“By creating we think, by living we learn” Patrick Geddes
CSO/SHEFC/Scottish Consortium
Dr Jan Clarkson
Universities of Aberdeen, Edinburgh, Glasgow, St Andrews, Practitioner Services Division
Do remuneration and/or training in use of evidence from research positively influence General Dental Practitioners to implement evidence from research to increase the targeted use of preventive fissure sealants on the permanent second molars of 12-14 year old children at high caries risk?
A 2x2 factorial design was adopted. Dental practices, stratified by proportion of children registered aged 12-14 years in DEPCAT areas 4-7 were randomised to a control group or groups receiving different combinations of the interventions. The resulting groups were control, remuneration only, training only and both remuneration and training. A central feature of the study is its use of routinely-collected data held on the MIDAS system by the Practitioner Service Division of the Common Services Agency. These data were used in two ways: firstly to identify dentists to be invited onto the study, and secondly to select a random sample of patients whose treatment records would generate the principle study outcome measures. A sample of all dentists with a surgery address in a DEPCAT area 4 to 7 who had seen at least 48 children of the relevant age in 2002 (based on MIDAS returns) was selected.
Evidence of the influence of fee-for-service remuneration and/or education on the behaviour of GDPs, with regard to the implementation of research from evidence being adopted in practice.
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