Wientjens, N.A.M. (2019) Mond gerelateerde problemen in de huisartspraktijk in de steden Groningen, Nijmegen en de omgeving daarvan. thesis, Dentistry.
Full text available on request.Abstract
Patients with oral complaints or abnormalities may contact their general practitioner (GP). The question is whether the GP is capable to identify and interpret the patient’s mouth�related complaints in the correct way so that the patient can be helped or referred in an adequate way. The research questions of this survey were: 1) To what extent are GPs (in training) in the regions of Groningen and Nijmegen capable of signalling (urgent) mouth�related problems and taking correct decisions for the patient’s health accordingly? 2) Which factors are of main influence on the capability of GPs (in training) to signal mouth-related problems? The objective of this research was to realize recommendations about how a potential lack of knowledge of oral diseases amongst GPs (in training) could be remedied. In order to determine the average level of knowledge regarding mouth-related problems amongst GPs (in training) and to determine whether they were capable of identifying an urgent case, an online questionnaire was conducted. This questionnaire consisted of short clinical case sketches guided by images. The GPs (in training) were asked to give a diagnosis and to propose conduct for each individual case. They could gain a maximum of 1 point per case. The questionnaire contained five urgent cases that needed direct or short term specialist care and five cases in which this wasn’t directly necessary. The primary outcome measure of this research was the (average) level of knowledge of mouth-related problems of GPs (in training) (maximum score: 10 points, minimum score: 0 points). The secondary outcome measure was the determination of the correct conduct for each urgent case by a minimum of 95% of the respondents. The average level of knowledge did not differ if independent variables were studied such as age, gender, year of education. If the cases were analysed separately, a number of independent variables appeared to influence conduct. The urgent cases were never identified as urgent by a minimum of 95% of the respondents. A closer examination of the literature showed that delayed referral also occurs when other than oral complaints are being examined. The predetermined standard may have been too high. In conclusion it can be stated that GPs (in training) in the regions of Groningen and Nijmegen were insufficiently capable of signalling (urgent) mouth-related problems and choose the appropriate conduct accordingly. Some nuance is appropriate here. There were several factors that have influenced the capability of the GPs (in training) to signal specific mouth-related problems and choose the appropriate conduct. These are the age of the GP (in training), the question whether the respondent was a general practitioner or still in training, the number of years of experience of the GP and the location of training to become a GP. The lack of knowledge shown by this research should be decreased in order to guarantee the best possible care for patients. This could be achieved through extension of education about mouth-related matters in the training to become a GP. It would require more in-depth research to substantiate or disprove the found results in order to be better able to draw a sound conclusion in regards to the necessity of amending the curriculum of the training to become a GP.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Minnen, dr. B. van and Meijer, dr. J.M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Nov 2021 08:18 |
| Last Modified: | 24 Nov 2021 08:18 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2857 |
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