or disagree with the statements on a nine-point Likert scale. Consensus is achieved when more than 70% of respondents either agreed or conversely disagreed with the statement.Results General dental practitioners (n = 70) agreed on 24 of 33 statements. There was consensus on statements relating to a more preventively orientated service and it was possible to identify agreement on what might constitute a core dental service such as the concept of a 'shortened dental arch' and the exclusion of molar endodontics from NHS GDS. However, the idea that NHS dental care should be provided only to children and a defined subset of the population, with for example, those earning over a predefined threshold, ineligible for NHS dental care failed to achieve consensus.There were no significant differences between dentists' views relating either to age or NHS contractor status (performer/provider) when it came to agreement/disagreement on the issues scrutinised.Conclusions This work provides pointers as to the current views of dentists in Wales and could inform future development of NHS GDS.
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