Evidence map›Paper›PMID 40468361›Full record

ArticleBMC health services research2025

Primary oral healthcare in Ireland: a health systems analysis of publicly funded contracted services delivered by the general dental practitioner workforce.

Paul Leavy, Pádraic Fleming, Blánaid Daly, Sarah Barry, Sara Burke

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Paul LeavyCentre for Health Policy and Management, Trinity College Dublin, Dublin 2, Ireland. leavypa@tcd.ie.
Pádraic FlemingTrilateral Research Limited, Waterford, Ireland.
Blánaid DalySchool of Dental Science, Trinity College, Dublin 2, Ireland.
Sarah BarrySchool of Population Health, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Sara BurkeCentre for Health Policy and Management, Trinity College Dublin, Dublin 2, Ireland.

Funding

Health Research Board SPHeRE 2018-1
6 · The paper itself

Abstract

backgroundIn recent years, Ireland has seen a decline in the number of private general dental practitioner (GDP) contractors delivering state funded dental care. Meanwhile, the National Oral Health Policy - Smile agus Sláinte, proposes contracting more state funded care to private GDPs including care for all children and vulnerable adults. Understanding Irish GDP workforce characteristics will be key in evaluating services and informing workforce planning into the future. This study describes the primary oral healthcare system and GDP workforce indicators in Ireland and compares private GDPs by current state dental scheme participation.

methodsDocumentary analysis was used to describe and trace the origins of Ireland's current primary oral healthcare services. Secondary analysis of publicly available data was undertaken to map GDP workforce indicators to critical dimensions of the World Health Organization (WHO) 'Dimensions of Universal Health Coverage (UHC) relating to Human Resources for Health' framework. Private GDPs were compared by state dental scheme participation utilising available demographics. Descriptive statistics were computed using STATA/SE 17 software.

resultsPrivate GDP contractors have participated in the delivery of state-funded dental care in Ireland since the early 1950s. The number of private GDPs holding Dental Treatment Services Scheme (DTSS) contracts fell from 1,664 in 2016 to 787 in August 2023, while the number holding Dental Treatment Benefit Scheme (DTBS) contracts increased from 1,959 in 2016 to 2,384 in 2023. The number of private GDPs submitting claims on the DTSS has also declined from 1,318 in 2016 to 831 in 2022. DTSS contractors are more likely to be male and qualified longer (> 20 years) than GDPs holding only DTBS contracts.

conclusionThese findings are very relevant and timely to the planned policy implementation given that Smile agus Sláinte is reliant on the greater provision of publicly funded care by private GDPs. There is a potential lack of GDP supply into the public system as the Irish Government seeks to implement Smile agus Sláinte and meet its WHO obligations on developing UHC for oral health.

Indexed as

Contract ServicesDental CareDentistsGeneral Practice, DentalPrimary Health CareAdultChildDental Health ServicesFemaleFinancing, GovernmentHumansIrelandMaleMiddle AgedDentistryIrelandOral healthPolicyWorkforce

Identifiers

PMID40468361
PMCPMC12139165

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.