Direct access: lessons learnt from the Netherlands

Northcott, Andrew, Brocklehurst, P., Jerkovic-Cosic, K., Reinders, J. J., McDermott, I. and Tickle, M. 2013. Direct access: lessons learnt from the Netherlands. British Dental Journal 215 (12) , pp. 607-610. 10.1038/sj.bdj.2013.1193

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Abstract

Objective To use a qualitative approach to examine the perceptions of policy makers, general dental practitioners, dental hygienists, dental students and dental hygiene students in the Netherlands following the introduction of a direct access policy in 2006. Methods Semi-structured interviews and focus groups were undertaken with a variety of policy makers and clinicians in the Netherlands. These were recorded and transcribed verbatim into MS Word documents. The transcripts were line numbered and subjected to thematic analysis to develop a coding frame using NVivo. Results Four main themes are reported, which represent a subset of a policy analysis of direct access in the Netherlands. These were entitled: 'The narrative of implementation', 'Working models of direct access', 'Relationship between old- and new-style hygienists' and 'Public attitudes'. Conclusions Working relationships within integrated practices in the Netherlands are positive, but attitudes towards independent practice are mixed. Good examples of collaborative working across practices were observed, but relationships between the professional bodies remain difficult seven years on since the introduction of the policy.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Subjects:	R Medicine > RK Dentistry
Publisher:	Nature Publishing Group
ISSN:	0007-0610
Last Modified:	28 Jun 2019 02:37
URI:	https://orca.cardiff.ac.uk/id/eprint/91612

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